Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis
Abstract. Assessment and management of postoperative pain after hospital discharge is very challenging. We conducted a systematic review to synthesize available evidence on the prevalence of moderate-to-severe postoperative pain within the first 1 to 14 days after hospital discharge. The previously...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-06-01
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| Series: | PAIN Reports |
| Online Access: | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001075 |
| _version_ | 1797817491709231104 |
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| author | Rex Park Mohammed Mohiuddin Ramiro Arellano Esther Pogatzki-Zahn Gregory Klar Ian Gilron |
| author_facet | Rex Park Mohammed Mohiuddin Ramiro Arellano Esther Pogatzki-Zahn Gregory Klar Ian Gilron |
| author_sort | Rex Park |
| collection | DOAJ |
| description | Abstract. Assessment and management of postoperative pain after hospital discharge is very challenging. We conducted a systematic review to synthesize available evidence on the prevalence of moderate-to-severe postoperative pain within the first 1 to 14 days after hospital discharge. The previously published protocol for this review was registered in PROSPERO. MEDLINE and EMBASE databases were searched until November 2020. We included observational postsurgical pain studies in the posthospital discharge setting. The primary outcome for the review was the proportion of study participants with moderate-to-severe postoperative pain (eg, pain score of 4 or more on a 10-point Numerical Rating Scale) within the first 1 to 14 days after hospital discharge. This review included 27 eligible studies involving a total of 22,108 participants having undergone a wide variety of surgical procedures. The 27 studies included ambulatory surgeries (n = 19), inpatient surgeries (n = 1), both ambulatory and inpatient surgeries (n = 4), or was not specified (n = 3). Meta-analyses of combinable studies provided estimates of pooled prevalence rates of moderate-to-severe postoperative pain ranging from 31% 1 day after discharge to 58% 1 to 2 weeks after discharge. These findings suggest that moderate-to-severe postoperative pain is a common occurrence after hospital discharge and highlight the importance of future efforts to more effectively evaluate, prevent, and treat postsurgical pain in patients discharged from the hospital. |
| first_indexed | 2024-03-13T08:54:14Z |
| format | Article |
| id | doaj.art-4e8ca0d0eb074d7b8fff729868ee4748 |
| institution | Directory Open Access Journal |
| issn | 2471-2531 |
| language | English |
| last_indexed | 2024-03-13T08:54:14Z |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | PAIN Reports |
| spelling | doaj.art-4e8ca0d0eb074d7b8fff729868ee47482023-05-29T03:49:40ZengWolters KluwerPAIN Reports2471-25312023-06-0183e107510.1097/PR9.0000000000001075202306000-00001Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysisRex Park0Mohammed Mohiuddin1Ramiro Arellano2Esther Pogatzki-Zahn3Gregory Klar4Ian Gilron5a Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Canadaa Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Canadaa Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Canadab Department of Anesthesiology, Critical Care Medicine and Pain Therapy, University Hospital Muenster, Muenster, Germanya Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Canadaa Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, CanadaAbstract. Assessment and management of postoperative pain after hospital discharge is very challenging. We conducted a systematic review to synthesize available evidence on the prevalence of moderate-to-severe postoperative pain within the first 1 to 14 days after hospital discharge. The previously published protocol for this review was registered in PROSPERO. MEDLINE and EMBASE databases were searched until November 2020. We included observational postsurgical pain studies in the posthospital discharge setting. The primary outcome for the review was the proportion of study participants with moderate-to-severe postoperative pain (eg, pain score of 4 or more on a 10-point Numerical Rating Scale) within the first 1 to 14 days after hospital discharge. This review included 27 eligible studies involving a total of 22,108 participants having undergone a wide variety of surgical procedures. The 27 studies included ambulatory surgeries (n = 19), inpatient surgeries (n = 1), both ambulatory and inpatient surgeries (n = 4), or was not specified (n = 3). Meta-analyses of combinable studies provided estimates of pooled prevalence rates of moderate-to-severe postoperative pain ranging from 31% 1 day after discharge to 58% 1 to 2 weeks after discharge. These findings suggest that moderate-to-severe postoperative pain is a common occurrence after hospital discharge and highlight the importance of future efforts to more effectively evaluate, prevent, and treat postsurgical pain in patients discharged from the hospital.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001075 |
| spellingShingle | Rex Park Mohammed Mohiuddin Ramiro Arellano Esther Pogatzki-Zahn Gregory Klar Ian Gilron Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis PAIN Reports |
| title | Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis |
| title_full | Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis |
| title_fullStr | Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis |
| title_full_unstemmed | Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis |
| title_short | Prevalence of postoperative pain after hospital discharge: systematic review and meta-analysis |
| title_sort | prevalence of postoperative pain after hospital discharge systematic review and meta analysis |
| url | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001075 |
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