Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline

Gordon Debra B.; de Leon-Casasola Oscar A.; Wu Christopher L.; Sluka Kathleen A.; Brennan Timothy J.; Chou Roger

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Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline

机译：成人急性术后疼痛管理实践指南中的研究空白：美国疼痛学会临床实践指南证据的审查结果

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Acute postoperative pain is a common clinical condition that, when poorly controlled, can result in a number of significant negative consequences. The American Pain Society commissioned an evidence-based guideline on the management of postoperative pain to promote evidence-based, safe, and effective perioperative pain management. An interdisciplinary panel developed 31 key questions and inclusion criteria to guide the evidence review. Investigators reviewed 6556 abstracts from multiple electronic databases up to November 2012, an updated evidence review to October 2014, and key references suggested by expert reviewers. More than 800 primary studies not included in a systematic review and 107 systematic reviews were included. Despite a large body of evidence, a number of critical research gaps were identified where only low-quality or insufficient evidence was found to help guide clinical practice recommendations. This report identifies evidence gaps including optimal methods and timing of perioperative patient education, nonpharmacological modalities, combinations of analgesic techniques, monitoring of patient response to treatment, techniques for neuraxial and regional analgesia, and organizational care delivery models. Recommendations to help guide the design of future perioperative studies are offered.

机译：急性术后疼痛是一种常见的临床症状，如果控制不佳，可能会导致许多重大的负面后果。美国疼痛学会委托有关术后疼痛管理的循证指南，以促进循证，安全和有效的围手术期疼痛管理。一个跨学科小组制定了31个关键问题和纳入标准，以指导证据审查。截至2012年11月，研究人员审查了来自多个电子数据库的6556个摘要，至2014年10月进行了最新的证据审查，并由专家审查者提出了关键参考。超过800项基础研究未纳入系统评价，其中包括107项系统评价。尽管有大量证据，但仍发现了许多关键的研究空白，其中仅发现质量低或证据不足以帮助指导临床实践建议。该报告指出了证据空白，包括围手术期患者教育的最佳方法和时机，非药理学方法，镇痛技术的组合，监测患者对治疗的反应，神经和局部镇痛技术以及组织护理提供模式。提供了有助于指导未来围手术期研究设计的建议。

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《The journal of pain: official journal of the American Pain Society》 |2016年第2期|共9页
作者
Gordon Debra B.; de Leon-Casasola Oscar A.; Wu Christopher L.; Sluka Kathleen A.; Brennan Timothy J.; Chou Roger;
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正文语种 eng
中图分类诊断学;
关键词
Acute pain; postoperative pain; research gaps; evidence-based guideline; systematic review;

机译：急性疼痛;术后疼痛;研究差距;循证指南;系统评价;

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1. Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline [J] . Gordon Debra B., de Leon-Casasola Oscar A., Wu Christopher L., The journal of pain: official journal of the American Pain Society . 2016,第2期

机译：成人急性术后疼痛管理实践指南中的研究空白：美国疼痛学会临床实践指南证据的审查结果
2. Research gaps on use of opioids for chronic noncancer pain: findings from a review of the evidence for an American Pain Society and American Academy of Pain Medicine clinical practice guideline. [J] . Chou R, Ballantyne JC, Fanciullo GJ, The journal of pain: official journal of the American Pain Society . 2009,第2期

机译：使用阿片类药物治疗慢性非癌性疼痛的研究空白：美国疼痛学会和美国疼痛医学科学院临床实践指南的证据审查结果。
3. Research gaps on methadone harms and comparative harms: Findings from a review of the evidence for an American Pain Society and College on Problems of drug dependence clinical practice guideline [J] . WeimerM.B., ChouR. The journal of pain: official journal of the American Pain Society . 2014,第4期

机译：美沙酮危害和比较危害的研究差距：对美国疼痛学会和学院药物依赖问题临床实践指南的证据进行的审查得出的结果
4. Evaluating the NGC~(TM) Evidence based Acute Pain Management Guideline in the Elderly for use in Korea [C] . Hyun Ji Son, Myonghwa Par International Congress on Nursing Informatics. . 2006

机译：评估基于NGC〜（TM）韩国老年人急性疼痛管理指南
5. Reported knowledge and management of acute low back pain by United States Army nurse practitioners as compared to clinical practice guidelines published by the Agency for Health Care Policy and Research. [D] . Davis, Jack Mathew. 1999

