Abstract：
OBJECTIVE: Breast cancer is the most frequently diagnosed malignancy, and chronic pain after breast surgery (CPBS) is an increasingly recognized therapy-related problem. We evaluated CPBS incidence, characteristics, associated factors, and impact on patient quality of life (QoL).
METHODS: Six-month observational prospective study conducted in patients undergoing breast surgery in a tertiary university hospital. Data were collected using several questionnaires: Pain Catastrophizing Scale, Brief Pain Inventory-Short Form, Douleur Neuropathique 4 Questionnaire, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module.
RESULTS: A total of 112 patients completed the study. Approximately, one third (34.8%) developed CPBS, and almost all with potentially neuropathic pain. CPBS interfered with patients\' daily life and reduced their QoL. Diabetes (p = 0.028), catastrophizing (p = 0.042), and acute postoperative pain severity (p < 0.001) were associated with CPBS.
CONCLUSIONS: This study broadens our understanding of CPBS and shows the impact of this syndrome. Healthcare workers need to be aware of CPBS and take steps to prevent and treat it, and provide patients with adequate information.
METHODS: Six-month observational prospective study conducted in patients undergoing breast surgery in a tertiary university hospital. Data were collected using several questionnaires: Pain Catastrophizing Scale, Brief Pain Inventory-Short Form, Douleur Neuropathique 4 Questionnaire, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module.
RESULTS: A total of 112 patients completed the study. Approximately, one third (34.8%) developed CPBS, and almost all with potentially neuropathic pain. CPBS interfered with patients\' daily life and reduced their QoL. Diabetes (p = 0.028), catastrophizing (p = 0.042), and acute postoperative pain severity (p < 0.001) were associated with CPBS.
CONCLUSIONS: This study broadens our understanding of CPBS and shows the impact of this syndrome. Healthcare workers need to be aware of CPBS and take steps to prevent and treat it, and provide patients with adequate information.
摘要：
目的：乳腺癌是最常见的恶性肿瘤，乳房手术后的慢性疼痛（CPBS）是一个越来越被认可的治疗相关问题。我们评估了CPBS的发生率，特点,相关因素，以及对患者生活质量(QoL)的影响。
方法：在某三级大学医院接受乳腺手术的患者中进行为期6个月的观察性前瞻性研究。使用几个问卷收集数据：疼痛灾难量表，简要疼痛清单-简短表格，DouleurNeuropathique4问卷，和欧洲癌症研究和治疗组织的生活质量问卷及其乳腺癌模块。
结果：总共112名患者完成了研究。大约,三分之一(34.8%)开发了CPBS，几乎都有潜在的神经性疼痛。CPBS干扰了患者的日常生活并降低了他们的QoL。糖尿病（p=0.028），灾难化(p=0.042)，术后急性疼痛严重程度（p<0.001）与CPBS相关。
结论：这项研究拓宽了我们对CPBS的理解，并显示了这种综合征的影响。医护人员需要了解CPBS，并采取措施预防和治疗它，并为患者提供足够的信息。
方法：在某三级大学医院接受乳腺手术的患者中进行为期6个月的观察性前瞻性研究。使用几个问卷收集数据：疼痛灾难量表，简要疼痛清单-简短表格，DouleurNeuropathique4问卷，和欧洲癌症研究和治疗组织的生活质量问卷及其乳腺癌模块。
结果：总共112名患者完成了研究。大约,三分之一(34.8%)开发了CPBS，几乎都有潜在的神经性疼痛。CPBS干扰了患者的日常生活并降低了他们的QoL。糖尿病（p=0.028），灾难化(p=0.042)，术后急性疼痛严重程度（p<0.001）与CPBS相关。
结论：这项研究拓宽了我们对CPBS的理解，并显示了这种综合征的影响。医护人员需要了解CPBS，并采取措施预防和治疗它，并为患者提供足够的信息。
