Preoperative pain sensitivity and its correlation with postoperative pain and analgesic consumption: a qualitative systematic review.
Pain perception to minor physical stimuli has been hypothesized to be related to subsequent pain ratings after surgery. The objective of this systematic review was to evaluate the correlation between preoperative pain sensitivity and postoperative pain intensity. After a literature search of MEDLINE, EMBASE, and meeting abstracts, we identified 15 studies (n = 948 patients) with univariate and/or multivariate analysis on the topic. In these studies, three types of pain stimuli were applied: thermal, pressure, and electrical pain. The intensity of suprathreshold heat pain (i.e., pain beyond patient threshold) was most consistently shown to correlate with postoperative pain. The most common limitation of the included studies was the method of statistical analysis and lack of multivariate analysis. More research is required to establish the correlation of other pain sensitivity variables with postoperative pain outcomes.
Department of Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Amir
A
Abrishami
Joshua
J
Chan
Frances
F
Chung
Jean
J
Wong
D000700:Analgesics / Q000627:therapeutic use*; D004558:Electric Stimulation; D006358:Hot Temperature; D006801:Humans; D010147:Pain Measurement; D058748:Pain Perception; D017288:Pain Threshold; D010149:Postoperative Pain / Q000188:drug therapy*; D057234:Preoperative Period; D011312:Pressure; D016032:Randomized Controlled Trials as Topic
D000700:Analgesics