机译：与美国卫生保健政策与研究机构发布的临床实践指南相比，美国陆军护士从业人员报告了对急性下腰痛的了解和管理。
6. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine the American Academy of Pain Medicine and the American Society of Anesthesiologists [O] . Eric S. Schwenk, Eugene R. Viscusi, Asokumar Buvanendran, -1

机译：来自美国区域麻醉和疼痛医学学会美国疼痛医学科学院和美国麻醉医师学会的静脉注射氯胺酮用于急性疼痛管理的共识性指南
7. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary A report of the american college of cardiology/american heart association task force on practice guidelines (committee to revise the 1995 guidelines for the evaluation and management of heart failure) developed in collaboration with the international society for heart and lung transplantation endorsed by the heart failure society of america51The document was approved by the American College of Cardiology Board of Trustees in November 2001 and the American Heart Association Science Advisory and Coordinating Committee in September 2001.52When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Hunt SA, Baker DW, Chin MH, Cinquegrani MP, Feldman AM, Francis GS, Ganiats TG, Goldstein S, Gregoratos G, Jessup ML, Noble RJ, Packer M, Silver MA, Stevenson LW. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol 2001;38:2101–13.53The American College of Cardiology and the American Heart Association make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur.54This document, as well as the corresponding full-text guidelines, is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Single reprints of the executive summary are available for $5.00 each by calling 800-253-4636 (US only) or writing the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, MD 20814-1699. To purchase additional reprints up to 999 copies, call 800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies, call 214-706-1466, fax 214-691-6342, or e-mail pubauth@heart.org (specify version: Executive Summary—71-0125; Full Text—71-1026).55© 2001 American College of Cardiology and American Heart Association, Inc. [O] . Hunt Sharon A, Baker David W, Chin Marshall H, 2001

机译：ACC / AHA成人慢性心力衰竭评估和管理指南：执行摘要美国心脏病学会/美国心脏协会实践指南工作组的报告（委员会修订1995年心脏评估和管理指南与美国心力衰竭学会认可的国际心脏和肺移植协会合作51）该文件于2001年11月获得美国心脏病学会理事会的批准，并于2001年9月获得美国心脏协会科学咨询和协调委员会的批准.52引用本文件时，美国心脏病学会和美国心脏协会将赞赏以下引用格式：Hunt SA，Baker DW，Chin MH，Cinquegrani MP，Feldman AM，Francis GS，Ganiats TG，Goldstein S，Gregoratos G，Jessup ML，Noble RJ，Packer M，Silver MA，Stevenson LW。 ACC / AHA成人慢性心力衰竭评估和管理指南：摘要：美国心脏病学会/美国心脏协会实践指南工作组的报告（修订1995年《美国心脏病学会评估和管理指南》的委员会心脏衰竭）。 J Am Coll Cardiol 2001; 38：2101–13.53美国心脏病学会和美国心脏协会竭尽全力避免由于外部关系或个人，专业或其他原因而引起的任何实际或潜在的利益冲突。写作小组成员的商业利益。具体而言，要求写作小组的所有成员提供所有可能被视为实际或潜在利益冲突的关系的披露声明。这些声明由上级工作组审查，在第一次会议上口头报告给写作小组的所有成员，并在发生变化时进行更新。54本文档以及相应的全文指南可在万维网上找到。美国心脏病学院（www.acc.org）和美国心脏协会（www.americanheart.org）的网站。致电800-253-4636（仅适用于美国）或写信给美国心脏病，教育服务学院，地址为9111 Old Georgetown Road，Bethesda，MD 20814-1699，可以执行摘要的单个重印本，每张5.00美元。要购买最多999份的其他重印本，请致电800-611-6083（仅限美国）或传真413-665-2671； 1000或更多副本，请致电214-706-1466，传真214-691-6342或电子邮件pubauth@heart.org（指定版本：执行摘要-71-0125；全文-71-1026）。55©2001美国心脏病学会和美国心脏协会有限公司
8. Acute Pain Management:Operative or Medical Procedures and Trauma Clinical Practice Guideline. Acute Pair Management in Infants Children, and Adolescents:Operative and Medical Procedures Quick Reference Guide for Clinicians Acute Pain Management in Adults:Operative Procedures Quick Reference Guide for Clinicians Pain Control After Surgery:A Patient's Guide [R] . 1992

机译：急性疼痛管理：手术或医疗程序和创伤临床实践指南。婴儿儿童和青少年的急性配对管理：手术和医疗程序临床医生快速参考指南成人急性疼痛管理：手术程序临床医生快速参考指南手术后疼痛控制：患者指南

Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline

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