Pain profile of post-mastectomy pain syndrome (PMPS) in patients at a tertiary oncology center in Surabaya: Pain profile of post-mastectomy pain syndrome

Radin Kamal; Kamila Rahma; Iskandar Ali; Edwin Danardono; Fadia Hasna Thohari

doi:10.59747/smjidisurabaya.v2i1.62

Authors

Radin Kamal Department of Surgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0009-0001-6515-0144
Kamila Rahma Department of Surgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0009-0002-7511-5040
Iskandar Ali Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0009-0003-6450-4937
Edwin Danardono Division of Digestive Surgery, Department of Surgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0009-0001-0076-8509
Fadia Hasna Thohari Faculty of Medicine, Airlangga University, Surabaya, Indonesia https://orcid.org/0009-0003-4023-5226

DOI:

https://doi.org/10.59747/smjidisurabaya.v2i1.62

Keywords:

pain profile, breast cancer, post-mastectomy pain syndrome, tertiary oncology center

Abstract

Background: Post-mastectomy pain syndrome (PMPS) is a chronic neuropathic pain condition that typically manifests around the surgical area and may persist for more than three months without an identifiable cause. However, data on PMPS in Indonesia are limited. Objectives: This study aims to describe the pain profile of PMPS patients at the Oncology Center of Dr. Soetomo General Hospital, Surabaya in December 2023. Methods: This study used a descriptive cross-sectional design and was conducted at the Oncology Center of Dr. Soetomo General Hopital, Surabaya in December 2023. The patients were selected using a consecutive sampling technique based on their medical record and examination. Results: A total of 180 patients were included in this study. The majority of patients were between the ages of 50 and 59 years (38.3%) and 40 and 49 years (36.1%) with a luminal A subtype (53.5%). In addition, the majority of patients were overweight (36.1%), had no educational background (72.7%), and housewives (93.3%), with a monthly income of less than five million rupiah (97.2%). The majority of PMPS patients reported radiating pain (52.7%) in the surgical area (94%), with VAS score of 4 (69%). The majority of PMPS patients reported the onset of their condition within six months post-surgery (38.8%) and between 9 and 12-months post-surgery (34.4%). Finally, the majority of PMPS patients had a Karnofsky score of 70 or less (65.6%). Conclusion: The pain profile of PMPS patients in Surabaya is distinctive. Oncology professionals should initiate a tailored patient- and community-oriented approaches to research, prevention, and treatment of PMPS in each of their respective community.

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Pain profile of post-mastectomy pain syndrome (PMPS) in patients at a tertiary oncology center in Surabaya