Artikel
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Corrigendum to “Chronic post-thoracotomy pain after lung cancer surgery: a prospective study of preoperative risk factors”
-
Allan Vestergaard Danielsen
,
Jan Jesper Andreasen
Veröffentlicht/Copyright:
29. April 2024
Corrigendum to A. V. Danielsen, J. J. Andreasen, B. Dinesen, J. Hansen, K. K. Petersen, C. Simonsen, L. Arendt-Nielsen. “Chronic post-thoracotomy pain after lung cancer surgery: a prospective study of preoperative risk factors.” Scand J Pain 2023 Jun 19;23(3):501–510. . Regrettably, the authors have discovered a significant error regarding the calculation of Hospital Anxiety and Depression Scale (HADS) scores in this article [1]. The error originates from a coding issue in the database management system. The error affects the results presented and the conclusions drawn regarding associations between HADS and development of chronic post-thoracotomy pain (CPTP). After correction of the error, combined HADS is no longer significantly associated with CPTP in the primary analyses, reported in Table 1 and panel D in Figure 3. In secondary analyses, reported in Table 2, the risk estimates in model 4 change slightly and HADS remains non-significant in relation to CPTP risk. Corrected versions of Tables 1 and 2, and Figure 3 are provided below.
Figure 3
Box plots of data distributions and CPTP status 6 months after surgery. Boxes represent upper and lower IQR, line in box indicates median and dots represent individual observations. (a) Pressure pain detection threshold (PDT), (b) conditioned pain modulation (CPM), (c) temporal summation of pain (TSP) and (d) combined HADS.
Table 1
Clinical variables and preoperative assessment in relation to CPTP after 6 months
| Pain status after 6 months | ||||
|---|---|---|---|---|
| No CPTP | CPTP | p-value | Adjusted p-value | |
| Age (years), mean (95% CI) | 69.6 (67.3–71.8) | 64.8 (61.9–67.6) | 0.009 | 0.096 |
| Sex, n (%) | 0.574 | 1.000 | ||
| Female | 35 (53.9) | 33 (41.1) | ||
| Male | 30 (53.9) | 23 (58.9) | ||
| Body mass index (kg/m2) | 26.1 (24.9–27.2) | 26.4 (25.3–27.8) | 0.687 | 1.000 |
| Preoperative QST | ||||
| Cuff PDTa (kPa), mean (95% CI)) | 27.2 (23.1–31.3) | 32.5 (26.9–38.2) | 0.122 | 0.854 |
| Cuff PTT (kPa), mean (95% CI) | 53.7 (47.6–59.9) | 56.1 (48.9–63.3) | 0.620 | 1.000 |
| Cuff CPMb (kPa), mean (95% CI) | 15 (9.2–21.7) | 2.1 (1.0–9.6) | 0.009 | 0.096 |
| Cuff TSPc (VAS), mean (95% CI) | 1.8 (1.3–2.3) | 1.3 (0.8–1.8) | 0.137 | 0.854 |
| Preoperative HADS, mean (95% CI) | ||||
| Combined scored | 10.2 (9.1–11.3) | 12.0 (11.1–12.9) | 0.014 | 0.126 |
| Depression scoree | 4.9 (4.4–5.5) | 5.5 (4.9–6.0) | 0.008 | 0.096 |
| Anxiety scoref | 5.2 (4.5–5.9) | 6.5 (5.8–7.1) | 0.008 | 0.096 |
| Preoperative paing (yes), n (%) | 11 (19.3) | 17 (40.5) | 0.029 | 0.232 |
| Preoperative NPSIh median (IQR) | 0 (0–0) | 0.5 (0–5.3) | 0.001 | 0.014 |
| Maximum acute paini (NRS) median (IQR) | 3 (0–5) | 5 (3–7) | 0.003 | 0.039 |
| Surgeryj, n (%) | 0.534 | 1.000 | ||
| VATS | ||||
| Wedge resection | 23 (35.3) | 13 (23.6) | ||
| Lobectomy | 21 (32.3) | 18 (32.7) | ||
| Other | 0 (0.0) | 2 (3.6) | ||
| Thoracotomy | ||||
| Wedge resection | 3 (4.6) | 2 (3.6) | ||
| Lobectomy | 14 (21.5) | 16 (29.1) | ||
| Pneumonectomy | 3 (4.6) | 2 (3.6) | ||
| Other | 1 (1.5) | 2 (3.6) | ||
| Histology, n (%) | 0.749 | 1.000 | ||
| Primary lung cancer | 44 (68.8) | 40 (71.4) | ||
| Benign | 20 (31.2) | 16 (28.6) | ||
N = 99–121 due to missing data. Missing data (n) are indicated for each analysis: a22, b14, c5, d10, e8, f8, g22, h15, i22, j1.
QST, quantitative sensory testing; PDT, pain detection threshold; PTT, pain tolerance threshold; CPM, conditioned pain modulation; TSP, temporal summation of pain; VAS, visual analog scale; HADS, hospital anxiety and depression scale; NPSI, Neuropathic pain symptom inventory; POD, postoperative day; VATS, video-assisted thoracoscopic surgery.
