caa a22 4500 606187227 CHVBK 20210128100839.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3307-9 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3307-9 Pain on the first postoperative day after head and neck cancer surgery [Elektronische Daten] [Johanna Inhestern, Jenny Schuerer, Christina Illge, Ira Thanos, Winfried Meissner, Gerd Volk, Orlando Guntinas-Lichius] Postoperative pain within the first 24h after head and neck cancer (HNC) surgery was assessed. Factors influencing postoperative pain were identified. In a prospective cohort single center study 145 HNC patients rated their pain on the first postoperative day using questionnaires of the German-wide project Quality Improvement in Postoperative Pain Treatment (QUIPS) including numeric rating scales (NRS, 0-10) for the determination of patient's pain on ambulation, his maximal and minimal pain. QUIPS allowed a standardized assessment of patients' characteristics and pain-related parameters. The influence of these parameters on the patients' postoperative pain was estimated by univariate and multivariate statistical analysis. One-third had already pain prior to the surgical intervention. Overall, the mean pain on ambulation, maximal pain and minimal pain were 2.55±2.36, 3.18±2.86, and 1.38±2.86 (NRS), respectively. 53% of the patients had maximal pain scores >3. Multivariate analysis revealed independent predictors for more postoperative pain on ambulation: intensity of chronic preoperative pain, usage of non-opioids on ward, and existence of pain documentation on ward. Intensity of chronic preoperative pain and usage of non-opioids on ward were independent risk factors for more maximal pain. Intensity of chronic preoperative pain was independently associated to more minimal pain. Concerning pain management side effects, the risk for drowsiness increased with longer time of surgery. Postoperative pain after HNC surgery is highly variable and seems often to be unnecessarily high. Many patients seem to receive less analgesia than needed or ineffective analgesic drug regimes. Springer-Verlag Berlin Heidelberg, 2014 Postoperative pain nationallicence Head and neck cancer nationallicence Surgery nationallicence Quality management nationallicence QUIPS nationallicence Inhestern Johanna Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut Schuerer Jenny Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut Illge Christina Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut Thanos Ira Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut Meissner Winfried Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany aut Volk Gerd Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut Guntinas-Lichius Orlando Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3401-3409 0937-4477 272:11<3401 2015 272 405 https://doi.org/10.1007/s00405-014-3307-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3307-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inhestern Johanna Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 700 1- Schuerer Jenny Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 700 1- Illge Christina Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 700 1- Thanos Ira Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 700 1- Meissner Winfried Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany aut NATIONALLICENCE 700 1- Volk Gerd Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 700 1- Guntinas-Lichius Orlando Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3401-3409 0937-4477 272:11<3401 2015 272 405