Evidence map›Paper›PMID 35528039›Full record

ReviewCanadian journal of pain = Revue canadienne de la douleur2022

Preventing pediatric chronic postsurgical pain: Time for increased rigor.

Christine B Sieberg, Keerthana Deepti Karunakaran, Barry Kussman, David Borsook

Open access · goldAbstract readReview
In one paragraph

Review in Canadian journal of pain = Revue canadienne de la douleur, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pilot Investigation of Somatosensory Functioning and Pain Catastrophizing in Pediatric Spinal Fusion Surgery.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2023
    Article
  11. 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

4 authors at 3 institutions in 1 country.

Christine B SiebergBiobehavioral Pediatric Pain Lab, Department of Psychiatry & Behavioral Sciences, Boston Children's Hospital, Boston, Massachusetts, United States.
Keerthana Deepti KarunakaranBiobehavioral Pediatric Pain Lab, Department of Psychiatry & Behavioral Sciences, Boston Children's Hospital, Boston, Massachusetts, United States.
Barry KussmanDepartment of Anesthesiology, Critical Care, & Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, United States.
David BorsookDepartment of Anesthesiology, Harvard Medical School, Boston, Massachusetts, United States.
Harvard University · USBoston Children's Hospital · USCenter for Pain and the Brain · US

Funding

Chronic Postsurgical Pain Across the Lifespan: Brain State and TreatmentR35GM142676 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI SIEBERG, CHRISTINE BARRETT · 2021 to 2025
$2.2M
Perioperative Measures of Nociception using NIRSR01GM122405 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI KUSSMAN, BARRY DAVID · 2017 to 2020
$1.6M
Pediatric Persistent Post-surgical Pain: From Animals to Application (Supplement)K23GM123372 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI SIEBERG, CHRISTINE BARRETT · 2016 to 2020
$573k
NIGMS NIH HHS K23 GM123372NIGMS NIH HHS R01 GM122405NIGMS NIH HHS R35 GM142676
6 · The paper itself

Abstract

Chronic postsurgical pain (CPSP) results from a cascade of events in the peripheral and central nervous systems following surgery. Several clinical predictors, including the prior pain state, premorbid psychological state (e.g., anxiety, catastrophizing), intraoperative surgical load (establishment of peripheral and central sensitization), and acute postoperative pain management, may contribute to the patient's risk of developing CPSP. However, research on the neurobiological and biobehavioral mechanisms contributing to pediatric CPSP and effective preemptive/treatment strategies are still lacking. Here we evaluate the perisurgical process by identifying key problems and propose potential solutions for the pre-, intra-, and postoperative pain states to both prevent and manage the transition of acute to chronic pain. We propose an eight-step process involving preemptive and preventative analgesia, behavioral interventions, and the use of biomarkers (brain-based, inflammatory, or genetic) to facilitate timely evaluation and treatment of premorbid psychological factors, ongoing surgical pain, and postoperative pain to provide an overall improved outcome. By achieving this, we can begin to establish personalized precision medicine for children and adolescents presenting to surgery and subsequent treatment selection.

Indexed as

analgesiabiomarkerchronic paincognitive behavioral therapyfNIRSopioidspostoperative painsurgery

Identifiers

PMID35528039
PMCPMC9067470
OpenAlexW4210659401

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.