'You saved my life - how could I come back and say you have caused such awful daily pain?'
Association of Breast Surgery ePoster Library. Soulsby R. 05/15/17; 166242; P090
Ms. Rachel Soulsby
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Abstract
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Introduction
Chronic pain after breast cancer treatment is a recognised problem, affecting up to 50% patients.
Method
Neuropathic pain was commonest in a pilot of 50patients. LANSS questionnaire has high diagnostic accuracy in assessing neuropathic pain. Scores ≥12 indicate likely neuropathic element. Patients preoperatively scoring zero (n=75), were reassessed twelve months after the end of their treatment (81% response rate).
Results
At 12months 23 (38%) scored ≥12, 20 scored zero. Mean age 61years (39-84years). The type of surgery demonstrated in table 1. Chi-Square Test revealed no difference between WLE and mastectomy (p=0.36, p=0.097 excluding reconstruction and TM patients). Contrary to published literature there was no difference between SLNB and ANC patients, (p=0.95, p=0.35 excluding the reconstruction and TM patients). This relationship held when the type of breast surgery was controlled for.
Patients scored on questions about increased sensitivity, pain being an unpleasant sensation and coming in bursts.17% scoring ≥12 had discussed see their GP. Despite not specifically being asked to write free text, 58 (95%) did. All welcomed being asked about pain, and frequently wrote extensively, including the title of this abstract.
Conclusion
All who scored <12, have been written to with information and contact details. Those scoring ≥12, have been offered review with the breast and the chronic pain team. Written and verbal information is now provided at all patient appointments, and at discharge. All GP's have received an information leaflet on managing neuropathic pain in the community drawn up with the chronic pain team.
Chronic pain after breast cancer treatment is a recognised problem, affecting up to 50% patients.
Method
Neuropathic pain was commonest in a pilot of 50patients. LANSS questionnaire has high diagnostic accuracy in assessing neuropathic pain. Scores ≥12 indicate likely neuropathic element. Patients preoperatively scoring zero (n=75), were reassessed twelve months after the end of their treatment (81% response rate).
Results
At 12months 23 (38%) scored ≥12, 20 scored zero. Mean age 61years (39-84years). The type of surgery demonstrated in table 1. Chi-Square Test revealed no difference between WLE and mastectomy (p=0.36, p=0.097 excluding reconstruction and TM patients). Contrary to published literature there was no difference between SLNB and ANC patients, (p=0.95, p=0.35 excluding the reconstruction and TM patients). This relationship held when the type of breast surgery was controlled for.
Patients scored on questions about increased sensitivity, pain being an unpleasant sensation and coming in bursts.17% scoring ≥12 had discussed see their GP. Despite not specifically being asked to write free text, 58 (95%) did. All welcomed being asked about pain, and frequently wrote extensively, including the title of this abstract.
Conclusion
All who scored <12, have been written to with information and contact details. Those scoring ≥12, have been offered review with the breast and the chronic pain team. Written and verbal information is now provided at all patient appointments, and at discharge. All GP's have received an information leaflet on managing neuropathic pain in the community drawn up with the chronic pain team.
Introduction
Chronic pain after breast cancer treatment is a recognised problem, affecting up to 50% patients.
Method
Neuropathic pain was commonest in a pilot of 50patients. LANSS questionnaire has high diagnostic accuracy in assessing neuropathic pain. Scores ≥12 indicate likely neuropathic element. Patients preoperatively scoring zero (n=75), were reassessed twelve months after the end of their treatment (81% response rate).
Results
At 12months 23 (38%) scored ≥12, 20 scored zero. Mean age 61years (39-84years). The type of surgery demonstrated in table 1. Chi-Square Test revealed no difference between WLE and mastectomy (p=0.36, p=0.097 excluding reconstruction and TM patients). Contrary to published literature there was no difference between SLNB and ANC patients, (p=0.95, p=0.35 excluding the reconstruction and TM patients). This relationship held when the type of breast surgery was controlled for.
Patients scored on questions about increased sensitivity, pain being an unpleasant sensation and coming in bursts.17% scoring ≥12 had discussed see their GP. Despite not specifically being asked to write free text, 58 (95%) did. All welcomed being asked about pain, and frequently wrote extensively, including the title of this abstract.
Conclusion
All who scored <12, have been written to with information and contact details. Those scoring ≥12, have been offered review with the breast and the chronic pain team. Written and verbal information is now provided at all patient appointments, and at discharge. All GP's have received an information leaflet on managing neuropathic pain in the community drawn up with the chronic pain team.
Chronic pain after breast cancer treatment is a recognised problem, affecting up to 50% patients.
Method
Neuropathic pain was commonest in a pilot of 50patients. LANSS questionnaire has high diagnostic accuracy in assessing neuropathic pain. Scores ≥12 indicate likely neuropathic element. Patients preoperatively scoring zero (n=75), were reassessed twelve months after the end of their treatment (81% response rate).
Results
At 12months 23 (38%) scored ≥12, 20 scored zero. Mean age 61years (39-84years). The type of surgery demonstrated in table 1. Chi-Square Test revealed no difference between WLE and mastectomy (p=0.36, p=0.097 excluding reconstruction and TM patients). Contrary to published literature there was no difference between SLNB and ANC patients, (p=0.95, p=0.35 excluding the reconstruction and TM patients). This relationship held when the type of breast surgery was controlled for.
Patients scored on questions about increased sensitivity, pain being an unpleasant sensation and coming in bursts.17% scoring ≥12 had discussed see their GP. Despite not specifically being asked to write free text, 58 (95%) did. All welcomed being asked about pain, and frequently wrote extensively, including the title of this abstract.
Conclusion
All who scored <12, have been written to with information and contact details. Those scoring ≥12, have been offered review with the breast and the chronic pain team. Written and verbal information is now provided at all patient appointments, and at discharge. All GP's have received an information leaflet on managing neuropathic pain in the community drawn up with the chronic pain team.
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