Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 11/2018

02-08-2018

Life satisfaction and pain interference in spine surgery patients before and after surgery: comparison between on-opioid and opioid-naïve patients

Auteurs: Moona Kuronen, Hannu Kokki, Timo Nyyssönen, Sakari Savolainen, Merja Kokki

Gepubliceerd in: Quality of Life Research | Uitgave 11/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Pain has a negative impact on life satisfaction (LS). Our primary aims were to compare LS in on-opioid and opioid-naïve spine surgery patients and to evaluate whether surgery affects LS during the first 3 weeks after surgery.

Methods

After informed consent 200 patients (99 on-opioid, 101 opioid-naïve; 112 male; aged 23–71 years) having elective spine surgery were enrolled. Their LS was evaluated using a four-item Life Satisfaction Scale (4–20, lower score more satisfied) and pain interference using Brief Pain Inventory (BPI)-questionnaire (0–10, lower score, less interference) before and 21 days after surgery.

Results

At baseline LS was lower in the ON-OPIOID-group, mean LS-score 10.6 (SD 3.9), than that in the OPIOID-NAÏVE-group, 9.3 (3.0) (p = .027). At 3 weeks after surgery LS had increased in both groups compared to baseline (p < .001). However, LS was still lower in the ON-OPIOID-group, 9.1 (3.7) than that in the OPIOID-NAÏVE-group, 7.6 (2.7) (p = .005). Patients with lower LS experienced more pain interference pre- and post-operatively (p < .001). At 3 weeks the pain interference had decreased in both groups, in the ON-OPIOID-group from mean BPI-score 5.1 (2.0) to 3.0 (2.0) (p < .001) and in the OPIOID-NAÏVE-group from 4.0 (2.1) to 2.4 (2.3) (p < .001), but BPI-score was still higher in the ON-OPIOID-group (p = .045).

