Evidence map›Paper›PMID 40618047›Full record

ArticleBMC anesthesiology2025

A multicenter analysis of registry data on postoperative orthopedic pain: a retrospective cohort study.

Bram Thiel, Marc B Godfried, Seppe J H A Koopman, Marina Huijboom, Krijna Opschoor, Martijn Aarnoudse, Rudolf W Poolman, Jorrit-Jan Verlaan, Joep Kitzen, Cor J Kalkman

Abstract readMulticenter Study
In one paragraph

Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

10 authors.

Bram ThielDepartment of Anesthesiology, OLVG Hospital, Amsterdam, the Netherlands. b.thiel@OLVG.nl.
Marc B GodfriedDepartment of Anesthesiology, OLVG Hospital, Amsterdam, the Netherlands.
Seppe J H A KoopmanDepartment of Anesthesiology, Maasstad Hospital, Rotterdam, the Netherlands.
Marina HuijboomHuman Capital Care, Amsterdam, the Netherlands.
Krijna OpschoorDepartment of Anesthesiology, AUMC, Amsterdam, the Netherlands.
Martijn AarnoudseDepartment of Anesthesiology, St. Antonius Hospital, Nieuwegein, the Netherlands.
Rudolf W PoolmanDepartment of Orthopedic Surgery, OLVG Hospital, Amsterdam, the Netherlands.
Jorrit-Jan VerlaanDepartment of Orthopedic Surgery, UMCU, Utrecht, the Netherlands.
Joep KitzenDepartment of Orthopedic Surgery, Maasstad Hospital, Rotterdam, The Netherlands.
Cor J KalkmanDepartment of Anesthesiology, UMCU, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain can lead to complications, prolonged hospital stays, and increased healthcare costs. Orthopedic surgeries are particularly associated with severe pain. This study aimed to identify orthopedic procedures that cause severe pain in hospitalized patients within 72 h post-surgery.

methodsPain scores were retrospectively analyzed for patients undergoing inpatient orthopedic surgery between October 15, 2015, and December 31, 2019, at three hospitals. Patient and procedure details and maximum pain scores were collected up to 72 h postoperatively. Procedures were classified using the International Classification of Health Interventions and ranked by median numeric pain scores.

resultsThe analysis included 9,918 patients. Median highest pain scores were 4 (IQR 3-6) within 24 h, 4 (IQR 2-5) between 24 and 48 h, and 3 (IQR 2-4) between 48 and 72 h. Open reduction and device implantation into the humerus (e.g., plate fixation) had the highest median scores: 6 (IQR 4-7) at 3-48 h and 5 (IQR 4-6) at 48-72 h. Other high-pain procedures included open shoulder joint surgeries, ankle surgeries, and lumbar spine fusions.

conclusionsSurgeries involving the humerus, shoulder, and lumbar spine were associated with higher pain scores. Further studies incorporating analgesic data are needed to identify effective pain management strategies for these procedures.

Indexed as

Orthopedic ProceduresPostoperative PainRegistriesAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPain MeasurementRetrospective StudiesHospitalized patientsOrthopedic surgeryPostoperative pain

Identifiers

PMID40618047
PMCPMC12228157

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Registered trials

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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.