Evidence map›Paper›PMID 32885244›Full record

GuidelineJournal of burn care & research : official publication of the American Burn Association2020

American Burn Association Guidelines on the Management of Acute Pain in the Adult Burn Patient: A Review of the Literature, a Compilation of Expert Opinion, and Next Steps.

Kathleen S Romanowski, Joshua Carson, Kate Pape, Eileen Bernal, Sam Sharar, Shelley Wiechman, Damien Carter, Yuk Ming Liu, Stephanie Nitzschke, Paul Bhalla and 7 more

Registry-linked trialAbstract readPractice GuidelineReviewConsensus Statement
In one paragraph

Guideline in Journal of burn care & research : official publication of the American Burn Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07563296 (KALM-B), which is not on this map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 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.

NCT07563296 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

KALM-B: Ketamine-assisted Psychotherapy (KAP) to Lessen Morbidity After Burn Injury

TypeinterventionalSponsorIrma FlemingRan2026 to 2028Enrolled12ConditionsPTSD and Trauma-related SymptomsArmsPreparatory Session, Ketamine-assisted Psychotherapy Session #1, Ketamine-assisted Psychotherapy Session #2, Integration Session
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. [Practice guideline for adult burn rehabilitation nursing (2026 edition)].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Observational
  7. [A compulsory course in clinical treatment of burn patients: pain and analgesia].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Impact of Preexisting Substance Use Disorders on Prolonged Opioid Use and Postoperative Complications After Burns.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  15. An Analysis of Regional Blocks During Enzymatic Debridement of Burns.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  16. Rehabilitation Interventions for Fear-Avoidance Beliefs and Behaviors in Sudden Onset Musculoskeletal Conditions: A Scoping Review.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  17. Article
  18. Early mobilization after skin graft for burn injury in adults.The Cochrane database of systematic reviews · 2025
    Article
  19. Pathophysiology and management of burn injury-induced pain.Burns open : an international open access journal for burn injuries · 2025
    Article
  20. Article
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

17 authors.

Kathleen S RomanowskiUniversity of California, Davis and Shriners Hospitals for Children Northern California, Sacramento, California.
Joshua CarsonUniversity of Florida Health Shands Burn Center, Gainesville, Florida.
Kate PapeUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa.
Eileen BernalKendall Regional Medical Center, Miami, Florida.
Sam ShararUniversity of Washington School of Medicine, Harborview Medical Center, Seattle Washington.
Shelley WiechmanUniversity of Washington School of Medicine, Harborview Medical Center, Seattle Washington.
Damien CarterMaine Medical Center, Portland, Maine.
Yuk Ming LiuLoyola University Medical Center, Maywood, Illinois.
Stephanie NitzschkeBrigham and Women's Hospital, Boston, Massachusetts.
Paul BhallaUniversity of Washington School of Medicine, Harborview Medical Center, Seattle Washington.
Jeffrey LittUniversity of Missouri School of Medicine, Columbia, Missouri.
Rene PrzkoraUniversity of Florida Health, Anesthesiology and Pain Medicine, Gainesville, Florida.
Bruce FriedmanJM Still Burn Center, Augusta, Georgia.
Stephanie PopiakShriners Hospitals for Children-Galveston, Galveston, Texas.
James JengNathan Speare Regional Burn Treatment Center Crozer Chester Medical Center, Upland, Pennsylvania.
Colleen M RyanDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, and Shriners Hospitals for Children-Boston®, Boston, Massachusetts.
Victor JoeUniversity of California Irvine Regional Burn Center, Orange, California.

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

The ABA pain guidelines were developed 14 years ago and have not been revised despite evolution in the practice of burn care. A sub-committee of the American Burn Association's Committee on the Organization and Delivery of Burn Care was created to revise the adult pain guidelines. A MEDLINE search of English-language publications from 1968 to 2018 was conducted using the keywords "burn pain," "treatment," and "assessment." Selected references were also used from the greater pain literature. Studies were graded by two members of the committee using Oxford Centre for Evidence-based Medicine-Levels of Evidence. We then met as a group to determine expert consensus on a variety of topics related to treating pain in burn patients. Finally, we assessed gaps in the current knowledge and determined research questions that would aid in providing better recommendations for optimal pain management of the burn patient. The literature search produced 189 papers, 95 were found to be relevant to the assessment and treatment of burn pain. From the greater pain literature 151 references were included, totaling 246 papers being analyzed. Following this literature review, a meeting to establish expert consensus was held and 20 guidelines established in the areas of pain assessment, opioid medications, nonopioid medications, regional anesthesia, and nonpharmacologic treatments. There is increasing research on pain management modalities, but available studies are inadequate to create a true standard of care. We call for more burn specific research into modalities for burn pain control as well as research on multimodal pain control.

Indexed as

Acute PainAdultBurnsEvidence-Based MedicineHumansPain ManagementPain MeasurementUnited States

Identifiers

PMID32885244
PMCPMC7703676

What OpenQuestion holds

Textmetadata
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.