Evidence map›Paper›PMID 29403322›Full record

ReviewPatient related outcome measures2018

Psychological treatments for the management of postsurgical pain: a systematic review of randomized controlled trials.

Judith L Nicholls, Muhammad A Azam, Lindsay C Burns, Marina Englesakis, Ainsley M Sutherland, Aliza Z Weinrib, Joel Katz, Hance Clarke

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Patient related outcome measures, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03991546 (Quantifying Pain and Narcotic Usage Following Orthopedic Surgery Using a Text-Messaging Robot), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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.

NCT03991546 nacompletednot on this map

Quantifying Pain and Narcotic Usage Following Orthopedic Surgery Using a Text-Messaging Robot

TypeinterventionalSponsorChristopher AnthonyRan2016 to 2019Enrolled82ConditionsFractures, Closed, Pain, Postoperative, Pain Catastrophizing, Pain, AcuteArmsAcceptance and Commitment Therapy Delivered via an Automated Mobile Messaging Robot
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. The influence of cognitive behavioral therapy on lumbar spine surgery outcomes: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
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  17. The Impact of Preoperative Distress: A Qualitative analysis of the Perioperative Pain Self-Management Intervention.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022
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  18. Targeting Affective Mood Disorders With Ketamine to Prevent Chronic Postsurgical Pain.Frontiers in pain research (Lausanne, Switzerland) · 2022
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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

8 authors at 4 institutions in 2 countries.

Judith L NichollsPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Muhammad A AzamPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Lindsay C BurnsPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Marina EnglesakisLibrary and Information Services, University Health Network.
Ainsley M SutherlandPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Aliza Z WeinribPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Joel KatzPain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
Hance ClarkePain Research Unit, Department of Anesthesia and Pain Medicine, Toronto General Hospital.
York University · CAToronto General Hospital · CAUniversity of Toronto · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInadequately managed pain is a risk factor for chronic postsurgical pain (CPSP), a growing public health challenge. Multidisciplinary pain-management programs with psychological approaches, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based psychotherapy, have shown efficacy as treatments for chronic pain, and show promise as timely interventions in the pre/perioperative periods for the management of PSP. We reviewed the literature to identify randomized controlled trials evaluating the efficacy of these psychotherapy approaches on pain-related surgical outcomes. MATERIALS AND

methodsWe searched Medline, Medline-In-Process, Embase and Embase Classic, and PsycInfo to identify studies meeting our search criteria. After title and abstract review, selected articles were rated for risk of bias.

resultsSix papers based on five trials (four back surgery, one cardiac surgery) met our inclusion criteria. Four papers employed CBT and two CBT-physiotherapy variant; no ACT or mindfulness-based studies were identified. Considerable heterogeneity was observed in the timing and delivery of psychological interventions and length of follow-up (1 week to 2-3 years). Whereas pain-intensity reporting varied widely, pain disability was reported using consistent methods across papers. The majority of papers (four of six) reported reduced pain intensity, and all relevant papers (five of five) found improvements in pain disability. General limitations included lack of large-scale data and difficulties with blinding.

conclusionThis systematic review provides preliminary evidence that CBT-based psychological interventions reduce PSP intensity and disability. Future research should further clarify the efficacy and optimal delivery of CBT and newer psychological approaches to PSP.

Indexed as

acute painCBTchronic painchronic postsurgical painmultidisciplinary pain managementpostsurgical pain

Identifiers

PMID29403322
PMCPMC5783145
OpenAlexW2784276501

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.