{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:57:24Z","timestamp":1769551044552,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"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":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Measures of physical activity and pain\u2010related patient\u2010reported outcomes are important components of patient recovery after surgery. However, little is known about their association in the early post\u2010operative period. This study aims to increase this knowledge. Our primary objective was to determine the association between <jats:italic>average pain intensity<\/jats:italic> and activity (in <jats:italic>steps<\/jats:italic>) 1\u2009week after surgery. Secondary objectives were the association of activity with other patient\u2010reported outcomes, age, sex, comorbidities and body mass index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were obtained from the PROMPT sub\u2010project of IMI\u2010PainCare. Patients after breast and endometriosis\u2010related surgery, sternotomy and total knee arthroplasty completed pain\u2010related outcomes questionnaires and wore an ActiGraph activity\u2010tracking device. We correlated steps with average pain intensity on post\u2010operative days 6 and 7. Secondary analyses were done using correlations and <jats:italic>t<\/jats:italic>\u2010tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 284 cases, there was no statistically significant correlation between steps and average pain intensity. In addition, none of the 28 secondary analyses showed a statistically significant result.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pain\u2010related patient\u2010reported outcome measures and physical activity are separate entities. Both should be measured after surgery to assess patient recovery and to identify treatment deficiencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance Statement<\/jats:title><jats:p>Measuring recovery is a multi\u2010dimensional challenge. After surgery, clinicians need to be aware that neither pain intensity nor activity levels tell the whole story. Each can hint to problems and treatment requirements.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2260","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T11:17:47Z","timestamp":1709810267000},"page":"1330-1342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Objectively measured activity is not associated with average pain intensity 1\u2009week after surgery: A cross\u2010sectional study"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3637-7067","authenticated-orcid":false,"given":"M.","family":"Komann","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital Friedrich Schiller University Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Dreiling","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital Friedrich Schiller University Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Baumbach","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital Friedrich Schiller University Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Weinmann","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital Friedrich Schiller University Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kalso","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Pain Medicine Helsinki University and Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Stamer","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine, InselspitaL, Bern University Hospital University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Volk","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Pain Therapy, Saarland University Medical Center and Saarland University Faculty of Medicine, Outcomes Research Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Pogatzki\u2010Zahn","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Pain Medicine University Hospital Muenster  M\u00fcnster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kehlet","sequence":"additional","affiliation":[{"name":"Section for Surgical Pathophysiology, Rigshospitalet Copenhagen University  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Meissner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital Friedrich Schiller University Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0022\u20104707.17.07437\u20100"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"129","article-title":"Pain assessment: Global use of the Brief Pain Inventory","volume":"23","author":"Cleeland C. 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