- More than 15% of patients who undergo video-assisted thoracoscopic surgery (VATS) for lung cancer reported moderate-severe postoperative pain within 48 hours of surgery.
Why this matters
- Decreased postoperative pain is thought to be a benefit of VATS.
- This study is the first to identify risk factors for moderate-severe postoperative pain after VATS, which could help clinicians identify patients who may need more aggressive pain management.
- 1164 patients underwent VATS for lung cancer.
- Funding: Chinese Ministry of Health-Zhejiang Health Department.
- 12.7% of patients reported moderate-severe pain within the first 24 hours of surgery, and 15.6% within the first 48 hours.
- After multivariable analysis, independent risk factors (ORs) associated with moderate-severe postoperative pain within 24 hours included:
- Younger age: 0.96 (P<.001>
- Higher BMI: 1.10 (P=.001).
- Preoperative existing pain within 1 month: 1.55 (P=.044).
- History of smoking: 1.86 (P=.001).
- Single-center, retrospective study.