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Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline

BACKGROUND: Chronic postsurgical pain (CPSP) after tissue trauma is frequent and may have a long-lasting impact on the functioning and quality of life. The development of CPSP increases the burden on both the patient and the community. This review aims to systematically review articles and, lastly,...

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Autores principales: Milkias, Mesay, Mekonnen, Semagn, Ahmed, Siraj, Getachew, Hailemariam, Adamu, Yayeh, Mola, Simeneh, Gugsa, Tesfaye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617887/
https://www.ncbi.nlm.nih.gov/pubmed/37915690
http://dx.doi.org/10.1097/MS9.0000000000001258
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author Milkias, Mesay
Mekonnen, Semagn
Ahmed, Siraj
Getachew, Hailemariam
Adamu, Yayeh
Mola, Simeneh
Gugsa, Tesfaye
author_facet Milkias, Mesay
Mekonnen, Semagn
Ahmed, Siraj
Getachew, Hailemariam
Adamu, Yayeh
Mola, Simeneh
Gugsa, Tesfaye
author_sort Milkias, Mesay
collection PubMed
description BACKGROUND: Chronic postsurgical pain (CPSP) after tissue trauma is frequent and may have a long-lasting impact on the functioning and quality of life. The development of CPSP increases the burden on both the patient and the community. This review aims to systematically review articles and, lastly, pull an evidence-based guideline for CPSP management in adult patients in resource-limited areas. METHODOLOGY: The review was reported based on preferred reporting items for the systemic review and meta-analysis (PRISMA) protocol. A literature search was conducted from the Cochrane, PubMed/Medline, and Google Scholar databases, and other gray literature from 2010 to 2022. The conclusion was made based on the level of evidence. RESULTS: A total of 3521 articles were identified through the database by searching strategies. Finally, by filtering duplicates unrelated to the topics, 22 articles (9 meta-analyses and systematic reviews, 12 systematic reviews, and one cohort study) were selected on the management of CPSP in adult patients. Filtering was made based on the intervention, outcome data of the population, and methodological quality. CONCLUSION: Given the complexity and multidimensional nature of chronic postsurgical pain, effective assessment, and management require a comprehensive, multiaxial approach. Adequate preoperative preparation and counseling, potential risk identification and optimization, and use of a multimodal approach, and noninvasive surgical techniques are crucial in reducing the development of chronic postsurgical pain.
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spelling pubmed-106178872023-11-01 Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline Milkias, Mesay Mekonnen, Semagn Ahmed, Siraj Getachew, Hailemariam Adamu, Yayeh Mola, Simeneh Gugsa, Tesfaye Ann Med Surg (Lond) Review Articles BACKGROUND: Chronic postsurgical pain (CPSP) after tissue trauma is frequent and may have a long-lasting impact on the functioning and quality of life. The development of CPSP increases the burden on both the patient and the community. This review aims to systematically review articles and, lastly, pull an evidence-based guideline for CPSP management in adult patients in resource-limited areas. METHODOLOGY: The review was reported based on preferred reporting items for the systemic review and meta-analysis (PRISMA) protocol. A literature search was conducted from the Cochrane, PubMed/Medline, and Google Scholar databases, and other gray literature from 2010 to 2022. The conclusion was made based on the level of evidence. RESULTS: A total of 3521 articles were identified through the database by searching strategies. Finally, by filtering duplicates unrelated to the topics, 22 articles (9 meta-analyses and systematic reviews, 12 systematic reviews, and one cohort study) were selected on the management of CPSP in adult patients. Filtering was made based on the intervention, outcome data of the population, and methodological quality. CONCLUSION: Given the complexity and multidimensional nature of chronic postsurgical pain, effective assessment, and management require a comprehensive, multiaxial approach. Adequate preoperative preparation and counseling, potential risk identification and optimization, and use of a multimodal approach, and noninvasive surgical techniques are crucial in reducing the development of chronic postsurgical pain. Lippincott Williams & Wilkins 2023-09-07 /pmc/articles/PMC10617887/ /pubmed/37915690 http://dx.doi.org/10.1097/MS9.0000000000001258 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (https://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Review Articles
Milkias, Mesay
Mekonnen, Semagn
Ahmed, Siraj
Getachew, Hailemariam
Adamu, Yayeh
Mola, Simeneh
Gugsa, Tesfaye
Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title_full Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title_fullStr Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title_full_unstemmed Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title_short Evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
title_sort evidence-based guideline on chronic postsurgical pain management in adult patients in resource-restricted setting, 2023: systematic review and guideline
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617887/
https://www.ncbi.nlm.nih.gov/pubmed/37915690
http://dx.doi.org/10.1097/MS9.0000000000001258
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