Conclusion

Life satisfaction increased and pain interference decreased in both groups after spine surgery. However, LS was lower and pain interference was more significant in on-opioid patients than that in opioid-naïve patients.
Literatuur
1.
go back to reference GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet, 390(10100), 1211–1259. CrossRef GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet, 390(10100), 1211–1259. CrossRef
2.
go back to reference Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy finnish adults. American Journal of Epidemiology, 152(10), 983–991. CrossRef Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy finnish adults. American Journal of Epidemiology, 152(10), 983–991. CrossRef
3.
go back to reference Pakarinen, M., Tuomainen, I., Koivumaa-Honkanen, H., Sinikallio, S., Lehto, S. M., Airaksinen, O., et al. (2016). Life dissatisfaction is associated with depression and poorer surgical outcomes among lumbar spinal stenosis patients: A 10-year follow-up study. International Journal of Rehabilitation Research, 39(4), 291–295. CrossRef Pakarinen, M., Tuomainen, I., Koivumaa-Honkanen, H., Sinikallio, S., Lehto, S. M., Airaksinen, O., et al. (2016). Life dissatisfaction is associated with depression and poorer surgical outcomes among lumbar spinal stenosis patients: A 10-year follow-up study. International Journal of Rehabilitation Research, 39(4), 291–295. CrossRef
5.
go back to reference Sharma, S., Balireddy, R. K., Vorenkamp, K. E., & Durieux, M. E. (2012). Beyond opioid patient-controlled analgesia: A systematic review of analgesia after major spine surgery. Regional Anesthesia and Pain Medicine, 37(1), 79–98. CrossRef Sharma, S., Balireddy, R. K., Vorenkamp, K. E., & Durieux, M. E. (2012). Beyond opioid patient-controlled analgesia: A systematic review of analgesia after major spine surgery. Regional Anesthesia and Pain Medicine, 37(1), 79–98. CrossRef
6.
go back to reference Kokki, M., Kuronen, M., Naaranlahti, T., Nyyssönen, T., Pikkarainen, I., Savolainen, S., et al. (2017). Opioid induced bowel dysfunction in patients undergoing spine surgery: Comparison of oxycodone and oxycodone-naloxone treatment. Advances in Therapy, 34(1), 236–251. CrossRef Kokki, M., Kuronen, M., Naaranlahti, T., Nyyssönen, T., Pikkarainen, I., Savolainen, S., et al. (2017). Opioid induced bowel dysfunction in patients undergoing spine surgery: Comparison of oxycodone and oxycodone-naloxone treatment. Advances in Therapy, 34(1), 236–251. CrossRef
7.
go back to reference Katz, J., & Seltzer, Z. (2009). Transition from acute to chronic postsurgical pain: Risk factors and protective factors. Expert Review of Neurotherapeutics, 9(5), 723–744. CrossRef Katz, J., & Seltzer, Z. (2009). Transition from acute to chronic postsurgical pain: Risk factors and protective factors. Expert Review of Neurotherapeutics, 9(5), 723–744. CrossRef
8.
go back to reference Kinney, M., Hooten, W., Gassivi, S., Allen, M., Passe, M., Hanson, A., et al. (2012). Chronic postthoractomy pain and health-related quality of life. Annals of Thoracic Surgery, 93(4), 1242–1247. CrossRef Kinney, M., Hooten, W., Gassivi, S., Allen, M., Passe, M., Hanson, A., et al. (2012). Chronic postthoractomy pain and health-related quality of life. Annals of Thoracic Surgery, 93(4), 1242–1247. CrossRef
9.
go back to reference Clarke, H., Soneji, N., Ko, D., Yun, L., & Wijeysundera, D. (2014). Rates and risk factors for prolonged opioid use after major surgery: Population based cohort study. BMJ, 348, 1251. CrossRef Clarke, H., Soneji, N., Ko, D., Yun, L., & Wijeysundera, D. (2014). Rates and risk factors for prolonged opioid use after major surgery: Population based cohort study. BMJ, 348, 1251. CrossRef
11.
go back to reference Armaghani, S. J., Lee, D. S., Bible, J. E., Archer, K. R., Shau, D. N., Kay, H., et al. (2014). Preoperative opioid use and its association with perioperative opioid demand and postoperative opioid independence in patients undergoing spine surgery. Spine, 39(25), 1524–1530. CrossRef Armaghani, S. J., Lee, D. S., Bible, J. E., Archer, K. R., Shau, D. N., Kay, H., et al. (2014). Preoperative opioid use and its association with perioperative opioid demand and postoperative opioid independence in patients undergoing spine surgery. Spine, 39(25), 1524–1530. CrossRef
12.
go back to reference Daut, R. L., Cleeland, C. S., & Flanery, R. C. (1983). Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain, 17(2), 197–210. CrossRef Daut, R. L., Cleeland, C. S., & Flanery, R. C. (1983). Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain, 17(2), 197–210. CrossRef
13.
go back to reference Schoenfield, A., Nwosu, K., Jiang, W., Yau, A., Chaundhary, M., Scully, R., et al. (2017). Risk factors for prolonged opioid use following spine surgery, and the association with surgical intensity, among opioid-naïve patients. Journal of Bone and Joint Surgery American volume, 99, 1247–1252. CrossRef Schoenfield, A., Nwosu, K., Jiang, W., Yau, A., Chaundhary, M., Scully, R., et al. (2017). Risk factors for prolonged opioid use following spine surgery, and the association with surgical intensity, among opioid-naïve patients. Journal of Bone and Joint Surgery American volume, 99, 1247–1252. CrossRef
14.
go back to reference Alam, A., Gomes, T., Zheng, H., Mamdani, M. M., Juurlink, D. N., & Bell, C. M. (2012). Long-term analgesic use after low-risk surgery: A retrospective cohort study. Archives of Internal Medicine, 172(5), 425–430. CrossRef Alam, A., Gomes, T., Zheng, H., Mamdani, M. M., Juurlink, D. N., & Bell, C. M. (2012). Long-term analgesic use after low-risk surgery: A retrospective cohort study. Archives of Internal Medicine, 172(5), 425–430. CrossRef
17.
go back to reference Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koskenvuo, M. (2001). Life satisfaction and suicide, a 20-year follow-up study. American Journal of Psychiatry, 158(3), 433–439. CrossRef Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koskenvuo, M. (2001). Life satisfaction and suicide, a 20-year follow-up study. American Journal of Psychiatry, 158(3), 433–439. CrossRef
18.
go back to reference Pakarinen, M., Koivumaa-Honkanen, H., Sinikallio, S., Lehto, S. M., Aalto, T., Airaksinen, O., et al. (2014). Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: A 5-year follow-up study. International Journal of Rehabilitation Research, 37(1), 80–85. CrossRef Pakarinen, M., Koivumaa-Honkanen, H., Sinikallio, S., Lehto, S. M., Aalto, T., Airaksinen, O., et al. (2014). Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: A 5-year follow-up study. International Journal of Rehabilitation Research, 37(1), 80–85. CrossRef
19.
go back to reference McNamee, P., & Mendolia, S. (2014). The effect of chronic pain on life satisfaction: Evidence from Australian data. Social Science & Medicine, 121, 65–73. CrossRef McNamee, P., & Mendolia, S. (2014). The effect of chronic pain on life satisfaction: Evidence from Australian data. Social Science & Medicine, 121, 65–73. CrossRef
21.
go back to reference Berthelot, J., Le Goff, B., & Maugars, Y. (2011). The Hawthorne effect: Stronger than placebo effect? Joint Bone Spine, 78(4), 335–336. CrossRef Berthelot, J., Le Goff, B., & Maugars, Y. (2011). The Hawthorne effect: Stronger than placebo effect? Joint Bone Spine, 78(4), 335–336. CrossRef
22.
go back to reference Kokki, H., Kokki, M., & Sjövall, S. (2012). Oxycodone for the treatment of postoperative pain. Expert Opinion on Pharmacotherapy, 13, 1045–1058. CrossRef Kokki, H., Kokki, M., & Sjövall, S. (2012). Oxycodone for the treatment of postoperative pain. Expert Opinion on Pharmacotherapy, 13, 1045–1058. CrossRef
24.
go back to reference Webster, L. R. (2017). Risk factors for opioid-use disorder and overdose. Anesthesia & Analgesia, 125(5), 1741–1748. CrossRef Webster, L. R. (2017). Risk factors for opioid-use disorder and overdose. Anesthesia & Analgesia, 125(5), 1741–1748. CrossRef
25.
go back to reference Sivaganesan, A., Chotai, S., White-Dzuro, G., McGirt, M. J., & Devin, C. J. (2017). The effect of NSAIDs on spinal fusion: A cross-disciplinary review of biochemical, animal, and human studies. European Spine Journal, 26(11), 2719–2728. CrossRef Sivaganesan, A., Chotai, S., White-Dzuro, G., McGirt, M. J., & Devin, C. J. (2017). The effect of NSAIDs on spinal fusion: A cross-disciplinary review of biochemical, animal, and human studies. European Spine Journal, 26(11), 2719–2728. CrossRef
Metagegevens
Titel
Life satisfaction and pain interference in spine surgery patients before and after surgery: comparison between on-opioid and opioid-naïve patients
Auteurs
Moona Kuronen
Hannu Kokki
Timo Nyyssönen
Sakari Savolainen
Merja Kokki
Publicatiedatum
02-08-2018
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1961-x