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Patient-Reported Chronic Pain Outcomes After Lung Transplantation.

Publication ,  Journal Article
Klinger, RY; Cunniff, C; Mamoun, N; Cooter, M; Hashmi, N; Hopkins, T; Smith, P; Hartwig, M; Bottiger, B
Published in: Semin Cardiothorac Vasc Anesth
March 2020

Chronic pain after lung transplantation is a significant concern, in particular given the heterogeneity of the patient population and the challenges of achieving adequate pain control amid concerns related to complex immunosuppressant regimens and the possibility of respiratory depression. We undertook a patient-reported outcomes (PRO) survey administered via our electronic health care portal to examine the postoperative incisional pain prevalence in a cohort of lung transplant recipients at a single, high-volume center where bilateral thoracosternotomy is the preferred surgical approach. The Patient Reported Outcomes Measurement Information System (PROMIS) Global Health and Pain Intensity short forms were sent to a total of 173 lung transplant recipients who were more than 2 months postsurgery at the time of the study. A total of 64 patients responded to both PROMIS surveys (response rate 38%). In the cohort of survey respondents, we observed a chronic pain incidence of 58% after lung transplantation (median pain score 1/10) and an overall good quality of life score (median score 4/5); however, only 9.4% reported moderate-severe pain (pain score ≥5/10). Survey nonrespondents had higher rates of pretransplant opioid and psychiatric medication use compared with respondents. In this study, we demonstrated the feasibility of using an electronic PRO survey for assessing postoperative pain outcomes after lung transplantation. However, measuring pain outcomes using this type of tool highlights issues of response rate and potential selection bias. Larger studies are needed to adequately assess the risk and predictors of chronic pain after lung transplantation and its impact on quality of life.

Duke Scholars

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Published In

Semin Cardiothorac Vasc Anesth

DOI

EISSN

1940-5596

Publication Date

March 2020

Volume

24

Issue

1

Start / End Page

96 / 103

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Selection Bias
  • Retrospective Studies
  • Quality of Life
  • Prevalence
  • Patient Reported Outcome Measures
  • Pain, Postoperative
  • Middle Aged
  • Male
  • Lung Transplantation
 

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Klinger, R. Y., Cunniff, C., Mamoun, N., Cooter, M., Hashmi, N., Hopkins, T., … Bottiger, B. (2020). Patient-Reported Chronic Pain Outcomes After Lung Transplantation. Semin Cardiothorac Vasc Anesth, 24(1), 96–103. https://doi.org/10.1177/1089253219882432
Klinger, Rebecca Y., Claire Cunniff, Negmeldeen Mamoun, Mary Cooter, Nazish Hashmi, Thomas Hopkins, Patrick Smith, Matthew Hartwig, and Brandi Bottiger. “Patient-Reported Chronic Pain Outcomes After Lung Transplantation.Semin Cardiothorac Vasc Anesth 24, no. 1 (March 2020): 96–103. https://doi.org/10.1177/1089253219882432.
Klinger RY, Cunniff C, Mamoun N, Cooter M, Hashmi N, Hopkins T, et al. Patient-Reported Chronic Pain Outcomes After Lung Transplantation. Semin Cardiothorac Vasc Anesth. 2020 Mar;24(1):96–103.
Klinger, Rebecca Y., et al. “Patient-Reported Chronic Pain Outcomes After Lung Transplantation.Semin Cardiothorac Vasc Anesth, vol. 24, no. 1, Mar. 2020, pp. 96–103. Pubmed, doi:10.1177/1089253219882432.
Klinger RY, Cunniff C, Mamoun N, Cooter M, Hashmi N, Hopkins T, Smith P, Hartwig M, Bottiger B. Patient-Reported Chronic Pain Outcomes After Lung Transplantation. Semin Cardiothorac Vasc Anesth. 2020 Mar;24(1):96–103.
Journal cover image

Published In

Semin Cardiothorac Vasc Anesth

DOI

EISSN

1940-5596

Publication Date

March 2020

Volume

24

Issue

1

Start / End Page

96 / 103

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Selection Bias
  • Retrospective Studies
  • Quality of Life
  • Prevalence
  • Patient Reported Outcome Measures
  • Pain, Postoperative
  • Middle Aged
  • Male
  • Lung Transplantation