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Table 1 Patients’ baseline characteristics, surgical, and anaesthesiologic factors in CPBS and No-CPBS groups

From: Chronic pain after breast surgery: incidence, associated factors, and impact on quality of life, an observational prospective study

 

Total (n = 307)

No-CPBS (n = 221)

CPBS (n = 86)

OR [95% CI]

p

Patient characteristics

 Age (years)

56.2 ± 12.4

55.3 ± 12.4

53.6 ± 11.2

0.99 [0.97–1.01]

0.275

 Height (cm)

163.5 ± 6.3

163.6 ± 6.6

163.4 ± 5.3

0.99 [0.96–1.04]

0.824

 Weight (kg)

64.5 ± 12.5

55.3 ± 5.9

55.2 ± 4.8

0.10 [0.99–1.03]

0.212

 BMI (Kg/m2)

24.1 ± 4.4

23.9 ± 4.1

24.7 ± 4.9

1.04 [0.98–1.10]

0.168

 Preoperative pain

95 (30.9%)

56 (25.3%)

39 (45.3%)

1.13 [0.64–1.97]

0.686

 Chronic use of pain drugs

19 (6.2%)

9 (4.1%)

10 (11.6%)

3.10 [1.21–7.92]

0.018

 Anxiety/depression

43 (14%)

33 (14.9%)

10 (11.6%)

0.75 [0.35–1.60]

0.446

 Fibromyalgia

2 (0.7%)

1 (0.5%)

1 (1.2%)

2.59 [0.16–41.90]

0.511

 Neoadjuvant-CHT

23 (7.5%)

15 (6.8%)

8 (9.3%)

1.41 [0.58–3.45]

0.461

 Preop. hormone therapy

37 (12.1%)

28 (12.7%)

9 (10.5%)

0.81 [0.36–1.79]

0.589

 Neoadjuvant-RT

1 (0.33%)

1 (0.5%)

0 (0.0%)

–

–

 Previous ipsilateral breast surgery

108 (35.18%)

78 (35.3%)

30 (34.9%)

0.98 [0.58–1.66]

1.000

 School education

    

0.517

  Primary school

30 (9.77%)

24 (10.9%)

6 (7.0%)

0.79 [0.28–2.24]

 

  Secondary school

57 (18.57%)

40 (18.1%)

17 (19.8%)

1.35 [0.62–2.93]

 

  High school

145 (47.23%)

100 (45.2%)

45 (52.3%)

1.42 [0.75–2.69]

 

   University

75 (24.43%)

57 (25.8%)

18 (20.9%)

Ref.

 

Surgical factors

 Breast-conserving surgery

149 (48.5%)

110 (49.8%)

39 (45.3%)

0.84 [0.51–1.38]

0.526

 Mastectomy

91 (29.6%)

61 (27.6%)

30 (34.9%)

1.41 [0.83–2.39]

0.214

 Implant-based reconstructive surgery (tissue-expandersor prosthesis)

113 (36.8%)

81 (36.7%)

32 (37.2%)

1.02 [0.61–1.72]

0.928

  Pre-pectoral prosthesis

23 (7.5%)

17 (21.0%)

6 (18.8%)

Ref.

–

  Under-pectoral prosthesis or tissue-expander

47 (15.3%)

32 (39.5%)

15 (46.9%)

1.33 [0.44–4.05]

0.618

  Tissue-expander substitution with prosthesis

43 (14.0%)

32 (39.5%)

11 (34.4%)

0.97 [0.31–3.09]

0.964

 Axillary surgery

146 (47.6%)

95 (43.0%)

51 (59.3%)

1.93 [1.17–3.21]

0.011

  Sentinel node biopsy

99 (32.3%)

64 (29.0%)

35 (40.7%)

0.94 [0.46–1.96]

0.877

  Axillary lymph node dissection

47(15.3%)

31 (14.0%)

16 (18.6%)

 Cosmetic surgery

68 (22.2%)

48 (21.7%)

20 (23.3%)

1.09 [0.60–1.98]

0.762

 Dorsal-flap reconstructive surgery

1 (0.3%)

1 (0.5%)

0 (0.0%)

–

–

 Bilateral surgery

103 (33.6%)

70 (31.8%)

33 (38.4%)

1.33 [0.79–2.24]

0.276

 Selective pectoral nerves dissection

19 (6.2%)

12 (5.5%)

7 (8.1%)

1.53 [0.58–4.02]

0.390

Anaesthesiologic factors

 Total intravenous anaesthesia

251 (81.8%)

180 (81.4%)

71 (82.6%)

0.93 [0.48–1.78]

0.821

  Propofol

251 (81.8%)

180 (81.4%)

71 (82.6%)

1.08 [0.56–2.07]

0.821

  Remifentanil

221 (72.0%)

157 (71.0%)

64 (74.4%)

1.19 [0.67–2.09]

0.554

  Sufentanil

29 (9.5%)

22 (10.0%)

7 (8.1%)

0.80 [0.33–1.95]

0.626

  Fentanil

14 (4.6%)

9 (4.1%)

5 (5.8%)

1.45 [0.47–4.47]

0.513

 Inhaled anaesthesia

56 (18.2%)

41 (18.6%)

15 (17.4%)

1.07 [0.56–2.07]

0.999

  Sevorane

40 (13%)

29 (13.1%)

11 (12.8%)

0.88 [0.23–3.32]

0.846

  Desflurane

16 (5.2%)

12 (5.4%)

4 (4.7%)

1.14 [0.30–4.29]

0.846

  Remifentanil

32 (10.4%)

22 (10.0%)

10 (11.6%)

0.58 [0.16–1.94]

0.384

  Fentanil

24 (7.8%)

19 (8.6%)

5 (5.8%)

1.73 [0.50–5.95]

0.384

 Regional anaesthesia

66 (21.5%)

53 (24.0%)

13 (15.1%)

0.56 [0.29–1.10]

0.092

  PECS 1

28 (9.1%)

22 (10.0%)

6 (7.0%)

0.68 [0.27–1.74]

0.418

  PECS 2

17 (5.6%)

12 (5.4%)

5 (5.8%)

1.08 [0.37–3.15]

0.895

  Local anaesthetics infiltration

21 (6.8%)

19 (8.6%)

2 (2.3%)

0.25 [0.03–1.09]

0.075

 Intraoperative analgesia

  Paracetamol

265 (86.3%)

188 (85.1%)

77 (89.5%)

1.50 [0.69–3.29]

0.309

  Ketorolac

49 (16.0%)

33 (14.9%)

16 (18.6%)

1.30 [0.68–2.51]

0.431

  Morphine

242 (7.8%)

169 (76.5%)

73 (84.9%)

1.73 [0.89–3.37]

0.108

  1. Among anaesthesiologic factors, specific drugs used for total intravenous anaesthesia and inhaled anaesthesia are described for both CPBS and No-CPBS groups. For patients treated with locoregional anaesthesia, use of pectoralis and serratus plane blocks (PECS1 and PECS2) and of local anaesthetics infiltration is reported. For variables with more than two levels, OR [95% CI] are expressed with respect to the level used as reference (Ref.). Wald test p-values are 0.774 for implant-based reconstructive surgery and 0.517 for school education. Among patients who underwent axillary surgery, differences between those treated with sentinel node biopsy and those treated with axillary lymph node dissection were evaluated with a chi-squared test (OR [95% CI] = 0.94 [0.46–1.96], p-value = 0.877)