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Drugs
Published in: Drugs 3/2018

01-03-2018 | Review Article

Prevention and Treatment of Chronic Postsurgical Pain: A Narrative Review

Authors: Arnaud Steyaert, Patricia Lavand’homme

Published in: Drugs | Issue 3/2018

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Abstract

Chronic postsurgical pain affects between 5 and 75% of patients, often with an adverse impact on quality of life. While the transition of acute to chronic pain is a complex process—involving multiple mechanisms at different levels—the current strategies for prevention have primarily been restricted to perioperative pharmacological interventions. In the present paper, we first present an up-to-date narrative literature review of these interventions. In the second section, we develop several ways by which we could overcome the limitations of the current approaches and enhance the outcome of our surgical patients, including the better identification of individual risk factors, tailoring treatment to individual patients, and improved acute and subacute pain evaluation and management. The third and final section covers the treatment of established CPSP. Given that evidence for the current therapeutic options is limited, we need high-quality trials studying multimodal interventions matched to pain characteristics.
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Metadata
Title
Prevention and Treatment of Chronic Postsurgical Pain: A Narrative Review
Authors
Arnaud Steyaert
Patricia Lavand’homme
Publication date
01-03-2018
Publisher
Springer International Publishing
Published in
Drugs / Issue 3/2018
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-018-0866-x

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