Evidence map›Paper›PMID 29392204›Full record

ArticlePain reports2017

Postoperative pain-from mechanisms to treatment.

Esther M Pogatzki-Zahn, Daniel Segelcke, Stephan A Schug

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Pain reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 178 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed, 5 pooled it
27.3field-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.

NCT03604354 phase4completednot on this mapstarted 2018, after this paper: background citation

Safety and Efficacy of Pre-emptive Tapentadol vs Pregabalin in Post Operative Pain Following Unilateral Total Knee Arthroplasty- A Randomised, Double Blind, Active Control, Clinical Trial

TypeinterventionalSponsorAll India Institute of Medical Sciences, BhubaneswarRan2018 to 2020Enrolled95ConditionsOsteoarthritis, KneeArmsTapentadol 100 MG Oral Tablet, Pregabalin 150mg
NCT03881124 completednot on this map

Pain Trajectories in Severe Persistent Inguinal Post-herniorrhaphy Pain

TypeobservationalSponsorUniversity of CopenhagenRan2014 to 2016Enrolled95ConditionsChronic Pain
NCT04190797 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Photobiomodulation on Postoperative Pain

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2019 to 2020Enrolled34ConditionsKnee Osteoarthritis, Metabolic DiseaseArmsPhotobiomodulation + patiente controled anaethesia (PCA), Placebo + patiente controled anaethesia (PCA)
NCT04293250 nacompletednot on this map

Preoperative Moderate-to-vigorous Intensity Physical Activities Reduce Postoperative Pain in Adults

TypeinterventionalSponsorChiayi Christian HospitalRan2015 to 2017Enrolled1,600ConditionsPostoperative Pain, Physical ActivityArmsCompare the severity of postoperative pain of the physical activity group Vs non-physical activity group
NCT04595253 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Professor, School of Nursing, China Medical University Hospital, Principal Investigator

TypeinterventionalSponsorWei-Fen MaRan2020 to 2021Enrolled200ConditionsLung DiseasesArmsacupressure
3 · Its place in the literature

Who cites it

178 citing papers in PubMed, 5 syntheses or guidelines pooled it, 387 citations in OpenAlex.

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  10. Effect of electroacupuncture on pain after periodontal flap surgery: a randomized controlled trial.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025
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  19. Triple-layered core-shell microneedle patch for sustained analgesic delivery and chondroprotection in osteoarthritis.Journal of controlled release : official journal of the Controlled Release Society · 2026
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118 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

3 authors at 2 institutions in 2 countries.

Esther M Pogatzki-ZahnDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital of Muenster, Muenster, Germany.
Daniel SegelckeDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital of Muenster, Muenster, Germany.
Stephan A SchugPharmacology, Pharmacy and Anaesthesiology Unit, School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia.
University Hospital Münster · DERoyal Perth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPain management after surgery continues to be suboptimal; there are several reasons including lack of translation of results from basic science studies and scientific clinical evidence into clinical praxis.

objectivesThis review presents and discusses basic science findings and scientific evidence generated within the last 2 decades in the field of acute postoperative pain.

methodsIn the first part of the review, we give an overview about studies that have investigated the pathophysiology of postoperative pain by using rodent models of incisional pain up to July 2016. The second focus of the review lies on treatment recommendations based on guidelines and clinical evidence, eg, by using the fourth edition of the "Acute Pain Management: Scientific Evidence" of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine.

resultsPreclinical studies in rodent models characterized responses of primary afferent nociceptors and dorsal horn neurons as one neural basis for pain behavior including resting pain, hyperalgesia, movement-evoked pain or anxiety- and depression-like behaviors after surgery. Furthermore, the role of certain receptors, mediators, and neurotransmitters involved in peripheral and central sensitization after incision were identified; many of these are very specific, relate to some modalities only, and are unique for incisional pain. Future treatment should focus on these targets to develop therapeutic agents that are effective for the treatment of postoperative pain as well as have few side effects. Furthermore, basic science findings translate well into results from clinical studies. Scientific evidence is able to point towards useful (and less useful) elements of multimodal analgesia able to reduce opioid consumption, improve pain management, and enhance recovery.

conclusionUnderstanding basic mechanisms of postoperative pain to identify effective treatment strategies may improve patients' outcome after surgery.

Indexed as

KetamineMultimodal analgesiaPostoperative painPregabalinSensitizationSurgical incision

Identifiers

PMID29392204
PMCPMC5770176
OpenAlexW2594499642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.