title: Chronic Post Surgical Pain.
abstract: Chronic post-surgical pain (CPSP) is a recognised adverse consequence of surgery; surgery is common, therefore the population at risk is considerable.Putative risk factors for CPSP include genetic predisposition, demographic, clinical (pain history, type of surgery, anaesthesia, acute pain severity), and psychological factors (vulnerability vs resilience).Evidence of prevention is limited: long-term benefit from pre-emptive/perioperative analgesia has not been demonstrated consistently.Large scale prospective studies with detailed pre, intra and postoperative multifactorial assessments are required to refine understanding of the aetiology and prognosis of CPSP.
authors.affiliation: Principal Research Fellow Warwick Clinical Trials Unit, University of Warwick, Coventry CV4 7AL.
authors.forename: Julie
authors.initials: J
authors.lastname: Bruce
authors.affiliation: Consultant in Anaesthesia and Acute Pain Management Nuffield Division of Anaesthetics, John Radcliffe Hospital, Oxford OX3 9DU.
authors.forename: Jane
authors.initials: J
authors.lastname: Quinlan
keywords: epidemiology; pain intractable; pain postoperative