SynthesisAnesthesia and analgesia2020
Preemptive and Preventive Pain Psychoeducation and Its Potential Application as a Multimodal Perioperative Pain Control Option: A Systematic Review.
Synthesis in Anesthesia and analgesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05593341 (Effect of Perioperative Opioid Education on Outcomes After Total Knee Arthroplasty), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled 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.
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.
Effect of Perioperative Opioid Education on Outcomes After Total Knee Arthroplasty: A Randomized Study
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Preemptive local analgesia at vaginal hysterectomy: a systematic review.International urogynecology journal · 2022Pooled it
- The effect of mindfulness-based preoperative education on postoperative pain: a Solomon four-group randomized controlled trial.BMC psychology · 2026Trial
- Physiotherapy training and education prior to elective Caesarean section and its impact on post-natal quality of life: a secondary analysis of a randomized controlled trial.BMC research notes · 2023Trial
- Effects of continuous erector spinae plane block on postoperative pain in video-assisted thoracoscopic surgery: a randomized controlled study.General thoracic and cardiovascular surgery · 2022Trial
- A Dose-Response Relationship Study of Prophylactic Nalbuphine to Reduce Pain During the Awakening Period in Patients Undergoing Laparoscopic Total Hysterectomy: A Randomized, Controlled, Double-Blind Clinical Study.Drug design, development and therapy · 2022Trial
- Perioperative Pain Management in Non-Operating Room Anesthesia (NORA) Settings.Current pain and headache reports · 2026Review
- Racial and Ethnic Differences in Postpartum Pain and Opioid Consumption after Cesarean Delivery.Journal of women's health (2002) · 2026Observational
- Article
- What is cancer pain? Investigating attitudes of patients, carers, and health professionals: A cross-sectional survey.Pain practice : the official journal of World Institute of Pain · 2025Article
- Predictive Factors of Acute Pain After Day Surgery: A Meta-Analysis.Journal of pain research · 2025Review
- Comparing postoperative pain relief: ketorolac and Nasocalcin spray versus lidocaine and Nasocalcin spray in abdominal surgery patients.Annals of medicine and surgery (2012) · 2024Article
- [Pain therapy in urology-overview of current S3 guideline recommendations].Urologie (Heidelberg, Germany) · 2024Review
- Transitional Pain Service: Optimizing Complex Surgical Patients.Current pain and headache reports · 2024Review
- Practice-Level Variation in Opioid-Free Discharge Following Surgery for T1 Renal Masses: A MUSIC-KIDNEY Analysis.Urology practice · 2024Article
- Investigating Factors Associated with the Development of Postnatal Depression After Cesarean Delivery: A Validation Cohort Study.Neuropsychiatric disease and treatment · 2024Article
- Incidence of opioid use and early postoperative pain intensity after primary unilateral inguinal hernia repair at a single-center specialty hospital.Langenbeck's archives of surgery · 2023Article
- Opioid prescribing for acute postoperative pain: an overview of systematic reviews related to two consensus statements relevant at patient, prescriber, system and public health levels.BMC anesthesiology · 2023Review
- Rational Multimodal Analgesia for Perioperative Pain Management.Current pain and headache reports · 2023Review
- Feasibility of a multidisciplinary Transitional Pain Service in spine surgery patients to minimise opioid use and improve perioperative outcomes: a quality improvement study.BMJ open quality · 2023Article
- A prospective study of chronic postsurgical pain in elderly patients: incidence, characteristics and risk factors.BMC geriatrics · 2023Article
Corrections and comments
- Commented on by
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The common treatment for postoperative pain is prescription opioids. Yet, these drugs have limited effect in preventing chronic pain from surgical intervention and have in part contributed to the opioid epidemic. Recently, preemptive analgesia and multimodal analgesia have been proposed with widely gained acceptance in addressing the pain issues. However, both analgesic approaches have been focused on pharmacological means while completely neglecting the psychological aspect. To address this epidemic, we have conducted a systematic review of preoperative educational methods to explore its application as both a preemptive and a preventive psychological approach to decrease postsurgical pain and improve outcome. Preemptive psychoeducation occurs before surgery and would include information about regional or neuraxial analgesia, while preventive psychoeducation occurs throughout the perioperative period. The content and presentation of preemptive psychoeducation can help patients form accurate expectations and address their concerns of surgical outcome, leading to a significant decrease in patients' anxiety levels. By addressing the psychological needs of patients through preoperative education, one can decrease postoperative recovery time and postsurgical acute pain. Reduced postsurgical acute pain results in fewer opioid prescriptions, which theoretically lowers the patient's risk of developing chronic postsurgical pain (CPSP), and potentially offers a novel concept using preemptive pain psychoeducation as a part of multimodal pain management solution to the opioid epidemic.
Indexed as
Identifiers
What OpenQuestion holds
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.