Evidence map›Paper›PMID 39100136›Full record

ReviewJournal of pain research2024

Identification of Presurgical Risk Factors for the Development of Chronic Postsurgical Pain in Adults: A Comprehensive Umbrella Review.

Beate C Sydora, Lindsay Jane Whelan, Benjamin Abelseth, Gurpreet Brar, Sumera Idris, Rachel Zhao, Ashley Jane Leonard, Brittany N Rosenbloom, Hance Clarke, Joel Katz and 2 more

Abstract readReview
In one paragraph

Review in Journal of pain research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Beate C SydoraDepartment of Surgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.ORCID 0000-0002-8686-2255
Lindsay Jane WhelanDepartment of Surgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.ORCID 0000-0002-7475-9461
Benjamin AbelsethCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Gurpreet BrarHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.
Sumera IdrisHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.
Rachel ZhaoKnowledge Resource Service, Alberta Health Services, Edmonton, AB, Canada.ORCID 0009-0005-4585-1102
Ashley Jane LeonardKnowledge Resource Service, Alberta Health Services, Edmonton, AB, Canada.ORCID 0000-0001-5048-8532
Brittany N RosenbloomToronto Academic Pain Medicine Institute, Toronto, ON, Canada.
Hance ClarkeDepartment of Anesthesia and Pain Management, Toronto General Hospital, UHN, Toronto, ON, Canada.ORCID 0000-0003-4975-3823
Joel KatzDepartment of Anesthesia and Pain Management, Toronto General Hospital, UHN, Toronto, ON, Canada.ORCID 0000-0002-8686-447X
Sanjay BeesoonDepartment of Surgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.
Nivez RasicCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-0067-450X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Risk factors for the development of chronic postsurgical pain (CPSP) have been reported in primary studies and an increasing number of reviews. The objective of this umbrella review was to compile and understand the published presurgical risk factors associated with the development of CPSP for various surgery types. Methods: Six databases were searched from January 2000 to June 2023 to identify meta-analyses, scoping studies, and systematic reviews investigating presurgical CPSP predictors in adult patients. Articles were screened by title/abstract and subsequently by full text by two independent reviewers. The selected papers were appraised for their scientific quality and validity. Data were extracted and descriptively analyzed. Results: Of the 2344 retrieved articles, 36 reviews were selected for in-depth scrutiny. The number of primary studies in these reviews ranged from 4 to 317. The surgery types assessed were arthroplasty (n = 13), spine surgery (n = 8), breast surgery (n = 4), shoulder surgery (n = 2), thoracic surgery (n = 2), and carpal tunnel syndrome (n = 1). One review included a range of orthopedic surgeries; six reviews included a variety of surgeries. A total of 39 presurgical risk factors were identified, some of which shared the same defining tool. Risk factors were themed into six broad categories: psychological, pain-related, health-related, social/lifestyle-related, demographic, and genetic. The strength of evidence for risk factors was inconsistent across different reviews and, in some cases, conflicting. A consistently high level of evidence was found for preoperative pain, depression, anxiety, and pain catastrophizing. Conclusion: This umbrella review identified a large number of presurgical risk factors which have been suggested to be associated with the development of CPSP after various surgeries. The identification of presurgical risk factors is crucial for the development of screening tools to predict CPSP. Our findings will aid in designing screening tools to better identify patients at risk of developing CPSP and inform strategies for prevention and treatment.

Indexed as

chronic postsurgical painpredictorsrisk factorssurgeryumbrella review

Identifiers

PMID39100136
PMCPMC11297490

What OpenQuestion holds

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LicenceCC BY-NC
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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.