Evidence map›Paper›PMID 34538340›Full record

SynthesisSurgery2022

Gaps in standardized postoperative pain management quality measures: A systematic review.

Jennifer M Joseph, Davide Gori, Catherine Curtin, Jennifer Hah, Vy Thuy Ho, Steven M Asch, Tina Hernandez-Boussard

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. The burden of acute pain in the U.S. in the wake of the opioid crisis.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  6. Review
  7. Article
  8. Ultrasound-Triggered on Demand Lidocaine Release Relieves Postoperative Pain.Frontiers in bioengineering and biotechnology · 2022
    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

7 authors.

Jennifer M JosephDepartment of Medicine, Stanford University, CA.
Davide GoriDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Italy.
Catherine CurtinDepartment of Surgery, Veterans Affairs Palo Alto Health Care System, CA; Department of Surgery, Stanford University, CA. Electronic address: https://twitter.com/ccurtinprs.
Jennifer HahDivision of Pain Medicine, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, CA. Electronic address: https://twitter.com/JenniferHahMD.
Vy Thuy HoDepartment of Surgery, Stanford University, CA.
Steven M AschDepartment of Medicine, Stanford University, CA; Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, CA. Electronic address: https://twitter.com/steveaschmd.
Tina Hernandez-BoussardDepartment of Medicine, Stanford University, CA; Department of Surgery, Stanford University, CA; Department of Biomedical Data Science, Stanford University, CA. Electronic address: boussard@stanford.edu.

Funding

Advancing Knowledge Discovery for Postoperative Pain ManagementR01LM013362 · NLM · STANFORD UNIVERSITY · PI HERNANDEZ-BOUSSARD, TINA · 2019 to 2023
$3.2M
Psychological Risk Factors for Persistent Opioid Use and Prevention of Chronic Opioid Use and Misuse After Surgery: Postoperative Motivational Interviewing and Guided Opioid WeaningR01DA045027 · NIDA · STANFORD UNIVERSITY · PI HAH, JENNIFER · 2018 to 2022
$2.6M
Identifying Optimal Pain Management for EldersR01HS027434 · AHRQ · STANFORD UNIVERSITY · PI CURTIN, CATHERINE MILLS, HERNANDEZ-BOUSSARD, TINA · 2021 to 2025
$1.9M
Improving Quality of postoperative pain care through innovative use of electronic health recordsR01HS024096 · AHRQ · STANFORD UNIVERSITY · PI HERNANDEZ-BOUSSARD, TINA · 2015 to 2019
$1.1M
AHRQ HHS R01 HS024096AHRQ HHS R01 HS027434NIDA NIH HHS R01 DA045027NLM NIH HHS R01 LM013362
6 · The paper itself

Abstract

backgroundThe goal of this study was an assessment of availability postoperative pain management quality measures and National Quality Forum-endorsed measures. Postoperative pain is an important clinical timepoint because poor pain control can lead to patient suffering, chronic opiate use, and/or chronic pain. Quality measures can guide best practices, but it is unclear whether there are measures for managing pain after surgery.

methodsThe National Quality Forum Quality Positioning System, Agency for Healthcare Research and Quality Indicators, and Centers for Medicare and Medicaid Services Measures Inventory Tool databases were searched in November 2019. We conducted a systematic literature review to further identify quality measures in research publications, clinical practice guidelines, and gray literature for the period between March 11, 2015 and March 11, 2020.

resultsOur systematic review yielded 1,328 publications, of which 206 were pertinent. Nineteen pain management quality measures were identified from the quality measure databases, and 5 were endorsed by National Quality Forum. The National Quality Forum measures were not specific to postoperative pain management. Three of the non-endorsed measures were specific to postoperative pain.

conclusionThe dearth of published postoperative pain management quality measures, especially National Quality Forum-endorsed measures, highlights the need for more rigorous evidence and widely endorsed postoperative pain quality measures to guide best practices.

Indexed as

Centers for Medicare and Medicaid Services, U.S.Databases, FactualHumansMedicarePain ManagementPostoperative PainPractice Guidelines as TopicPractice Patterns, Physicians'Professional Practice GapsUnited StatesUnited States Agency for Healthcare Research and Quality

Identifiers

PMID34538340
PMCPMC8792158

What OpenQuestion holds

Textmetadata
LicenceTDM
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.