cholecystectomy: Shoulder Pain after Laparoscopic Cholecystectomy

In glmtoolbox: Set of Tools to Data Analysis using Generalized Linear Models

Shoulder Pain after Laparoscopic Cholecystectomy

Description

Inflation of the abdomen during laparoscopic cholecystectomy (removal of the gallbladder) separates the liver from the diaphragm and strains the attachments that connect both. This strain is felt as a referred shoulder pain. Suction to remove residual gas may reduce shoulder pain. There were 22 subjects randomized in the active group (with abdominal suction) and 19 subjects randomized in the control group (without abdominal suction). After laparoscopic surgery, patients were asked to rate their shoulder pain on a visual analog scale morning and afternoon for three days after the operation (a total of six different times). The scale was coded into five ordered categories where a pain score of 1 indicated "low pain" and a score of 5 reflected "high pain".

Usage

data(cholecystectomy)

Format

A data frame with 246 rows and 7 variables:

id

a numeric vector with the identifier of the patient.

treatment

a factor indicating the treatment received by the patient: abdominal suction ("A") and placebo ("P").

gender

a factor indicating the gender of the patient: female ("F") and male ("M").

age

a numeric vector indicating the age of the patient, in years.

time

a numeric vector indicating the occasion the patient was asked to rate their shoulder pain after the laparoscopic surgery: integers from 1 to 6.

pain

a numeric vector indicating the shoulder pain rated by the patient on a scale coded into five ordered categories, where 1 indicated "low pain" and 5 reflected "high pain".

pain2

a numeric vector indicating the shoulder pain rated by the patient and coded as 1 for the two first categories of pain and 0 for other cases.

References

Jorgensen J.O., Gillies R.B., Hunt D.R., Caplehorn J.R.M., Lumley T. (1995) A simple and effective way to reduce postoperative pain after laparoscopic cholecystectomy. Australian and New Zealand Journal of Surgery 65:466–469.

Lumley T. (1996) Generalized Estimating Equations for Ordinal Data: A Note on Working Correlation Structures. Biometrics 52:354–361.

Morel J.G., Nagaraj N.K. (2012) Overdispersion Models in SAS. SAS Institute Inc., Cary, North Carolina, USA.

Examples

data(cholecystectomy)
out <- aggregate(pain2 ~ treatment + time, data=cholecystectomy, mean)
dev.new()
barplot(100*pain2 ~ treatment + time, beside=TRUE, data=out, xlab="Time",
        col=c("yellow","blue"), ylab="% of patients with low pain")
legend("topleft", c("Placebo","Abdominal suction"), fill=c("yellow","blue"),
       title="Treatment", cex=0.9, bty="n")

glmtoolbox documentation built on Sept. 11, 2024, 7:32 p.m.