{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:38:08Z","timestamp":1789699088478,"version":"4.0.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2017,8,3]],"date-time":"2017-08-03T00:00:00Z","timestamp":1501718400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate perioperative pain in patients undergoing major head and neck cancer surgery and identify associations between preoperative and postoperative pain characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients undergoing head and neck surgery with regional\/free tissue transfer were enrolled. Preoperative pain and validated screens for symptoms (neuropathic pain, anxiety, depression, fibromyalgia) were assessed. Postoperatively, patients completed a pain diary for 4 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-seven patients were enrolled. Seventy-eight percent had pain prior to surgery, and for 38%, the pain had neuropathic characteristics. Thirteen patients (48%) completed at least 2 weeks of the postoperative pain diary. Patients with moderate\/severe preoperative pain report significantly greater pain scores postoperatively, though daily pain decreased at a similar linear rate for all patients. Patients with more severe preoperative pain consumed greater amounts of opioids postoperatively, and this correlated with daily postoperative pain scores. Patients who screened positive for neuropathic pain also reported worse postoperative pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Longitudinal perioperative pain assessment in head and neck patients undergoing surgery suggests that patients with worse preoperative pain continue to endorse worse pain postoperatively and require more narcotics. Patients with preoperative neuropathic pain also report poor pain control postoperatively, suggesting an opportunity to identify these patients and intervene with empiric neuropathic pain treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489417723034","type":"journal-article","created":{"date-parts":[[2017,8,3]],"date-time":"2017-08-03T07:30:46Z","timestamp":1501745446000},"page":"646-653","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery"],"prefix":"10.1177","volume":"126","author":[{"given":"Marisa R.","family":"Buchakjian","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA"},{"name":"Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew B.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian J.","family":"Sciegienka","sequence":"additional","affiliation":[{"name":"University of Iowa Carver College of Medicine, Iowa City, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin A.","family":"Pagedar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Sperry","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,8,3]]},"reference":[{"key":"bibr1-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdn419"},{"key":"bibr2-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdp001"},{"key":"bibr4-0003489417723034","doi-asserted-by":"crossref","first-page":"ES9","DOI":"10.36076\/ppj.2012\/15\/ES9","volume":"15","author":"Manchikanti L","year":"2012","journal-title":"Pain Physician"},{"key":"bibr5-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200504"},{"key":"bibr6-0003489417723034","first-page":"391","volume":"12","author":"Cleeland C.","year":"1989","journal-title":"Adv Pain Res Ther"},{"key":"bibr7-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2004.11.007"},{"key":"bibr8-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"bibr9-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"bibr10-0003489417723034","first-page":"2","volume":"1","author":"Swieboda P","year":"2013","journal-title":"Ann Agric Environ Med"},{"key":"bibr11-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890080308"},{"key":"bibr12-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199909)21:6<531::AID-HED6>3.0.CO;2-M"},{"key":"bibr13-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.03.005"},{"key":"bibr15-0003489417723034","unstructured":"American Society of Health-System Pharmacists Drug Information\n                      2016. Bethesda, MD: Author; 2016."},{"key":"bibr16-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022214"},{"key":"bibr17-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01057.x"},{"key":"bibr18-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2253-7-6"},{"key":"bibr19-0003489417723034","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/631756"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489417723034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489417723034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489417723034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:31:41Z","timestamp":1777375901000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/0003489417723034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,3]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1177\/0003489417723034"],"URL":"https:\/\/doi.org\/10.1177\/0003489417723034","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,3]]}}}