title: [Predictive factors for pain in technical dermatological procedures].
abstract: BACKGROUND
  Technical procedures in dermatology are painful.
  
  
  OBJECTIVE
  The aim of the study was to determine predictive factors for pain in such procedures.
  
  
  METHODS
  This observational study evaluated pain by means of a numerical pain rating scale and a questionnaire about the circumstances of the pain and the use of analgesic methods. Data were analysed using Excel and SAS software.
  
  
  RESULTS
  Five hundred and forty-six questionnaires were analysed. Among the patients, 45.4% had mild pain, 34.5% moderate pain and 20.1% severe pain. The least painful procedures were cryotherapy, surgical excision and biopsy, debridement and curettage. Procedures causing moderate to severe pain were treatments involving laser and lights as well as injections (hyaluronic acid, intralesional corticosteroids, botulinum toxin). Pain scores were higher for procedures involving fingers, toes and armpits, while the least painful areas were the trunk and limbs. Among the patients, 62.5% had no preventive analgesia before the procedure, 37.5% had preventive analgesia and 34.2% underwent local or topical anaesthesia (3.7% by cold, 2.0% by oral premedication, 0.5% by hypnosis and 0.4% by nitrous oxide).
  
  
  CONCLUSIONS
  Awareness of predictive factors for pain could allow better use of analgesic methods to offer the patient relief and improve the quality of the procedure.
authors: Service de dermatologie, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France. karentalour@hotmail.com
authors: K
authors: K
authors: Talour
authors: M
authors: M
authors: Schollhammer
authors: R
authors: R
authors: Garlantezec
authors: B
authors: B
authors: Quinio
authors: L
authors: L
authors: Misery
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods; D001706:Biopsy / Q000009:adverse effects; D019274:Botulinum Toxins, Type A / Q000009:adverse effects; D017679:Cryotherapy / Q000009:adverse effects; D003475:Curettage / Q000009:adverse effects; D003646:Debridement / Q000009:adverse effects; D062109:Dermatologic Surgical Procedures / Q000009:adverse effects*; D005260:Female; D005602:France; D006801:Humans; D006820:Hyaluronic Acid / Q000009:adverse effects; D015552:Injections, Intralesional / Q000009:adverse effects; D007279:Injections, Subcutaneous / Q000009:adverse effects; D053685:Laser Therapy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D006820:Hyaluronic Acid; D019274:Botulinum Toxins, Type A