Evidence map›Paper›PMID 26508886›Full record

ArticleJournal of pain research2015

The Toronto General Hospital Transitional Pain Service: development and implementation of a multidisciplinary program to prevent chronic postsurgical pain.

Joel Katz, Aliza Weinrib, Samantha R Fashler, Rita Katznelzon, Bansi R Shah, Salima Sj Ladak, Jiao Jiang, Qing Li, Kayla McMillan, Daniel Santa Mina and 16 more

4 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 128 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 4 pooled it
21.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03675386 narecruitingnot on this mapstarted 2018, after this paper: background citation

Ontario Transitional Pain and Opioid Safety Program: Improving Pain and Opioid Practices for Complex Chronic Pain Patients Following Surgery

TypeinterventionalSponsorUniversity Health Network, TorontoRan2018 to 2026Enrolled210ConditionsChronic Pain, Opioid Use, Postoperative Pain, Opioid DependenceArmsInterventional Group, Control Intervention
NCT05774002 narecruitingnot on this mapstarted 2023, after this paper: background citation

Psychological Assessment of Scoliosis Patients Undergoing Surgical Management (PASS)

TypeinterventionalSponsorMontefiore Medical CenterRan2023 to 2028Enrolled120ConditionsAdolescent Idiopathic Scoliosis (AIS), Mental HealthArmsAims to Decrease Anxiety and Pain Treatment (ADAPT)
NCT05981105 narecruitingnot on this mapstarted 2023, after this paper: background citation

Expanding the Peri-operative Surgical Home Model: ERAS TKR With a Transitional Pain Service (TeleTPS) - Continuous Adductor Canal Catheter Versus Adductor Canal Block for Total Knee Arthroplasty, a Randomized Double-blinded Controlled Trial.

TypeinterventionalSponsorHospital for Special Surgery, New YorkRan2023 to 2027Enrolled64ConditionsChronic Pain, Opioid Use, Adductor Canal Block, Total Knee ArthroplastyArmsambIT pump with catheter, ambIT pump with sham catheter
NCT06455345 nacompletednot on this mapstarted 2024, after this paper: background citation

Advancing Online Psychology Tools for the Transitional Pain Service (ADOPT-TPS): Pilot Feasibility and Efficacy Randomized-Controlled Trial of a Scalable, Online Psychology Intervention for Post-Surgical Pain and Opioid Use

TypeinterventionalSponsorUniversity Health Network, TorontoRan2024 to 2026Enrolled68ConditionsPost-surgical Pain, Pain, Acute, Pain, Chronic, Post-Surgical Pain, ChronicArmsSelf-Guided Online ACT Program, Treatment As Usual
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 4 syntheses or guidelines pooled it, 319 citations in OpenAlex.

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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 4 institutions in 1 country.

Joel KatzDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Psychology, York University, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Aliza WeinribDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Psychology, York University, Toronto, ON, Canada.
Samantha R FashlerDepartment of Psychology, York University, Toronto, ON, Canada.
Rita KatznelzonDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Bansi R ShahDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Salima Sj LadakDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Jiao JiangDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Qing LiDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Kayla McMillanDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Daniel Santa MinaPrincess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, ON, Canada ; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada.
Kirsten WentlandtPalliative Care, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Karen McRaeDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Diana TamirDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Sheldon LynDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Marc de PerrotDivision of Thoracic Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
Vivek RaoDivision of Cardiovascular Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
David GrantMultiorgan Transplant Program, Toronto General Hospital, York University, Toronto, ON, Canada.
Graham Roche-NagleDivision of Vascular Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
Sean P ClearyDivision of General Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
Stefan Op HoferDivision of Plastic Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
Ralph GilbertDivision of Otolaryngology - Head and Neck Surgery, Toronto General Hospital, York University, Toronto, ON, Canada.
Duminda WijeysunderaDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Paul RitvoDepartment of Kinesiology and Health Science, York University, Toronto, ON, Canada.
Tahir JanmohamedManagingLife, Toronto, ON, Canada.
Gerald O'LearyDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Hance ClarkeDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada ; Department of Anesthesia, University of Toronto, Toronto, ON, Canada.
Toronto General Hospital · CAUniversity of Toronto · CAUniversity Health Network · CAYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic postsurgical pain (CPSP), an often unanticipated result of necessary and even life-saving procedures, develops in 5-10% of patients one-year after major surgery. Substantial advances have been made in identifying patients at elevated risk of developing CPSP based on perioperative pain, opioid use, and negative affect, including depression, anxiety, pain catastrophizing, and posttraumatic stress disorder-like symptoms. The Transitional Pain Service (TPS) at Toronto General Hospital (TGH) is the first to comprehensively address the problem of CPSP at three stages: 1) preoperatively, 2) postoperatively in hospital, and 3) postoperatively in an outpatient setting for up to 6 months after surgery. Patients at high risk for CPSP are identified early and offered coordinated and comprehensive care by the multidisciplinary team consisting of pain physicians, advanced practice nurses, psychologists, and physiotherapists. Access to expert intervention through the Transitional Pain Service bypasses typically long wait times for surgical patients to be referred and seen in chronic pain clinics. This affords the opportunity to impact patients' pain trajectories, preventing the transition from acute to chronic pain, and reducing suffering, disability, and health care costs. In this report, we describe the workings of the Transitional Pain Service at Toronto General Hospital, including the clinical algorithm used to identify patients, and clinical services offered to patients as they transition through the stages of surgical recovery. We describe the role of the psychological treatment, which draws on innovations in Acceptance and Commitment Therapy that allow for brief and effective behavioral interventions to be applied transdiagnostically and preventatively. Finally, we describe our vision for future growth.

Indexed as

chronic postsurgical painmultidisciplinary treatmentopioid useTransitional Pain Servicetransition to chronic pain

Identifiers

PMID26508886
PMCPMC4610888
OpenAlexW1945898546

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.