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BMC Anesthesiology

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Open Access 01-12-2016 | Research article

The effect of preoperative dexamethasone on pain 1 year after lumbar disc surgery: a follow-up study

Authors: Rikke Vibeke Nielsen, Jonna Fomsgaard, Ole Mathiesen, Jørgen Berg Dahl

Published in: BMC Anesthesiology | Issue 1/2015

Abstract

Background

It has been hypothesized that dexamethasone can inhibit persistent postoperative pain, but data on humans is lacking and results from animal studies are conflicting. We explored the effect of 16 mg dexamethasone IV administered preoperatively on persistent pain 1 year after lumbar discectomy.

Methods

This is a prospective 1-year follow-up on a single-centre, randomized, and blinded trial exploring the analgesic effect of 16 mg IV dexamethasone or placebo after lumbar discectomy. One year follow-up was a written questionnaire including back and leg pain (VAS 0–100 mm), Short Form 36 survey (SF-36), EuroQol 5D (EQ-5D), OSWESTRY Low Back Pain Questionnaire, duration of sick leave, working capability, contentment with surgical result.

Results

Response rate was 71% (55 patients) in the dexamethasone group, 58% (44 patients) in the placebo group. Leg pain (VAS) was significantly lower in the placebo group compared to the dexamethasone group: 17 (95% CI 10–26) vs 26 (95% CI 19–33) mm, respectively (mean difference 9 mm (95% CI −1 to 0), (P = 0.03). No difference regarding back pain. The placebo group reported significantly more improvement of leg pain and were significantly more satisfied with the surgical result. Patients in the dexamethasone group reported significantly higher pain levels in EQ-5D- and Oswestry questionnaires. No difference in the SF-36 survey or daily analgesic consumption.

Conclusions

We found significantly higher pain levels in the dexamethasone group compared to placebo 1 year after lumbar disc surgery.

Trial registration

Clinicaltrials.gov (NCT01953978). Registered 26 Sep 2013.

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Title: The effect of preoperative dexamethasone on pain 1 year after lumbar disc surgery: a follow-up study
Authors: Rikke Vibeke Nielsen
Jonna Fomsgaard
Ole Mathiesen
Jørgen Berg Dahl
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Anesthesiology / Issue 1/2015
Electronic ISSN: 1471-2253
DOI: https://doi.org/10.1186/s12871-016-0277-z

At a glance: The STEP trials

Springer Medicine

The effect of preoperative dexamethasone on pain 1 year after lumbar disc surgery: a follow-up study

Abstract

Background

Methods

Results

Conclusions

Trial registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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