ArticleThe Clinical journal of pain2020
Risk Factors for Increased Postoperative Pain and Recommended Orderset for Postoperative Analgesic Usage.
Article in The Clinical journal of pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Pharmacokinetics of Intraperitoneal Lidocaine for Sustained Postoperative Analgesia in Adults.European journal of drug metabolism and pharmacokinetics · 2025Trial
- Addition of Liposomal Bupivacaine to Standard Bupivacaine versus Standard Bupivacaine Alone in the Supraclavicular Brachial Plexus Block: A Randomized Controlled Trial.Anesthesiology · 2024Trial
- Precision postoperative pain management: A multidimensional matter.Journal of perioperative practice · 2026Article
- Individualizing Perioperative Analgesia: Patient-Specific Determinants of Postoperative Pain and Opioid-Related Outcomes.Medicina (Kaunas, Lithuania) · 2026Review
- Article
- Postoperative Pain Trajectories and the Requirement for Rescue Analgesics Following Cataract Surgery versus Pterygium Excision: A Propensity Score-Matched Retrospective Cohort Study.Journal of pain research · 2026Article
- A pilot protocol for conditioning music-cued relaxation responses in patients undergoing total shoulder arthroplasties.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Incidences and predictors of moderate-to-severe movement-evoked pain until postoperative day three following gastrointestinal and hepatobiliary surgery: a retrospective study.Journal of anesthesia · 2025Article
- Opioid use in postoperative pain management of pediatric appendectomy patients in Japan.Journal of anesthesia · 2025Article
- Postoperative Pain Following Gynecology Oncological Surgery: A Systematic Review by Tumor Site.Cancers · 2025Review
- How can Blood Flow Restriction Exercise be Utilised for the Management of Persistent Pain Following Complex Injuries in Military Personnel? A Narrative Review.Sports medicine - open · 2025Review
- Postoperative Serotonin Syndrome: A Case Report Highlighting Dexmedetomidine for Refractory Symptoms.Cureus · 2025Article
- Postoperative multimodal pain management: a narrative review of current practices, clinical and educational gaps, and future directions.Frontiers in anesthesiology · 2025Article
- Risk Factors for Postoperative Pain in Pterygium Surgery Patients.Journal of pain research · 2025Article
- Risk Stratification for Postoperative Opioid Induced Respiratory Depression: A Retrospective Case-Control Analysis of Existing Validated Tools.Journal of pain research · 2025Article
- Relationship between diet and postoperative pain: A scoping review.Journal of anesthesia and translational medicine · 2024Review
- Incidence and risk factors of pain following breast cancer surgery: a retrospective national inpatient sample database study.BMC women's health · 2024Article
- Mu-Opioid Receptor (MOR) Dependence of Pain in Chemotherapy-Induced Peripheral Neuropathy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024Article
- Postoperative Pain at Discharge From the Post-anesthesia Care Unit: A Case-Control Study.Cureus · 2024Article
- Higher Cardiovagal Baroreflex Sensitivity Predicts Increased Pain Outcomes After Cardiothoracic Surgery.The journal of pain · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAn interdisciplinary pain team was established at our institution to explore options for improving pain control in patients undergoing orthopedic surgery by identifying traits that put a patient at increased risk for inadequate pain control postoperatively. MATERIALS AND
methodsThe interdisciplinary pain team identified 7 potential risk factors that may lead to inadequate pain control postoperatively including (1) history of physical, emotional, or sexual abuse; (2) history of anxiety; (3) history of drug or alcohol abuse; (4) preoperative nonsteroidal anti-inflammatory drug, or disease-modifying antirheumatic drug use; (5) current opioid use; (6) psychological conditions other than anxiety; and (7) current smoker. Statistical analysis determined which risk factors were associated with increased preoperative and postoperative pain scores.
resultsA total of 1923 patients undergoing elective orthopedic surgery were retrospectively identified. Hip, knee, and shoulder replacements accounted for 76.0% of the procedures. 78.5% of patients had 3 or fewer risk factors and 17.1% had no risk factors. Anxiety, other psychological conditions, current opioid use, and current smoking were significantly associated with higher preoperative and postoperative pain scores. DISCUSSION: We found a significant association between anxiety, current smoking, psychological conditions, and current opioid use with increased preoperative and postoperative reported pain score. We propose that identification of these risk factors should prompt more attention to postoperative pain control plans and will improve communication with patients and providers. We recommend a multimodal approach to postoperative pain control, and developed a pain orderset to help guide providers.
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