Postoperative pain-related outcomes and perioperative pain management in China: a population-based study

Liu, Yanhong; Xiao, Shuang; Yang, Haitian; Lv, Xuecai; Hou, Aisheng; Ma, Yuanyuan; Jiang, Yandong; Duan, Chongyang; Mi, Weidong; Yang, Jianjun; Liu, Donghua; Li, M; Zhang, Jiaqiang; Yang, Yulin; Diao, Yugang; Han, Ruquan; Song, Shuang; Li, N J; Xiu-qin, Yue; Yao, Lei; Han, Xian; Zhang, Jianzhong; Wang, Tianlong; Wang, Guolin; Yue, Yun; Jia, Huiqun; Wang, Yuelan; Zhang, Wei; Zhang, Tiezheng

doi:10.1016/j.lanwpc.2023.100822

Cited by 16 publications

(3 citation statements)

References 50 publications

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“…As observed in this study, the prevalence of postoperative pain is a critical concern, reinforcing the findings in the literature [22]. This study's higher pain incidence compared to other studies suggests the influence of cultural factors on pain perception, supporting the notion proposed by these studies that patient demographics and cultural backgrounds significantly impact pain experiences and management strategies [23,24].…”

Section: Discussionsupporting

confidence: 88%

Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective

Al Ameri,

Shanbhag

2023

Cureus

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IntroductionPersistent postoperative pain significantly diminishes the quality of life in breast cancer patients. Effective pain management post-surgery is critical for patient satisfaction, reducing complications, and facilitating quick recovery and hospital discharge. This study addresses the lack of patient-centered postoperative pain management guidelines for breast cancer patients. AimThe primary goal of this study was to develop tailored postoperative pain management guidelines for the local community in the United Arab Emirates, integrating these into a broader network of oncology facilities. Methods and MaterialsEmploying a mixed-methods approach with a qualitative emphasis, the study gathered data from 10 female breast cancer patients (aged 39-65 years) with postoperative satisfaction surveys. Additionally, semistructured interviews with six healthcare professionals involved in guideline development were conducted. ResultsA significant 90% of patients reported experiencing moderate-to-extreme pain post-surgery, indicating a need for improved pain management. Key factors identified included the need for enhanced nurse training and patient education on pain management preoperatively. The study team unanimously recognized the necessity for dedicated postoperative guidelines. ConclusionThe study underscores the critical need for adequate postoperative pain management in breast cancer care. The findings advocate for creating multidisciplinary, evidence-based guidelines focused on patient-centered care. Furthermore, the study highlights the importance of international collaboration and continuous quality improvement measures, such as the Plan-Do-Study-Act (PDSA) cycle, for developing and refining these guidelines.

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Section: Discussionsupporting

confidence: 88%

Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective

Al Ameri,

Shanbhag

2023

Cureus

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“…Inadequate pain control can lead to cardiopulmonary complications and increased morbidity and mortality. 14 In addition, the severity and duration of postoperative pain affects postoperative quality of recovery and life. The perioperative emotional state is in connection with the degree of persistent pain after surgery.…”

Section: Discussionmentioning

confidence: 99%

Effect of Rectus Sheath Block on Postoperative Quality of Recovery After Transabdominal Midline Gynecological Surgery: A Randomized Controlled Trial

Cheng,

Wang,

Cao

et al. 2024

JPR

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“…Widespread adoption also faces challenges around provider training, costs and reimbursements, and the development of appropriate clinical protocols [44][45][46]. Poorly controlled postoperative pain after orthopedic procedures leads to impaired patient recovery and satisfaction [6,47,48]. Despite the importance of optimal pain management, innovations to enhance traditional multimodal protocols have not been translated into consistent clinical adoption [49].…”

Section: Introductionmentioning

confidence: 99%

Novel Techniques for Musculoskeletal Pain Management after Orthopedic Surgical Procedures: A Systematic Review

Aldanyowi

2023

Life

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Effective postoperative pain management is critical for recovery after orthopedic surgery, but often remains inadequate despite multimodal analgesia. This systematic review synthesizes evidence on innovative modalities for enhancing pain control following major orthopedic procedures. Fifteen randomized controlled trials and comparative studies evaluating peripheral nerve blocks, local anesthetic infiltration, cryotherapy, transcutaneous electrical stimulation, adjunct medications, and other techniques are included. Thematic analysis reveals that peripheral nerve blocks and local anesthetic infiltration consistently demonstrate reduced pain scores, opioid consumption, and side effects versus conventional analgesia alone. Oral multimodal medications also show promise as part of opioid-sparing regimens. Adjunctive approaches like cryotherapy, music, and dexmedetomidine require further research to optimize protocols. Despite promising innovations, critical knowledge gaps persist regarding comparative effectiveness, optimal interventions and dosing, combination strategies, cost-effectiveness, and implementation. High-quality randomized controlled trials using standardized protocols are essential to guide the translation of enhanced multimodal regimens into clinical practice. This review provides a framework for pursuing research priorities and advancing evidence-based postoperative pain management across orthopedic surgeries.

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Postoperative pain-related outcomes and perioperative pain management in China: a population-based study

Cited by 16 publications

References 50 publications

Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective

Developing and Implementing Postoperative Pain Management Guidelines for Breast Cancer Surgery: A Leadership Perspective

Effect of Rectus Sheath Block on Postoperative Quality of Recovery After Transabdominal Midline Gynecological Surgery: A Randomized Controlled Trial

Novel Techniques for Musculoskeletal Pain Management after Orthopedic Surgical Procedures: A Systematic Review

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