{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:40:28Z","timestamp":1789699228080,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,13]],"date-time":"2021-06-13T00:00:00Z","timestamp":1623542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Our aim was to describe the long\u2010term prevalence, risk factors and impact on quality of life of persistent postsurgical pain (PPP) following cardiac surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients undergoing sternotomy in a single centre over 6\u00a0months were prospectively interviewed by telephone at six months and seven years following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analysed data from 174 patients at six months and 146 patients at seven years following surgery, revealing a PPP prevalence of 39.7% (<jats:italic>n<\/jats:italic> = 69) and 9.6% (<jats:italic>n<\/jats:italic> = 14) respectively.<\/jats:p><jats:p>At six post\u2010operative months, younger age, higher acute pain score, intraoperative remifentanil infusion and more prolonged surgery were associated with sternotomy\u2010site PPP. These variables, in combination, predict PPP in this study group with area under the receiver operating curve of 0.91 (95% CI 0.86\u20130.94) at 6\u00a0months and 0.74 (95% CI 0.57\u20130.86) at 7\u00a0years. Quality of life scores were significantly lower with PPP (median change in EQ\u20105D score\u00a0=\u00a0\u22120.23 [\u22120.57, \u22120.09] compared to 0.00 [0\u20130.24] without PPP at 7\u00a0years, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). At7 years, younger age, prolonged surgery and intraoperative remifentanil infusion were associated with sternotomy\u2010site PPP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To the best of our knowledge, this is the longest follow\u2010up of PPP across all surgical specialities and certainly within cardiac surgery. Prevalence of PPP and impact on QOL after cardiac surgery are high and associated with young age, high acute pain score, use of remifentanil and long operative time. We present a predictive score to highlight patients at risk of developing PPP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Seven years after cardiac surgery, almost 10% of patients in this cohort described persistent pain in and around the incision. While higher than previous reports in the literature (limited to up to five post\u2010operative years), this assessment was made following three maximal coughs and therefore is movement or function evoked. High incident of persistent postsurgical pain may adversely affect long\u2010term quality of life which is measured using a validated tool.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1794","type":"journal-article","created":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T09:22:37Z","timestamp":1620897757000},"page":"1829-1838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Seven\u2010year follow\u2010up of persistent postsurgical pain in cardiac surgery patients: A prospective observational study of prevalence and risk factors"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0584-0079","authenticated-orcid":false,"given":"Suzanne R.","family":"Harrogate","sequence":"first","affiliation":[{"name":"Perioperative Medicine Barts Heart Centre and St. Bartholomew\u2019s Hospital London 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Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7017-022X","authenticated-orcid":false,"given":"Sibtain","family":"Anwar","sequence":"additional","affiliation":[{"name":"Perioperative Medicine Barts Heart Centre and St. Bartholomew\u2019s Hospital London UK"},{"name":"William Harvey Research Institute NIHR Biomedical Research Centre at Barts Queen Mary University of London London UK"},{"name":"Outcomes Research Consortium Cleveland Clinic Cleveland OH 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