PDF(Pubmed)
Abstract：
UNASSIGNED: The Quality of Recovery-15 (QoR-15) questionnaire provides a multifaceted assessment of postoperative recovery, and the resulting score is recommended as an endpoint in clinical studies focused on postoperative pain. We aimed to investigate the correlation between the QoR-15 score and postoperative pain intensity in surgical patients.
UNASSIGNED: Adult patients who underwent video-assisted thoracoscopic surgery (VATS) for lung cancer resection and were enrolled in a prospective registry or in a previous prospective study were included in this study. Baseline and perioperative data, including the results of assessment using the Korean version of the QoR-15 (QoR-15K) questionnaire at 48 hours postoperatively, were collected from the database. Correlations between the QoR-15K total score, questionnaire dimensions, and postoperative pain intensity at 48 hours postoperatively were determined using the Spearman correlation coefficient (ρ).
UNASSIGNED: We analyzed a total of 137 eligible patients. Significant negative correlations were noted between the QoR-15K total score and pain intensity at rest (ρ = -0.45, 95% confidence interval [CI]: -0.57 - -0.31, P < 0.001) and during coughing (ρ = -0.55, 95% CI: -0.65 - -0.42, P < 0.001) at 48 hours postoperatively. The pain dimension and pain intensity at 48 hours postoperatively showed significant correlations with physical comfort, emotional state, and physical independence dimensions. Multivariable logistic regression revealed a significant negative association between the pain score at 24 hours postoperatively and good or excellent postoperative recovery.
UNASSIGNED: The results support the impact of postoperative pain on the overall postoperative quality of recovery in patients who underwent VATS for lung cancer resection. Moreover, the QoR-15K score may be considered as a primary endpoint in clinical studies on postoperative pain control.
UNASSIGNED: Adult patients who underwent video-assisted thoracoscopic surgery (VATS) for lung cancer resection and were enrolled in a prospective registry or in a previous prospective study were included in this study. Baseline and perioperative data, including the results of assessment using the Korean version of the QoR-15 (QoR-15K) questionnaire at 48 hours postoperatively, were collected from the database. Correlations between the QoR-15K total score, questionnaire dimensions, and postoperative pain intensity at 48 hours postoperatively were determined using the Spearman correlation coefficient (ρ).
UNASSIGNED: We analyzed a total of 137 eligible patients. Significant negative correlations were noted between the QoR-15K total score and pain intensity at rest (ρ = -0.45, 95% confidence interval [CI]: -0.57 - -0.31, P < 0.001) and during coughing (ρ = -0.55, 95% CI: -0.65 - -0.42, P < 0.001) at 48 hours postoperatively. The pain dimension and pain intensity at 48 hours postoperatively showed significant correlations with physical comfort, emotional state, and physical independence dimensions. Multivariable logistic regression revealed a significant negative association between the pain score at 24 hours postoperatively and good or excellent postoperative recovery.
UNASSIGNED: The results support the impact of postoperative pain on the overall postoperative quality of recovery in patients who underwent VATS for lung cancer resection. Moreover, the QoR-15K score may be considered as a primary endpoint in clinical studies on postoperative pain control.
摘要：
■恢复质量-15（QoR-15）问卷提供了对术后恢复的多方面评估，在以术后疼痛为重点的临床研究中,推荐将所得评分作为终点.我们旨在研究QoR-15评分与手术患者术后疼痛强度之间的相关性。
■接受电视胸腔镜手术(VATS)切除肺癌并纳入前瞻性登记或先前前瞻性研究的成年患者纳入本研究。基线和围手术期数据，包括术后48小时使用韩国版QoR-15（QoR-15K）问卷的评估结果，是从数据库中收集的。QoR-15K总分之间的相关性，问卷维度，使用Spearman相关系数（ρ）确定术后48小时的疼痛强度。
■我们共分析了137名符合条件的患者。术后48小时，QoR-15K总分与静息时（ρ=-0.45，95％置信区间[CI]：-0.57--0.31，P<0.001）和咳嗽时（ρ=-0.55，95％CI：-0.65-0.42，P<0.001）的疼痛强度之间存在显着负相关。术后48小时疼痛程度和疼痛强度与身体舒适度显著相关,情绪状态,和物理独立性维度。多变量逻辑回归显示术后24小时的疼痛评分与良好或出色的术后恢复之间存在显着负相关。
■结果支持了接受VATS进行肺癌切除术的患者术后疼痛对术后整体恢复质量的影响。此外，QoR-15K评分可作为术后疼痛控制临床研究的主要终点.
■接受电视胸腔镜手术(VATS)切除肺癌并纳入前瞻性登记或先前前瞻性研究的成年患者纳入本研究。基线和围手术期数据，包括术后48小时使用韩国版QoR-15（QoR-15K）问卷的评估结果，是从数据库中收集的。QoR-15K总分之间的相关性，问卷维度，使用Spearman相关系数（ρ）确定术后48小时的疼痛强度。
■我们共分析了137名符合条件的患者。术后48小时，QoR-15K总分与静息时（ρ=-0.45，95％置信区间[CI]：-0.57--0.31，P<0.001）和咳嗽时（ρ=-0.55，95％CI：-0.65-0.42，P<0.001）的疼痛强度之间存在显着负相关。术后48小时疼痛程度和疼痛强度与身体舒适度显著相关,情绪状态,和物理独立性维度。多变量逻辑回归显示术后24小时的疼痛评分与良好或出色的术后恢复之间存在显着负相关。
■结果支持了接受VATS进行肺癌切除术的患者术后疼痛对术后整体恢复质量的影响。此外，QoR-15K评分可作为术后疼痛控制临床研究的主要终点.
