Systematic Review and Meta-Analysis
Bridging the pain gap after cancer surgery – Evaluating the feasibility of transitional pain service to prevent persistent postsurgical pain – A systematic review and meta-analysis
Thota, Raghu S.; Ramkiran, S; Jayant, Aveek; Kumar Koilada Shiv; Wajekar, Anjana; Iyer, Sadasivan; Ashwini, M
Indian Journal of Anaesthesia 68(10):p 861-874, October 2024. | DOI: 10.4103/ija.ija_405_24
Key points:
The authors conducted a systematic review and meta-analysis to evaluate the feasibility of Transitional Pain Service (TPS) in preventing persistent postsurgical pain (PPSP) after cancer surgery.
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The study found that TPS interventions carried out by multidisciplinary teams incorporating bio-physical-psychological pain interventions have been successfully implemented, resulting in improved pain-related patient outcomes and mitigating the occurrence of PPSP.
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A meta-analysis of 14 studies revealed a lack of randomised controlled trials (RCTs) evaluating the efficacy of TPS in preventing PPSP and pain catastrophising, leading to an analysis of its feasibility by meta-regression.
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The analysis showed that studies with smaller sample sizes reported higher feasibility rates of TPS pain-related interventions among patients compared to studies with larger sample sizes.
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The authors suggest that TPS could help bridge the gap between acute pain services (APSs) and chronic pain services, providing a continuum of care for postsurgical patients and potentially reducing the burden of PPSP on pain clinics.
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The study also highlighted the importance of considering qualitative pain-related patient outcomes, such as quality of recovery, patient satisfaction, quality of life, and return to baseline daily routine activities, as TPS quality indicators.
Courtesy: https://notebooklm.google/
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