[Postmastectomy pain syndrome evidence based guidelines and decision trees].
A multidisciplinary expert group had reviewed all scientific data available of post mastectomy pain syndrome. Seventy six publications were retained and thirty evidence based diagnosis, treatment and follow-up recommendations are listed. Few of theses recommendations are classed level A. Datas analysis make possible to propose a strategy based on systematic association of drugs, kinesitherapy and psychological support. Evaluation and closer follow-up are necessary. Several decisional trees are proposed.
Labrèze
Laurent
L
Département d'anesthésie-réanimation-douleur, Institut Bergonié, 229, cours de l'Argonne, 33076 Bordeaux Cedex. labreze@bergonie.org
Dixmérias-Iskandar
Florence
F
Monnin
Dominique
D
Bussières
Emmanuel
E
Delahaye
Evelyne
E
Bernard
Dominique
D
Lakdja
Fabrice
F
D000700:Analgesics / Q000627:therapeutic use; D003663:Decision Trees; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000009:adverse effects*; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D026741:Physical Therapy Modalities; D011613:Psychotherapy; D012307:Risk Factors
D000700:Analgesics