Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

Summary: Background: Post-mastectomy pain syndrome (PMPS) is a known debilitating surgical complication. While research on prevention, risk factors, and treatments have been conducted, there remains no cohesive treatment paradigm. The aim of our study is to synthesize the existing evidence on PMPS...

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Autores principales:	Ava G. Chappell, Selcen Yuksel, Daniel C. Sasson, Annie B. Wescott, Lauren M. Connor, Marco F. Ellis
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Post-mastectomy pain syndrome chronic pain after breast cancer surgery neuropathic pain treatment of PMPS breast surgery pain management strategies systematic review Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1616d8a1d951418599f4a689bf82ce33
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spelling	oai:doaj.org-article:1616d8a1d951418599f4a689bf82ce332021-12-02T05:02:03ZPost-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes2352-587810.1016/j.jpra.2021.07.006https://doaj.org/article/1616d8a1d951418599f4a689bf82ce332021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S235258782100067Xhttps://doaj.org/toc/2352-5878Summary: Background: Post-mastectomy pain syndrome (PMPS) is a known debilitating surgical complication. While research on prevention, risk factors, and treatments have been conducted, there remains no cohesive treatment paradigm. The aim of our study is to synthesize the existing evidence on PMPS treatment, which may facilitate the implementation of standardized, effective management strategies. Methods: Using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a comprehensive search was developed and translated for MEDLINE, Cochrane Library, EMBASE, CINAHL, PsycINFO, Web of Science, and ClinicalTrials.gov. The databases were searched using a combination of free terms, phrase searching, and database-specific controlled vocabulary related to PMPS. All unique records were by two independent reviewers. Publications on chronic (>3 months duration) pain after breast cancer-related surgery were included. Limited case series, case reports, and editorials were not included. Results: A total of 3402 articles from the years 1946–2019 resulted from the literature search after deduplication. Twenty-seven articles met final inclusion criteria for analysis, which revealed 10 major treatment modalities: fat grafting, neuroma surgery, lymphedema surgery, nerve blocks and neurolysis, laser, antidepressants, neuromodulators, physical therapy, mindfulness-based cognitive therapy, and capsaicin. Conclusions: In this review, we present a comprehensive assessment of the treatments available for PMPS that may help guide breast surgeons and reconstructive surgeons to employ the most effective treatment strategies for these patients. This review supports the importance of multimodal, multidisciplinary care in improving the management of PMPS.Ava G. ChappellSelcen YukselDaniel C. SassonAnnie B. WescottLauren M. ConnorMarco F. EllisElsevierarticlePost-mastectomy pain syndromechronic pain after breast cancer surgeryneuropathic paintreatment of PMPSbreast surgery pain management strategiessystematic reviewSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 97-109 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Post-mastectomy pain syndrome chronic pain after breast cancer surgery neuropathic pain treatment of PMPS breast surgery pain management strategies systematic review Surgery RD1-811
spellingShingle	Post-mastectomy pain syndrome chronic pain after breast cancer surgery neuropathic pain treatment of PMPS breast surgery pain management strategies systematic review Surgery RD1-811 Ava G. Chappell Selcen Yuksel Daniel C. Sasson Annie B. Wescott Lauren M. Connor Marco F. Ellis Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
description	Summary: Background: Post-mastectomy pain syndrome (PMPS) is a known debilitating surgical complication. While research on prevention, risk factors, and treatments have been conducted, there remains no cohesive treatment paradigm. The aim of our study is to synthesize the existing evidence on PMPS treatment, which may facilitate the implementation of standardized, effective management strategies. Methods: Using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a comprehensive search was developed and translated for MEDLINE, Cochrane Library, EMBASE, CINAHL, PsycINFO, Web of Science, and ClinicalTrials.gov. The databases were searched using a combination of free terms, phrase searching, and database-specific controlled vocabulary related to PMPS. All unique records were by two independent reviewers. Publications on chronic (>3 months duration) pain after breast cancer-related surgery were included. Limited case series, case reports, and editorials were not included. Results: A total of 3402 articles from the years 1946–2019 resulted from the literature search after deduplication. Twenty-seven articles met final inclusion criteria for analysis, which revealed 10 major treatment modalities: fat grafting, neuroma surgery, lymphedema surgery, nerve blocks and neurolysis, laser, antidepressants, neuromodulators, physical therapy, mindfulness-based cognitive therapy, and capsaicin. Conclusions: In this review, we present a comprehensive assessment of the treatments available for PMPS that may help guide breast surgeons and reconstructive surgeons to employ the most effective treatment strategies for these patients. This review supports the importance of multimodal, multidisciplinary care in improving the management of PMPS.
format	article
author	Ava G. Chappell Selcen Yuksel Daniel C. Sasson Annie B. Wescott Lauren M. Connor Marco F. Ellis
author_facet	Ava G. Chappell Selcen Yuksel Daniel C. Sasson Annie B. Wescott Lauren M. Connor Marco F. Ellis
author_sort	Ava G. Chappell
title	Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
title_short	Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
title_full	Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
title_fullStr	Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
title_full_unstemmed	Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes
title_sort	post-mastectomy pain syndrome: an up-to-date review of treatment outcomes
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/1616d8a1d951418599f4a689bf82ce33
work_keys_str_mv	AT avagchappell postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes AT selcenyuksel postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes AT danielcsasson postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes AT anniebwescott postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes AT laurenmconnor postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes AT marcofellis postmastectomypainsyndromeanuptodatereviewoftreatmentoutcomes
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Post-Mastectomy Pain Syndrome: An Up-to-Date Review of Treatment Outcomes

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