Evidence map›Paper›PMID 28495013›Full record

ArticleThe journal of pain2017

The ACTTION-APS-AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions.

Michael L Kent, Patrick J Tighe, Inna Belfer, Timothy J Brennan, Stephen Bruehl, Chad M Brummett, Chester C Buckenmaier, Asokumar Buvanendran, Robert I Cohen, Paul Desjardins and 26 more

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In one paragraph

Article in The journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. No mesh fixation versus mesh fixation in laparoscopic groin hernia repair.The Cochrane database of systematic reviews · 2026
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  15. The burden of acute pain in the U.S. in the wake of the opioid crisis.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
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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

36 authors.

Michael L KentDepartment of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland. Electronic address: michael.l.kent22.mil@mail.mil.
Patrick J TigheDepartment of Anesthesiology, University of Florida, Gainesville, Florida.
Inna BelferFood and Drug Administration, Center for Drug Evaluation and Research, Silver Spring, MD.
Timothy J BrennanDepartment of Anesthesiology, University of Iowa, Iowa City, Iowa.
Stephen BruehlDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Chad M BrummettDepartment of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan.
Chester C BuckenmaierDefense and Veteran's Center for Integrative Pain Management, Uniformed Services University, Bethesda, Maryland.
Asokumar BuvanendranDepartment of Anesthesiology, Rush University Medical Center, Chicago, Illinois.
Robert I CohenDepartment of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Paul DesjardinsDesjardins Associates LLC, Maplewood, New Jersey.
David EdwardsDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Roger FillingimDepartment of Community Dentistry and Behavioral Science, University of Florida, Gainesville, Florida.
Jennifer GewandterDepartment of Anesthesiology, University of Rochester Medical Center, Rochester, New York.
Debra B GordonDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Robert W HurleyDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Henrik KehletSection of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
John D LoeserDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington; Department of Neurological Surgery, University of Washington, Seattle, Washington.
Sean MackeyDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.
Samuel A McLeanDepartments of Anesthesiology and Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina.
Rosemary PolomanoDepartment of Biobehavioral Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Siamak RahmanDepartment of Anesthesiology, University of California, Los Angeles, California.
Srinivasa RajaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland.
Michael RowbothamDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
Santhanam SureshDepartment of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Bernard SchachtelYale School of Public Health, New Haven, Connecticut; Schachtel Associates, Inc, Jupiter, Florida.
Kristin SchreiberDepartment of Anesthesiology and Pain Management, Brigham and Women's Hospital, Boston, Massachusetts.
Mark SchumacherDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
Brett StaceyCenter for Pain Relief, University of Washington Medical Center, Seattle, Washington.
Steven StanosSwedish Pain Services, Swedish Health System, Seattle, Washington.
Knox ToddEMLine.
Dennis C TurkDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Steven J WeismanDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
Christopher WuDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland.
Daniel B CarrDepartment of Anesthesiology, Tufts University School of Medicine, Boston, Massachusetts.
Robert H DworkinSchool of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York.
Gregory TermanDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.

Funding

Finding Good TEMporal PostOperative pain Signatures (TEMPOS)R01GM114290 · NIGMS · UNIVERSITY OF FLORIDA · PI TIGHE, PATRICK J · 2015 to 2019
$2.5M
Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) Public-Private PartnershipU01FD005936 · FDA · UNIVERSITY OF ROCHESTER · PI DWORKIN, ROBERT H · 2016 to 2020
$2.5M
FDA HHS U01 FD005936NIGMS NIH HHS R01 GM114290
6 · The paper itself

Abstract

objectiveWith the increasing societal awareness of the prevalence and impact of acute pain, there is a need to develop an acute pain classification system that both reflects contemporary mechanistic insights and helps guide future research and treatment. Existing classifications of acute pain conditions are limiting, with a predominant focus on the sensory experience (eg, pain intensity) and pharmacologic consumption. Consequently, there is a need to more broadly characterize and classify the multidimensional experience of acute pain.

settingConsensus report following expert panel involving the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION), American Pain Society (APS), and American Academy of Pain Medicine (AAPM).

methodsAs a complement to a taxonomy recently developed for chronic pain, the ACTTION public-private partnership with the US Food and Drug Administration, the APS, and the AAPM convened a consensus meeting of experts to develop an acute pain taxonomy using prevailing evidence. Key issues pertaining to the distinct nature of acute pain are presented followed by the agreed-upon taxonomy. The ACTTION-APS-AAPM Acute Pain Taxonomy will include the following dimensions: 1) core criteria, 2) common features, 3) modulating factors, 4) impact/functional consequences, and 5) putative pathophysiologic pain mechanisms. Future efforts will consist of working groups utilizing this taxonomy to develop diagnostic criteria for a comprehensive set of acute pain conditions. PERSPECTIVE: The ACTTION-APS-AAPM Acute Pain Taxonomy (AAAPT) is a multidimensional acute pain classification system designed to classify acute pain along the following dimensions: 1) core criteria, 2) common features, 3) modulating factors, 4) impact/functional consequences, and 5) putative pathophysiologic pain mechanisms.

conclusionsSignificant numbers of patients still suffer from significant acute pain, despite the advent of modern multimodal analgesic strategies. Mismanaged acute pain has a broad societal impact as significant numbers of patients may progress to suffer from chronic pain. An acute pain taxonomy provides a much-needed standardization of clinical diagnostic criteria, which benefits clinical care, research, education, and public policy. For the purposes of the present taxonomy, acute pain is considered to last up to seven days, with prolongation to 30 days being common. The current understanding of acute pain mechanisms poorly differentiates between acute and chronic pain and is often insufficient to distinguish among many types of acute pain conditions. Given the usefulness of the AAPT multidimensional framework, the AAAPT undertook a similar approach to organizing various acute pain conditions.

Indexed as

Acute PainClassificationHumansPain MeasurementPublic-Private Sector PartnershipsSocieties, MedicalAAAPTAAPTACTTIONAcute painbiopsychosocialtaxonomy

Identifiers

PMID28495013
PMCPMC7323793

What OpenQuestion holds

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Registered trials

None linked

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.