Back to contents
«Messenger of Anesthesiology and Resuscitation» Vol 14, №6, 2017,

DOI : 10.21292/2078-5658-2017-14-6-57-64

Comparative assessment of pain and life quality in the patients after open and video-assisted lobectomy for lung cancer

R. I. YURIN , E. V. LEVCHENKO , V. А. GLUSCHENKO , А. E. MIKHNIN , S. M. ERGNYAN , L. V. GOROKHOV , N. E. LEVCHENKO , N. V. KHАNDOGIN

  • Petrov National Medical Research Center of Oncology, Moscow, Russia

The pain and pain syndrome remain to be serious problems of clinical medicine and surgery as one of its aspects. The positive correlation was found out between the type of surgery and post-operative pain in abdominal, thoracic and orthopedic surgeries.
Materials and methods. Results of a questionnaire survey in 130 patients were analyzed; from 2015 to 2017 all those patients had lobectomies for lung cancer using video-assisted thoracoscopic or open accesses in the Thoracic Department of Petrov National Medical Research Center of Oncology. The intensity of pain and life quality in the post-operative period were assessed using visual analogue scales, the Wong-Baker FACES pain rating scale, verbal rating scales, and McGill pain questionnaire. In order to assess life quality, the non-specific questionnaire of SF-36 was used in the cancer patients and those enrolled in the clinical studies of EORTC QLQ-C30 including the special module of QLQ-LC13 for lung cancer patients.
The obtained results were analyzed and it was found out that intensity of pain was statistically significantly lower in video-assisted thoracoscopic access versus thoracotomy (U = 678.00; p < 0.05). When using the questionnaires of SF-36 (U = 8,742.50; p < 0.05) and EORTC QLQ-C30 (U = 3,759.00; p < 0.05) and the special module of QLQ-LC13 for lung cancer (U = 4,243.00; p < 0.05), the obtained data also indicated the better life quality and functions, reduction of pathologic manifestations versus open surgical access.
Conclusion: Reduction in the pain intensity and higher life quality were typical of surgeries with use of video-assisted thoracoscopic technologies versus classical open access.

Key Words: pain syndrome, pain intensity, life quality, lung cancer, lobectomy, video-assisted thoracoscopy, SF-36, QLQ-C30, QLQ-LC13, visual analogue scales, faces pain rating scale, verbal rating scales, McGill pain questionnaire

