Owen, M., Lorgelly, P. and Serpell, M. (2010) Chronic pain following donor nephrectomy – A study of the incidence, nature and impact of chronic post-nephrectomy pain. European Journal of Pain, 14(7), pp. 732-734. (doi: 10.1016/j.ejpain.2009.11.013)
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Abstract
Chronic pain is a consequence of some types of surgery, but its incidence following open donor nephrec- tomy has never been investigated. We surveyed 123 patients who underwent open donor nephrectomy at our institution over a 10-year period, to determine the incidence, severity and nature of chronic pain and its effect on quality of life. Of the 81 (66%) responders, 27 (33%) had experienced prolonged pain, and 21 (26%) still had chronic pain related to their surgery. The overall incidence of severe, disabling pain (visual analogue score P7) was 12% and of neuropathic pain was 14%. The average loss in quality adjusted life years (QALYs) was 1.053 for chronic pain sufferers, but was 1.851 for those who suffered specifically from neuropathic pain. Only one third of patients with chronic pain were receiving any treat- ment, and none were receiving neuropathic adjuvants or specialist pain management interventions. We conclude that the incidence of chronic pain following donor nephrectomy is underestimated and there- fore under managed. Given the voluntary and altruistic nature of this procedure, and the enormous per- sonal and social benefits which result from successful donor transplantation, those involved with the preparation and post-operative management should be more aware of, and actively question donors about chronic pain so that diagnosis and appropriate therapy can be commenced as early as possible.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Lorgelly, Dr Paula and Serpell, Dr Michael |
| Authors: | Owen, M., Lorgelly, P., and Serpell, M. |
| Subjects: | R Medicine > R Medicine (General) |
| College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities |
| Journal Name: | European Journal of Pain |
| Publisher: | Elsevier |
| ISSN: | 1090-3801 |
| Published Online: | 12 January 2010 |
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