Navigation Links
Up to 1 in 4 patients report more physical problems a year after surgery than before
Date:8/25/2010

One in seven patients experience more pain, physical and emotional problems a year after surgery than before their operation and a quarter have less vitality. Those are the key findings of a research study of more than 400 patients published online by the British Journal of Surgery.

Researchers from The Netherlands spoke to 216 women and 185 men with an average age of 54, who had undergone planned surgery, ranging from plastic surgery to orthopaedic surgery.

They used the SF-36 health survey to measure pain, physical functioning, mental health and vitality before surgery and six and 12 months after each patient's operation. The researchers also asked patients how far they had moved towards a 100% recovery, six and 12 months after surgery.

"Our study showed poor recovery was relatively frequent six and 12 months after surgery and could be partly explained by various physical and psychological factors" says Dr Madelon Peters from the Department of Clinical Psychological Science at Maastricht University. "These included acute postoperative pain and presurgical anxiety."

Key findings included:

  • More than half of the patients (53%) said that their pain levels had improved 12 months after their operation and 29% said they were stable, but 17% reported greater pain.

  • Most patients had better (43%) or similar (43%) functional abilities at 12 months, but 14% said their functional abilities had reduced.

  • At 12 months, 34% of patients had better mental health, 50% did not change and 16% had poorer mental health.

  • Vitality increased in 39% of patients, remained the same in 37% and fell in 24% at 12 months.

  • When it came to overall recovery, patients reported that their average level of recovery was 79% at six months and 82% at 12 months. Only 47% of patients had achieved near optimal recovery - defined as 90% or more - at 12 months, with 15% perceiving their recovery at 50% or less.

"Our research found that 15% of patients were still reporting pain and physical and emotional problems a year after surgery and 24% felt they had less vitality than before their operation" says Dr Peters.

"The strongest predictor of pain intensity at follow-up was the level of pain in the first four days after the patient's operation. Higher levels of acute postoperative pain were also associated with poorer long-term physical functioning and overall perceived recovery.

"We also found a significant association between patients who were worried before their operation about the consequences of surgery and lower than average improvements in physical functioning and vitality at follow-up.

"Most of the changes in health-related quality of life occurred during the first six months after surgery, after which the patients' conditions appeared to remain stable.

"It is clearly important to monitor how patients recover during this period as an initially poor recovery may have lasting consequences."


'/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Fat distribution plays a role in weight loss success in patients at risk of diabetes
2. Decade-long trial confirms benefts of steroid withdrawal for transplant patients
3. Brothers of prostate cancer patients undergo more diagnostic activities
4. Novel autoantibodies identified in patients with necrotizing myopathy
5. Lung cancer patients receiving palliative care had improved quality of life, extended survival
6. Ancient Chinese medicine may help chemotherapy patients
7. Technique to preserve fertility in young women may be unsafe for patients with leukemia
8. Many Patients Say No to Chocolate As Medicine
9. 1 in 4 stroke patients stop taking prevention medication within 3 months
10. Regional protocols improve quality of care for aortic dissection patients
11. More Medicaid Patients Using ERs, Study Finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/5/2016)... ... 05, 2016 , ... Einstein Medical is proud to announce that ... news and commentary at the 2016 ASCRS/ASOA Symposium and Congress, which takes place in ... Cataract and Refractive Surgery and the American Society of Ophthalmic Administrations will be held ...
(Date:5/5/2016)... , ... May 05, 2016 , ... This weekend, from Friday, May 6 - Sunday, ... steep California terrain at the first Team Semper Fi Mountain Bike Camp, hosted in conjunction ... be mountain bike legends Mark Weir and Jason Moeschler, who’ll share pro tips with the ...
(Date:5/5/2016)... ... May 05, 2016 , ... ... for Business Journalists , led by the Wharton School’s most prominent professors, ... This one-day program at the Wharton School’s San Francisco campus will feature ...
(Date:5/5/2016)... ... 2016 , ... Derrin Doty Group has unveiled the latest charity campaign in ... west of Seattle. The insurance provider’s caring team has been so moved by the ... to complications from the flu, that they have decided to extend their original campaign. ...
(Date:5/5/2016)... ... May 05, 2016 , ... ... master charity program created to assist the people of their local community. The ... nonprofit organizations and community leaders. Their hope is to bring awareness to important ...
Breaking Medicine News(10 mins):
(Date:5/5/2016)... -- Progra m m e ... , s mosquito in Cayman Islands ... by 96 %   Oxitec and the Cayman Islands ... Aedes aegypti, the dangerous mosquito that spreads dengue, Zika and chikungunya, ... Grand Cayman .  MRCU, a global leader in mosquito control, is planning ...
(Date:5/5/2016)... , May 5, 2016 /PRNewswire/ ... announced the addition of the  "Europe ... - 2016"  report to their offering.  ... ) , ,The latest research ... Highlights - 2016, provides comprehensive insights ...
(Date:5/4/2016)... 4, 2016  Compass Diversified Holdings (NYSE: ... owner of leading middle market businesses, announced today its ... 31, 2016. First Quarter 2016 Highlights ... ("CAD" or "Cash Flow") of $13.6 million for the ... of $15.0 million for the first quarter of 2016; ...
Breaking Medicine Technology: