Patient coping and expectations about recovery predict the development of chronic post-surgical pain after traumatic tibial fracture repair.

ABSTRACT:

Background

The association of patient expectations about recovery with the development of chronic post-surgical pain (CPSP) is uncertain.

Methods

Three hundred and fifty-nine patients enrolled in the SPRINT trial completed the Somatic Preoccupation and Coping (SPOC) questionnaire six weeks after a traumatic tibial fracture repair. The SPOC questionnaire measures patients' somatic complaints, coping, and optimism for recovery. Using adjusted models, we explored the association of SPOC scores with ≥ mild CPSP and ≥ moderate pain interference with activity at one yr after surgery.

Results

Of 267 tibial fracture patients with data available for analysis, 147 (55.1%) reported CPSP at one yr. The incidence of CPSP was 37.6% among those with low (≤40) SPOC scores, 54.1% amon

SUBMITTER: Khan JS 

PROVIDER: S-EPMC4991303 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature