Evidence map›Paper›PMID 26535424›Full record

ArticlePain medicine (Malden, Mass.)2015

Acute Pain Medicine in the United States: A Status Report.

Patrick Tighe, Chester C Buckenmaier, Andre P Boezaart, Daniel B Carr, Laura L Clark, Andrew A Herring, Michael Kent, Sean Mackey, Edward R Mariano, Rosemary C Polomano and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05221866 (Efficiency And Quality In Post-Surgical Pain Therapy After Discharge), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT05221866 nacompletednot on this mapstarted 2022, after this paper: background citation

Efficiency And Quality In Post-Surgical Pain Therapy After Discharge

TypeinterventionalSponsorUniversity of NebraskaRan2022 to 2023Enrolled711ConditionsOpioid Use, Opioid Dependence, Opioid Misuse, Post-Surgical ComplicationArmsEmpowering Patient to Steer Their Pain Management After Surgery, Provider-facing Prescription Aid
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022
    Guideline
  2. Pooled it
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  12. Liposomal bupivacaine and postoperative opioid consumption for oncologic and non-oncologic breast procedures: a literature review and meta-analysis.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Review
  13. Article
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  20. Ketamine Use in the Surgical Patient: a Literature Review.Current pain and headache reports · 2021
    Review
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

11 authors at 9 institutions in 1 country.

Patrick TigheDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
Chester C Buckenmaier
Andre P Boezaart
Daniel B Carr
Laura L Clark
Andrew A Herring
Michael Kent
Sean Mackey
Edward R Mariano
Rosemary C Polomano
Gary M Reisfield
University of Florida · USStanford Medicine · USTufts University · USUniformed Services University of the Health Sciences · USUniversity of California, San Francisco · USUniversity of Louisville · USUniversity of Pennsylvania · USVA Palo Alto Health Care System · USWalter Reed National Military Medical Center · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Neuroimaging and Mentoring in Translational Pain ResearchK24DA029262 · NIDA · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2010 to 2019
$1.9M
Use of Machine Learning Classifiers to Forecast Severe Acute Postoperative Pain FK23GM102697 · NIGMS · UNIVERSITY OF FLORIDA · PI TIGHE, PATRICK J · 2012 to 2015
$573k
NCATS NIH HHS UL1 TR001427NIDA NIH HHS K24 DA029262NIGMS NIH HHS K23 GM 102697NIGMS NIH HHS K23 GM102697
6 · The paper itself

Abstract

backgroundConsensus indicates that a comprehensive,multimodal, holistic approach is foundational to the practice of acute pain medicine (APM),but lack of uniform, evidence-based clinical pathways leads to undesirable variability throughout U. S. healthcare systems. Acute pain studies are inconsistently synthesized to guide educational programs. Advanced practice techniques involving regional anesthesia assume the presence of a physician-led, multidisciplinary acute pain service,which is often unavailable or inconsistently applied.This heterogeneity of educational and organizational standards may result in unnecessary patient pain and escalation of healthcare costs.

methodsA multidisciplinary panel was nominated through the APM Shared Interest Group of the American Academy of Pain Medicine. The panel met in Chicago, IL, in July 2014, to identify gaps and set priorities in APM research and education.

resultsThe panel identified three areas of critical need: 1) an open-source acute pain data registry and clinical support tool to inform clinical decision making and resource allocation and to enhance research efforts; 2) a strong professional APM identity as an accredited subspecialty; and 3) educational goals targeted toward third-party payers,hospital administrators, and other key stake holders to convey the importance of APM.

conclusionThis report is the first step in a 3-year initiative aimed at creating conditions and incentives for the optimal provision of APM services to facilitate and enhance the quality of patient recovery after surgery, illness, or trauma. The ultimate goal is to reduce the conversion of acute pain to the debilitating disease of chronic pain.

Indexed as

Health Services Needs and DemandPain ManagementAcute PainHumansNeeds AssessmentUnited StatesAcute painAnesthesiologyDelivery of healthcareEducationMedical informatiosResearch

Identifiers

PMID26535424
PMCPMC4634553
OpenAlexW1927024002

What OpenQuestion holds

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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.