{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:25:21Z","timestamp":1783013121285,"version":"3.54.6"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"\n \n \n We investigated the prevalence and predictors of postoperative pain severity following breast cancer surgery in Jordan. We enrolled 230 women undergoing mastectomy or partial mastectomy for breast cancer at a cancer center in Jordan. The participants provided demographic and clinical data, and we assessed their postoperative pain within 24\u00a0hours following surgery. A total of 212 patients completed the survey. Their ages ranged from 24\u201284\u00a0years (\n M<\/jats:italic>\n =\u00a055.83,\n SD<\/jats:italic>\n \u00a0=\u00a013.55). Among them, 73 (34%) underwent total mastectomy, and 139 (65.6%) had breast-conserving partial mastectomy. Within 24\u00a0hours after surgery, the mean worst possible pain scores at rest and with movement were 2.26 (\n SD<\/jats:italic>\n \u00a0=\u00a01.9) and 4.28 (\n SD<\/jats:italic>\n \u00a0=\u00a02.3), respectively. More than 31% of participants (\n n<\/jats:italic>\n \u00a0=\u00a067) reported moderate to severe pain at rest, and 128 (60.4%) experienced moderate to severe pain with movement. Multiple regression analysis showed that age (\u03b2\u00a0=\u00a0\u22120.210,\n p<\/jats:italic>\n =\u00a0.003), chronic opioid use (\u03b2\u00a0=\u00a00.296,\n p<\/jats:italic>\n < .001), and preemptive medication (\u03b2\u00a0=\u00a0\u22120.156,\n p<\/jats:italic>\n =\u00a0.030) were significant predictors of pain at rest. Age (\u03b2\u00a0=\u00a0\u22120.351,\n p<\/jats:italic>\n < .0001), chronic opioid use (\u03b2\u00a0=\u00a00.147,\n p<\/jats:italic>\n =\u00a0.011), preemptive medication (\u03b2\u00a0=\u00a0\u20120.156,\n p<\/jats:italic>\n =\u00a0.002), and nonsteroidal anti-inflammatory drugs use (\u03b2\u00a0=\u00a0\u20120.149,\n p<\/jats:italic>\n =\u00a0.018) predicted pain with movement. We conclude that postoperative pain remains a substantial concern among Jordanian breast cancer patients, particularly for those who are younger, have a history of chronic opioid use, or do not receive preemptive analgesia.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/psn.0000000000000665","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:04:22Z","timestamp":1783011862000},"page":"131-138","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Pain After Breast Cancer Surgery: Prevalence and Predictors"],"prefix":"10.1097","volume":"46","author":[{"given":"Ahmad","family":"Arraqap","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esam","family":"Farhoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8428-9918","authenticated-orcid":false,"given":"Laila","family":"Alhafez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1\u20132","key":"R1-20260702","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/S0304-3959(02)00295-6","article-title":"The relationship between resting blood pressure and acute pain sensitivity in healthy normotensives and chronic back pain sufferers: The effects of opioid blockade","volume":"100","author":"Bruehl","year":"2002","journal-title":"Pain"},{"issue":"11","key":"R2-20260702","first-page":"1964","article-title":"Relationships between pain intensity and heart rate variability in patients after abdominal surgery: A pilot study","volume":"125","author":"Chang","year":"2012","journal-title":"Chinese Medical Journal"},{"issue":"6","key":"R3-20260702","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1177\/0003134820952834","article-title":"Are NSAIDs safe? Assessing the risk-benefit profile of nonsteroidal anti-inflammatory drug use in postoperative pain management","volume":"87","author":"Chang","year":"2021","journal-title":"The American Surgeon"},{"issue":"1","key":"R4-20260702","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.pmn.2012.07.005","article-title":"Jordanian patients\u2019 satisfaction with pain management","volume":"15","author":"Darawad","year":"2014","journal-title":"Pain Management Nursing"},{"issue":"5","key":"R5-20260702","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/j.amjsurg.2019.02.033","article-title":"Preoperative opioid use and postoperative pain associated with surgical readmissions","volume":"218","author":"Dasinger","year":"2019","journal-title":"American Journal of Surgery"},{"issue":"2","key":"R6-20260702","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.pmn.2017.10.004","article-title":"Factors associated with inadequate pain control among postoperative 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postop\u00e9ratoire: R\u00e9sultats d\u2019une enqu\u00eate locale \u00e0 l\u2019H\u00f4pital universitaire de Jordanie [Postoperative pain is undertreated: Results from a local survey at Jordan University Hospital]","volume":"19","author":"Massad","year":"2013","journal-title":"Eastern Mediterranean Health Journal"},{"issue":"4","key":"R17-20260702","first-page":"271","article-title":"Cancer treatment and survivorship statistics, 2016","volume":"66","author":"Miller","year":"2016","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"4","key":"R19-20260702","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1093\/pm\/pnaa363","article-title":"Psychological factors are associated with pain at all time frames after breast cancer surgery: A systematic review with meta-analyses","volume":"22","author":"Moloney","year":"2021","journal-title":"Pain Medicine"},{"issue":"2","key":"R20-20260702","first-page":"79","article-title":"Undermedication for pain and precipitation of 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