Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)

Total knee arthroplasty (TKA) is currently the main treatment for end-stage knee disease. Moderate to severe pain often occurs after TKA, which seriously affects postoperative rehabilitation, patient satisfaction and overall outcome. Multimodal analgesia is considered as the ideal solution. There is...

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Main Authors: Joint Surgery Branch of Chinese Orthopaedic Association, Joint Surgery Branch of Beijing Orthopaedic Association
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2022-11-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2022-0642
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author Joint Surgery Branch of Chinese Orthopaedic Association
Joint Surgery Branch of Beijing Orthopaedic Association
author_facet Joint Surgery Branch of Chinese Orthopaedic Association
Joint Surgery Branch of Beijing Orthopaedic Association
author_sort Joint Surgery Branch of Chinese Orthopaedic Association
collection DOAJ
description Total knee arthroplasty (TKA) is currently the main treatment for end-stage knee disease. Moderate to severe pain often occurs after TKA, which seriously affects postoperative rehabilitation, patient satisfaction and overall outcome. Multimodal analgesia is considered as the ideal solution. There is no guideline for perioperative pain management in TKA in China. On the basis of the discussions by experts from Joint Surgery Branch of Chinese Orthopaedic Association and Joint Surgery Branch of Beijing Orthopaedic Association, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the quality of evidence and the strength of recommendations. Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist was strictly followed to report the guideline. Finally, 20 evidence-based recommendations were formulated based on the 20 most concerning clinical problems among orthopaedic surgeons according to evidence retrieval, quality evaluation of body evidence, and establishment of direction and intensity of recommendations through four rounds of Delphi surveys. This guideline was developed to improve the standardization of perioperative pain management in TKA in China.
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spelling doaj.art-f8a40d849eb144bab94b454dd43913f72022-12-22T04:21:36ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812022-11-0113696598510.12290/xhyxzz.2022-0642Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)Joint Surgery Branch of Chinese Orthopaedic AssociationJoint Surgery Branch of Beijing Orthopaedic AssociationTotal knee arthroplasty (TKA) is currently the main treatment for end-stage knee disease. Moderate to severe pain often occurs after TKA, which seriously affects postoperative rehabilitation, patient satisfaction and overall outcome. Multimodal analgesia is considered as the ideal solution. There is no guideline for perioperative pain management in TKA in China. On the basis of the discussions by experts from Joint Surgery Branch of Chinese Orthopaedic Association and Joint Surgery Branch of Beijing Orthopaedic Association, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the quality of evidence and the strength of recommendations. Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist was strictly followed to report the guideline. Finally, 20 evidence-based recommendations were formulated based on the 20 most concerning clinical problems among orthopaedic surgeons according to evidence retrieval, quality evaluation of body evidence, and establishment of direction and intensity of recommendations through four rounds of Delphi surveys. This guideline was developed to improve the standardization of perioperative pain management in TKA in China.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2022-0642total knee arthroplastyperioperative periodanalgesiaevidence-based medicineguidelines
spellingShingle Joint Surgery Branch of Chinese Orthopaedic Association
Joint Surgery Branch of Beijing Orthopaedic Association
Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
Xiehe Yixue Zazhi
total knee arthroplasty
perioperative period
analgesia
evidence-based medicine
guidelines
title Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
title_full Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
title_fullStr Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
title_full_unstemmed Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
title_short Guidelines for Perioperative Pain Management in Total Knee Arthroplasty in China (2022)
title_sort guidelines for perioperative pain management in total knee arthroplasty in china 2022
topic total knee arthroplasty
perioperative period
analgesia
evidence-based medicine
guidelines
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2022-0642
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AT jointsurgerybranchofbeijingorthopaedicassociation guidelinesforperioperativepainmanagementintotalkneearthroplastyinchina2022