ArticlePain and therapy2016
The Cold Pressor Test as a Predictor of Prolonged Postoperative Pain, a Prospective Cohort Study.
Article in Pain and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Does individual pain threshold influence postoperative pain after connective tissue graft surgery?Clinical oral investigations · 2026Article
- Cold induced pain elicits reproducible breath metabolomic responses across geographically distinct populations.iScience · 2026Article
- Article
- Impact of genetic variants on fentanyl metabolism in major breast surgery patients: a candidate gene association study.Pharmacogenomics · 2024Article
- Predicting postoperative pain by using preoperative pain threshold in response to electrical stimulus in women undergoing gynaecological cancer surgery - Single-arm, prospective, observational study.Indian journal of anaesthesia · 2023Article
- Effects on general pain perception and dental pulp sensibility in probable sleep bruxism subjects by experimentally induced pain in a pilot study.Scientific reports · 2023Article
- Response to experimental cold-induced pain discloses a resistant category among endurance athletes, with a distinct profile of pain-related behavior and GABAergic EEG markers: a case-control preliminary study.Frontiers in neuroscience · 2023Article
- The effect of hamstring donor-site block for functional outcomes and rehabilitation after anterior cruciate ligament reconstruction.Frontiers in surgery · 2023Article
- The Temporal Modulation of Nocebo Hyperalgesia in a Model of Sustained Pain.Frontiers in psychiatry · 2022Article
- The effectiveness of parental distraction during children's acute pain: The moderating effect of socioeconomic status.European journal of pain (London, England) · 2020Article
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Authors and funding
3 authors.
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Abstract
introductionPresently, it is difficult to predict which patients are at increased risk of ongoing pain problems postoperatively. This study followed a group of patients from the week before their operation until 3 months after it, to identify potential risk variables.
methodsFifty-four patients undergoing moderate-major gynaecological surgery at Christchurch Women's Hospital were recruited and assessed preoperatively over an 11-week period. At this initial assessment, participants were subjected to a cold pressor test (CPT). Telephonic follow-up was conducted at 6 weeks and 3 months postoperatively, to determine pain status. Information regarding the type of operation and surgical approach was collected from hospital records.
resultsPain threshold (time taken to report the onset of pain), as measured by the CPT, was significantly predictive of prolonged pain outcomes (area under the curve = 0.80, 95 % CI 0.66, 0.95). Pain tolerance (total time taken to end the CPT voluntarily) was similarly predictive but non-significant (area under the curve = 0.69, 95 % CI 0.47, 0.90).
conclusionThe preoperative cold pressor test shows some promise for predicting ongoing postoperative pain. However, more research is needed to determine the clinical significance of these findings in larger samples and how they could be incorporated into clinical practice.
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