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Efficacy of whole-course pain intervention on health-related quality of life for patients after esophagectomy.

PURPOSE: The purpose of this study was to evaluate the efficacy of whole-course pain intervention on health-related quality of life (QoL) for patients after esophagectomy.

METHODS: A retrospecitve analysis was performed on 81 patients who were enrolled as conventional care group (control group with 40 cases) and whole-course pain intervention group (observation group with 41 cases) respectively af?ter Sweet, Ivor-Lewis and McKeown esophagectomy between January 2011 and December 2013. Then, the postoperative recovery parameters of the patients were compared, accompanied with evaluation of QoL using the 36-Item Short Form Health Survey 6 months after the operation.

RESULTS: The patients in the observation group demonstrated significantly better pain control and overall satisfaction rate than those of the control group, along with significantly lower morbidity of chronic postsurgical pain (CPSP) (p<0.05). However, the health-related QoL 6 months after the operation indicated no significant difference between the two groups (p>0.05).

CONCLUSION: In summary, the whole-course pain intervention is conducive to relieve pain and to reduce the occurrence of CPSP in patients after esophagectomy.

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