Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery

Background. Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are associated with moderate to severe postoperative pain (POP). POP is theoretically predictable and may be influenced by sociocultural differences. This study aimed to identify the relationship between POP and the sociocult...

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Main Authors: Bárbara Gouveia, Sara Fonseca, Daniel Humberto Pozza, Daniela Xará, André Sá Rodrigues
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2022/7867719
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author Bárbara Gouveia
Sara Fonseca
Daniel Humberto Pozza
Daniela Xará
André Sá Rodrigues
author_facet Bárbara Gouveia
Sara Fonseca
Daniel Humberto Pozza
Daniela Xará
André Sá Rodrigues
author_sort Bárbara Gouveia
collection DOAJ
description Background. Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are associated with moderate to severe postoperative pain (POP). POP is theoretically predictable and may be influenced by sociocultural differences. This study aimed to identify the relationship between POP and the sociocultural level of the patient undergoing THA or TKA. Methods. Prospective study, involving informed-consenting adults conducted through consulting patient’s clinical processes, preoperative and postoperative questionnaires. Demographic and anthropometric data, type of surgery, ASA classification, sociocultural level of the patient, and POP were assessed. Results. 95 patients, all Caucasian and natural from the north of the Portugal, were included. Younger women undergoing TKA reported higher levels of POP. In females, the ASA 3 physical condition was also associated with higher mean pain intensity. Patients with preoperative chronic pain, without depression diagnosis, and unsatisfied with the current profession showed higher levels of reported POP. Retirees, with lower school degree, reported higher levels of minimal pain. Conclusions. Job satisfaction, type of surgery, body mass index, presence of chronic pain, and the absence of depression were identified as the main predictors of pain after THA or TKA.
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spelling doaj-art-ed11b6c39dad4fe4be4b53dcf6f896642025-08-20T03:21:12ZengWileyAdvances in Orthopedics2090-34722022-01-01202210.1155/2022/7867719Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic SurgeryBárbara Gouveia0Sara Fonseca1Daniel Humberto Pozza2Daniela Xará3André Sá Rodrigues4Department of AnesthesiologyDepartment of AnesthesiologyDepartment of BiomedicineDepartment of AnesthesiologyDepartment of OrthopedicsBackground. Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are associated with moderate to severe postoperative pain (POP). POP is theoretically predictable and may be influenced by sociocultural differences. This study aimed to identify the relationship between POP and the sociocultural level of the patient undergoing THA or TKA. Methods. Prospective study, involving informed-consenting adults conducted through consulting patient’s clinical processes, preoperative and postoperative questionnaires. Demographic and anthropometric data, type of surgery, ASA classification, sociocultural level of the patient, and POP were assessed. Results. 95 patients, all Caucasian and natural from the north of the Portugal, were included. Younger women undergoing TKA reported higher levels of POP. In females, the ASA 3 physical condition was also associated with higher mean pain intensity. Patients with preoperative chronic pain, without depression diagnosis, and unsatisfied with the current profession showed higher levels of reported POP. Retirees, with lower school degree, reported higher levels of minimal pain. Conclusions. Job satisfaction, type of surgery, body mass index, presence of chronic pain, and the absence of depression were identified as the main predictors of pain after THA or TKA.http://dx.doi.org/10.1155/2022/7867719
spellingShingle Bárbara Gouveia
Sara Fonseca
Daniel Humberto Pozza
Daniela Xará
André Sá Rodrigues
Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
Advances in Orthopedics
title Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
title_full Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
title_fullStr Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
title_full_unstemmed Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
title_short Relationship between Postoperative Pain and Sociocultural Level in Major Orthopedic Surgery
title_sort relationship between postoperative pain and sociocultural level in major orthopedic surgery
url http://dx.doi.org/10.1155/2022/7867719
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