Evidence map›Paper›PMID 41158518›Full record

ReviewJournal of multidisciplinary healthcare2025

A Comprehensive Evidence Summary for Pain Assessment and Management After Hemorrhoidal Surgery to Inform Clinical Practice Guidelines.

Shengwei Zou, Xiaoyu Li, Ya Bo Yang, Yuxuan Zeng, Yang Yang, Qin Gan, Jiliang Su, Caiju Lu

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 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. Review
  3. 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

8 authors.

Shengwei Zou *School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.ORCID 0009-0001-5164-1508
Xiaoyu Li *Department of Traditional Chinese Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.ORCID 0000-0002-6450-8714
Ya Bo YangSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Yuxuan ZengSchool of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Yang YangDepartment of Respiratory Emergency and Critical Care Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Qin GanDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Jiliang SuJiangxi Provincial Key Laboratory of Hematological Diseases, Department of Hematology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Caiju LuDepartment of Nursing, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate and summarize the best available evidence on pain assessment and management after hemorrhoidal surgery, thereby providing an evidence-based foundation for the future development of clinical practice guidelines. Methods: Literature was systematically retrieved using the "6S" evidence model, a hierarchical framework designed to prioritize the highest quality synthesized evidence. Searches were conducted across key databases (PubMed, Embase, Cochrane Library) from inception to February 1, 2025. Two independent reviewers performed screening, data extraction, and quality appraisal, with discrepancies resolved by consensus or a third reviewer. Results: A total of 22 studies were included, comprising 1 clinical decision, 3 guidelines, 7 expert consensuses, 3 evidence summaries, and 8 systematic reviews. These yielded 29 key evidence statements across seven domains: principles of pain management, pain assessment, pharmacological and non-pharmacological interventions, Traditional Chinese Medicine (TCM), wound cleansing and dressing selection, and health education. Conclusion: This study consolidates 29 evidence-based recommendations from seven clinical domains essential for post-hemorrhoidectomy pain management. These findings directly inform clinical practice guidelines through the establishment of standardized frameworks for validated pain assessment tools, core pain management principles, multimodal analgesia protocols integrating both pharmacological and non-pharmacological interventions, TCM therapeutic approaches, evidence-based wound cleansing and dressing selection standards, and structured health education programs, thereby enabling evidence-driven clinical standardization to improve outcomes.

Indexed as

evidence summaryhemorrhoidal surgerypain assessmentpain managementpostoperative pain

Identifiers

PMID41158518
PMCPMC12558358

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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.