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Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment

Introduction: Pain can be severe during the first days after arthroscopic surgery, and acute pain is an important outcome in clinical trials of surgical technique or anaesthetic strategy. A standardized, validated method of assessing acute postoperative pain would improve the quality of clinical stu...

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Autores principales: Rasmussen, Jacob Korsbæk, Nikolajsen, Lone, Bjørnholdt, Karen Toftdahl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250077/
https://www.ncbi.nlm.nih.gov/pubmed/30465647
http://dx.doi.org/10.1051/sicotj/2018042
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author Rasmussen, Jacob Korsbæk
Nikolajsen, Lone
Bjørnholdt, Karen Toftdahl
author_facet Rasmussen, Jacob Korsbæk
Nikolajsen, Lone
Bjørnholdt, Karen Toftdahl
author_sort Rasmussen, Jacob Korsbæk
collection PubMed
description Introduction: Pain can be severe during the first days after arthroscopic surgery, and acute pain is an important outcome in clinical trials of surgical technique or anaesthetic strategy. A standardized, validated method of assessing acute postoperative pain would improve the quality of clinical studies, and facilitate systematic reviews and meta-analyses. A step on the way towards this standard is to investigate the methods most commonly used in recent literature. Methods: PubMed and CINAHL databases were searched, including studies of arthroscopic rotator cuff surgery with a primary pain-related outcome during the first postoperative week, published in English from 2012 to 2017. Results: A total of 47 studies were included, all measuring pain intensity using a pain rating scale. Most frequently used was the visual analogue scale using the anchors “no pain” and “worst pain imaginable”, with recordings at 1, 2, 4, 6, 8, 12, and 24 hours postoperatively. A total of 34 studies recorded analgesic consumption, usually as average cumulated consumption in mg. Time to first analgesic request or first pain were recorded in 11 studies, and 4 different starting points were used. Discussion: This review describes the currently most common methods of assessing acute postoperative pain in clinical trials of arthroscopic shoulder surgery involving rotator cuff repair, and the large variety of methods applied. Based on this study and international guidelines, several recommendations on how to measure and report postoperative pain outcomes in future trials are proposed.
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spelling pubmed-62500772018-12-13 Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment Rasmussen, Jacob Korsbæk Nikolajsen, Lone Bjørnholdt, Karen Toftdahl SICOT J Review Article Introduction: Pain can be severe during the first days after arthroscopic surgery, and acute pain is an important outcome in clinical trials of surgical technique or anaesthetic strategy. A standardized, validated method of assessing acute postoperative pain would improve the quality of clinical studies, and facilitate systematic reviews and meta-analyses. A step on the way towards this standard is to investigate the methods most commonly used in recent literature. Methods: PubMed and CINAHL databases were searched, including studies of arthroscopic rotator cuff surgery with a primary pain-related outcome during the first postoperative week, published in English from 2012 to 2017. Results: A total of 47 studies were included, all measuring pain intensity using a pain rating scale. Most frequently used was the visual analogue scale using the anchors “no pain” and “worst pain imaginable”, with recordings at 1, 2, 4, 6, 8, 12, and 24 hours postoperatively. A total of 34 studies recorded analgesic consumption, usually as average cumulated consumption in mg. Time to first analgesic request or first pain were recorded in 11 studies, and 4 different starting points were used. Discussion: This review describes the currently most common methods of assessing acute postoperative pain in clinical trials of arthroscopic shoulder surgery involving rotator cuff repair, and the large variety of methods applied. Based on this study and international guidelines, several recommendations on how to measure and report postoperative pain outcomes in future trials are proposed. EDP Sciences 2018-11-22 /pmc/articles/PMC6250077/ /pubmed/30465647 http://dx.doi.org/10.1051/sicotj/2018042 Text en © The Authors, published by EDP Sciences, 2018 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Rasmussen, Jacob Korsbæk
Nikolajsen, Lone
Bjørnholdt, Karen Toftdahl
Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title_full Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title_fullStr Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title_full_unstemmed Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title_short Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment
title_sort acute postoperative pain after arthroscopic rotator cuff surgery: a review of methods of pain assessment
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250077/
https://www.ncbi.nlm.nih.gov/pubmed/30465647
http://dx.doi.org/10.1051/sicotj/2018042
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