Evidence map›Paper›PMID 33526610›Full record

ArticleRegional anesthesia and pain medicine2021

Daring discourse: should acute pain medicine be a stand-alone service?

Andres Missair, Alexandru Visan, Ryan Ivie, Ralf E Gebhard, Stephen Rivoli, Glenn Woodworth

Abstract readComment
PubMed Publisher
In one paragraph

Article in Regional anesthesia and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Optimizing acute pain management in trauma care: the role, structure and core principles of acute trauma pain services.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Andres MissairAnesthesiology, Division of Acute Pain Medicine, Bruce W Carter VA Medical Center, Miami, Florida, USA andresmissair@hotmail.com.ORCID 0000-0002-0008-7121
Alexandru VisanExecutive Cortex Consulting, Birmingham, Alabama, USA.
Ryan IvieDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portalnd, Oregon, USA.
Ralf E GebhardAnesthesiology, Univ Miami, Miami, Florida, USA.
Stephen RivoliAnesthesiology, New York University, new york, New York, USA.
Glenn WoodworthDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portalnd, Oregon, USA.ORCID 0000-0002-1924-801X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute pain medicine (APM) has been incorporated into healthcare systems in varied manners with some practices implementing a stand-alone acute pain service (APS) staffed by consultants who are not simultaneously providing care in the operating room (OR). In contrast, other practices have developed a concurrent OR-APS model where there is no independent team beyond the intraoperative care providers. There are theoretical advantages of each approach primarily with respect to patient outcomes and financial cost, and there is little evidence to instruct best practice. In this daring discourse, we present two opposing perspectives on whether or not APM should be a stand-alone service. While evidence to guide best practice is limited, our goal is to encourage discussion of the varied APS practice models and research into their impact on outcomes and costs.

Indexed as

Acute PainHumansPain Clinicsacute paineconomicspain managementregional anesthesia

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.