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Chinese Association for the Study of Pain: Expert consensus on chronic postsurgical pain

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单位: [1]Peking Univ Peoples Hosp, Dept Algol, 11 Xizhimen South St, Beijing 100044, Peoples R China [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Algol, Beijing 100050, Peoples R China [3]Air Force Med Univ PLA, Dept Algol, Xian 710032, Shaanxi, Peoples R China [4]Naval Mil Med Univ, Changhai Hosp, Dept Anesthesiol, Shanghai 200433, Peoples R China [5]Shanghai Jiao Tong Univ, Dept Algol, Xinhua Hosp, Sch Med, Shanghai 200092, Peoples R China [6]Huazhong Univ Sci & Technol, Dept Anesthesiol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China [7]Harbin Med Univ, Dept Algol, Affiliated Hosp 2, Harbin 150001, Heilongjiang, Peoples R China [8]Nanjing Univ, Affiliated Jinling Hosp, Dept Algol, Med Sch, Nanjing 210002, Jiangsu, Peoples R China [9]Nanjing Med Univ, Nanjing Hosp 1, Dept Anesthesiol, Nanjing 210006, Jiangsu, Peoples R China [10]Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Anesthesiol, Hangzhou 310058, Zhejiang, Peoples R China [11]China Med Univ, Hosp 1, Dept Algol, Shenyang 110001, Liaoning, Peoples R China [12]Southwest Med Univ, Affiliated TCM Hosp, Dept Algol, Luzhou 646000, Sichuan, Peoples R China
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关键词: Chronic postsurgical pain Treatment Interventional Prevention

摘要:
Chronic postsurgical pain is a common surgical complication that severely reduces a patient's quality of life. Many perioperative interventions and management strategies have been developed for reducing and managing chronic postsurgical pain. Under the leadership of the Chinese Association for the Study of Pain, an editorial committee was formed for chronic postsurgical pain diagnosis and treatment by experts in relevant fields. The editorial committee composed the main content and framework of this consensus and established a working group. The working group conducted literature review (1989-2020) using key words such as "surgery", "post-surgical", "post-operative", "pain", "chronic", and "persistent" in different databases including MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews. Only publications in the English language were included. The types of literature included systematic reviews, randomized controlled studies, cohort studies and case reports. This consensus was written based on clinical practice combined with literature evidence. The first draft of the consensus was rigorously reviewed and edited by all the editorial committee experts before being finalized. The level of evidence was assessed by methodological experts based on the Oxford Centre for Evidence-Based Medicine Levels of Evidence. The strength of recommendation was evaluated by all editorial committee experts, and the opinions of most experts were adopted as the final decision. The recommendation level "strong" generally refers to recommendations based on high-level evidence and consistency between clinical behavior and expected results. The recommendation level "weak" generally refers to the uncertainty between clinical behavior and expected results based on low-level evidence.

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出版当年[2020]版
大类 | 4 区 医学
小类 | 4 区 医学:内科
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Q3 MEDICINE, GENERAL & INTERNAL
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Q3 MEDICINE, GENERAL & INTERNAL

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第一作者单位: [1]Peking Univ Peoples Hosp, Dept Algol, 11 Xizhimen South St, Beijing 100044, Peoples R China
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