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Open Access 01-02-2017 | Original Scientific Report

Chronic Inguinal Pain After Kidney Transplantation, a Common and Underexposed Problem

Authors: Marcel Zorgdrager, Johan. F. M. Lange, Christina. Krikke, Gertrude. J. Nieuwenhuijs, Sybrand. H. Hofker, Henri. G. D. Leuvenink, Robert A. Pol

Published in: World Journal of Surgery | Issue 2/2017

Abstract

Background

The incidence and impact of chronic inguinal pain after kidney transplantation is not clearly established. A high incidence of pain after inguinal hernia repair, a comparable surgical procedure, suggests an underexposed problem.

Methods

Between 2011 and 2013, 403 consecutive patients who underwent kidney transplantation were invited to complete the Caroline Comfort Scale (CCS) and Visual Analog Scale (VAS) in order to assess the incidence of chronic inguinal pain and movement disabilities, complemented by questions regarding comorbidity during follow-up.

Results

The response rate was 58 % (n = 199) with a median follow-up of 22 months (IQR 12–30). In total, 90 patients (45 %) reported a CCS > 0 and 64 patients (32 %) experienced at least mild but bothersome complaints. Most inguinal complaints were reported during bending over and walking with a mean CCS score of 1.1 (SD ± 2.2) and 1.2 (SD ± 2.4), respectively. A high body mass index (BMI), delayed graft function, and the need for a second operation were associated with a higher CCS score on univariate analysis. Using multivariate analysis, only BMI (p = 0.02) was considered an independent risk factor for chronic inguinal pain.

Conclusions

The incidence of chronic inguinal pain is a common though underexposed complication after kidney transplantation. More awareness to prevent neuropathic pain seems indicated.

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Title: Chronic Inguinal Pain After Kidney Transplantation, a Common and Underexposed Problem
Authors: Marcel Zorgdrager
Johan. F. M. Lange
Christina. Krikke
Gertrude. J. Nieuwenhuijs
Sybrand. H. Hofker
Henri. G. D. Leuvenink
Robert A. Pol
Publication date: 01-02-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 2/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3713-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Chronic Inguinal Pain After Kidney Transplantation, a Common and Underexposed Problem

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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