References

  • 1.Klimiashvili А.D., Vedenina I.V. Pain syndrome and its management in a surgical clinic. RMJ, 2013, no. 15, pp. 821.(In Russ.)
  • 2.Logvinenko V.V., Shen N.P., Lyashenko А.N. et al. On the correlation between the psychological type, post-operative pain and quality of the nearest post-operative period in traumatology and orthopedics. Regionar. Anestesia i Lecheniye Ostroy Boli, 2013, no. 2, pp. 23-27. (In Russ.)
  • 3.Novik А.А., Ionova T.I. Rukovodstvo po issledovaniyu kachestva zhizni v meditsine. [Guidelines on life quality assessment in medicine]. Moscow, OLMA Mediagrupp Publ., 2007, 314 p.
  • 4.Reshetnyak V.K., Kukushkin M.L. Current understanding of physiological and pathological pain. Patogenez, 2015, vol. 13, no. 1, pp. 4-17. (In Russ.)
  • 5.Sakhapova G.F., Gerasimova L.P., Kabirova M.F. Assessment of stomatological status and patients' life quality with multiple myeloma depending on the duration of the main disease. Meditsinsky Vestnik Bashkirostana, 2011, no. 5, pp. 59-61. (In Russ.)
  • 6.Timerbaev V.Kh., Lesnik V.Yu., Genov P.G. Chronic pain syndrome after chest surgery. Regionar. Anestesia i Lecheniye Ostroy Boli, 2014, vol. 7, no. 1, pp. 14-20. (In Russ.)
  • 7.Shishkova Yu.А., Motovilin O.G., Surkova E.V. et al. Life quality in diabetes: definition, current approaches to assessment, and research tools. Sakharny Diabet, 2011, no. 3, pp. 70-75. (In Russ.)
  • 8.Shtevnina Yu.I., Shvyryov S.L., Zarubina T.V. Technology of automated life quality assessment in cancer patients during in-patient treatment. Vrach i Informatsionnye Tekhnologii, 2011, no. 1, pp. 65-73. (In Russ.)
  • 9.Aaronson N.K., Ahmedzai S., Bergman B. et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J. Natl. Cancer Inst., 1993, vol. 85(5), pp. 365‒376.
  • 10.Aitken R.C. Measurement of feelings using visual analogue scales. Proceedings of the Royal Society of Medicine, 1969, vol. 62, pp. 989-993.
  • 11.Benedetti F., Vighetti S., Ricco C. et al. Neurophysiologic assessment of nerve impairment in posterolateral and muscle-sparing thoracotomy. J. Thorac. Cardiovasc. Surg., 1998, vol. 115(4), pp. 841-847.
  • 12.Bendixen M., Jorgensen O.D., Kronborg C. Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomised controlled trial. Lancet Oncol., 2016, vol. 17(6), pp. 836‒844.
  • 13.Bergman B., Aaronson N.K., Ahmedzai S. et al. The EORTC QLQ-LC13: a modular supplement to the EORTC Core Quality of Life Questionnaire (QLQ-C30) for use in lung cancer clinical trials. EORTC Study Group on Quality of Life. Eur. J. Cancer, 1994, vol. 30A (5), pp. 635‒642.
  • 14.Bieri D., Reeve R.A., Champion G.D. et al. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties. Pain, 1990, vol. 41(2), pp. 139‒150.
  • 15.Fayers P., Aaronson N.K., Bjordal K. et al. EORTC QLQ-C30 Scoring Manual (Third edition). Brussels, EORTC Quality of Life Group, 2001. pp. 86.
  • 16.Fayers P.M. Interpreting quality of life data: population-based reference data for the EORTC QLQ-C30. Eur. J. Cancer, 2001, vol. 37(11), pp. 1331‒1334.
  • 17.Frank A.J., Moll J.M., Hort J.F. A comparison of three ways of measuring pain. Rheumatol. Rehabil., 1982, vol. 21(4), pp. 211‒217.
  • 18.Guastella V., Mick G., Soriano C. et al. A prospective study of neuropathic pain induced by thoracotomy: Incidence, clinical description and diagnosis. Pain, 2011, vol. 152(1), pp. 74-81.
  • 19.Hicks C.L., von Baeyer C.L., Spafford P.A. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain, 2001, vol. 93(2), pp. 173‒183.
  • 20.Huskisson E.C. Measurement of pain. Lancet, 1974, vol. 304, pp. 1127‒1131.
  • 21.Kampe S., Geismann B., Weinreich G. et al. The influence of type of anesthesia, perioperative pain, and preoperative health status on chronic pain six months after thoracotomy ‒ a prospective cohort study. Pain Med., 2016, vol. 0, pp. 1‒6. doi: 10.1093/pm/pnw230.
  • 22.King M.T. The interpretation of scores from the EORTC quality of life questionnaire QLQ-C30. Quality of Life Research, 1996. vol. 5, pp. 555‒567.
  • 23.Landreneau R., Mack M., Hazelrigg S. et al. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J. Thorac. Cardiovasc. Surg., 1994, vol. 107(4), pp. 1079‒1085.
  • 24.Maguire M., Latter J., Mahajan R. et al. A study exploring the role of intercostal nerve damage in chronic pain after thoracic surgery. Eur. J. Cardiothorac. Surg., 2006, vol. 29(6), pp. 873-879.
  • 25.Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain, 1975, vol. 1(3), pp. 277‒299.
  • 26.Miyazaki T., Sakai T., Tsuchiya T. et al. Assessment and follow-up of intercostal nerve damage after video-assisted thoracic surgery. Eur. J. Cardiothorac. Surg., 2011, vol. 39(6), pp. 1033‒1039.
  • 27.Ohnhaus E.E., Adler R. Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale. Pain, 1975, vol. 1(4), pp. 379‒384.
  • 28.Rizk N.P., Ghanie A., Hsu M. et al. A prospective trial comparing pain and quality of life measures after anatomic lung resection using thoracoscopy or thoracotomy. Ann Thorac Surg., 2014, vol. 98(4), pp. 1160‒1166.
  • 29.Rogers M., Henderson L., Mahajan R. et. al. Preliminary the neurophysiological assessment of intercostal nerve injury thoracotomy. Eur. J. Cardiothorac. Surg., 2002, vol. 21(2), pp. 298-301.
  • 30.Snoek F.J. Quality of life: A closer look at measuring patients’ well-being. diabetes spectrum. 2000, no. 13, pp. 24-28.
  • 31.Walker S.R., Rosser R.M. Quality of Life: Assessment and Application. CMR Workshop, Lancaster, England: MTP Press Ltd. 1987.
  • 32.Ware J.E., Kosinski M. SF-36 Physical and Mental Health Summary Scales: A Manual for Users of Version 1, Second edition. Lincoln, RI: QualityMetric. 2001, pp. 237.

For citation: Yukina G. Yu., Belozertseva I. V., Polushin Yu. S., Tomson V. V., Polushin А. Yu., Yanishevskiy S. N., Krivov V. O. Comparative assessment of pain and life quality in the patients after open and video-assisted lobectomy for lung cancer «Messenger of Anesthesiology and Resuscitation» 2017; 14(6):57-64. DOI : 10.21292/2078-5658-2017-14-6-57-64


For citation: Yukina G. Yu., Belozertseva I. V., Polushin Yu. S., Tomson V. V., Polushin А. Yu., Yanishevskiy S. N., Krivov V. O. Comparative assessment of pain and life quality in the patients after open and video-assisted lobectomy for lung cancer «Messenger of Anesthesiology and Resuscitation» 2017; 14(6):57-64. DOI : 10.21292/2078-5658-2017-14-6-57-64

Для доступа нужна подписка. Войдите в систему для подтверждения ее наличия.