Table 2
Multivariable analyses of CPTP risk predictors as RR with 95% CI
| RR | 95% CI | p-value | |
|---|---|---|---|
| Model 1 (n = 75) | |||
| PDT (per kPa) | 1.00 | 0.99–1.02 | 0.509 |
| Preoperative pain (yes) | 1.84 | 1.13–2.98 | 0.013 |
| Age (per year) | 1.00 | 0.97–1.03 | 0.917 |
| Sex (female) | 1.44 | 0.82–2.53 | 0.195 |
| Surgical approach (open vs VATS) | 0.90 | 0.52–1.52 | 0.682 |
| Maximum acute pain (per NRS-point) | 1.12 | 1.02–1.26 | 0.025 |
| Model 2 (n = 68) | |||
| CPM (per kPa) | 0.98 | 0.97–0.99 | 0.003 |
| Preoperative pain (yes) | 1.69 | 1.02–2.80 | 0.043 |
| Age (per year) | 0.99 | 0.97 –1.02 | 0.666 |
| Sex (female) | 1.44 | 0.82–2.53 | 0.195 |
| Surgical approach (open vs VATS) | 0.90 | 0.52–1.52 | 0.682 |
| Maximum acute pain (per NRS point) | 1.12 | 1.02–1.26 | 0.025 |
| Model 3 (n = 76) | |||
| TSP (per VAS point) | 1.00 | 0.88–1.16 | 0.892 |
| Preoperative pain (yes) | 1.87 | 1.10–3.18 | 0.022 |
| Age (per year) | 1.00 | 0.97–1.03 | 0.885 |
| Sex (female) | 1.44 | 0.82–2.51 | 0.204 |
| Surgical approach (open vs VATS) | 0.85 | 0.49–1.46 | 0.550 |
| Maximum acute pain (per NRS point) | 1.14 | 1.03–1.27 | 0.012 |
| Model 4 (n = 76) | |||
| HADS (per point) | 1.06 | 0.99–1.12 | 0.073 |
| Preoperative pain (yes) | 2.20 | 1.31–3.68 | 0.003 |
| Age (per year) | 1.00 | 0.97–1.03 | 0.836 |
| Sex (female) | 1.20 | 0.69–2.09 | 0.526 |
| Surgical approach (open vs VATS) | 0.66 | 0.37–1.16 | 0.147 |
| Maximum acute pain (per NRS point) | 1.16 | 1.04–1.29 | 0.006 |
Models for each preoperative variable investigated in the study: Pain detection threshold (PDT), conditioned pain modulation (CPM), temporal summation of pain (TSP) and Hospital Anxiety and Depression Scale (HADS). Numbers of patients with complete data included in models are denoted by n. Preoperative pain is pain from any location of any intensity prior to surgery. Surgical approach is by either open anterior muscle sparing thoracotomy or minimally invasive video-assisted thoracoscopic surgery (VATS). Maximum acute pain is highest reported postoperative NRS on the day of surgery.
Also, in Discussion under the paragraph “Preoperative pain,” the first sentence should read: “Preoperative pain at any location was present in 28% of patients, and was not associated with CPTP in the primary unadjusted analysis, but showed significance in the secondary adjusted risk analyses.”
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Competing interests: Lars Arendt-Nielsen is an Editor of Scandinavian Journal of Pain. The authors state no conflict of interest.
Reference
[1] Danielsen AV, Andreasen JJ, Dinesen B, Hansen J, Kjær-Staal Petersen K, Simonsen C, et al. Chronic post-thoracotomy pain after lung cancer surgery: a prospective study of preoperative risk factors. Scand J Pain. 2023 Jul;23(3):501–10. 10.1515/sjpain-2023-0016.Suche in Google Scholar PubMed
Received: 2024-03-02
Revised: 2024-03-20
Accepted: 2024-03-25
Published Online: 2024-04-29
© 2024 the author(s), published by De Gruyter
This work is licensed under the Creative Commons Attribution 4.0 International License.
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BY 4.0
Artikel in diesem Heft
- Editorial Comment
- From pain to relief: Exploring the consistency of exercise-induced hypoalgesia
- Christmas greetings 2024 from the Editor-in-Chief
- Original Articles
- The Scandinavian Society for the Study of Pain 2022 Postgraduate Course and Annual Scientific (SASP 2022) Meeting 12th to 14th October at Rigshospitalet, Copenhagen
- Comparison of ultrasound-guided continuous erector spinae plane block versus continuous paravertebral block for postoperative analgesia in patients undergoing proximal femur surgeries
- Clinical Pain Researches
- The effect of tourniquet use on postoperative opioid consumption after ankle fracture surgery – a retrospective cohort study
- Changes in pain, daily occupations, lifestyle, and health following an occupational therapy lifestyle intervention: a secondary analysis from a feasibility study in patients with chronic high-impact pain
- Tonic cuff pressure pain sensitivity in chronic pain patients and its relation to self-reported physical activity
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- Letter to the Editor
- Post cholecystectomy pain syndrome: Letter to Editor
- Response to the Letter by Prof Bordoni
- Response – Reliability and measurement error of exercise-induced hypoalgesia
- Is the skin conductance algesimeter index influenced by temperature?
- Skin conductance algesimeter is unreliable during sudden perioperative temperature increase
- Corrigendum
- Corrigendum to “Chronic post-thoracotomy pain after lung cancer surgery: a prospective study of preoperative risk factors”
- Obituary
- A Significant Voice in Pain Research Björn Gerdle in Memoriam (1953–2024)
