Patient experience of postoperative pain: a paradigm shift to a holistic approach

IF 9.1 1区医学 Q1 ANESTHESIOLOGY

British journal of anaesthesia Pub Date : 2025-04-17 DOI:10.1016/j.bja.2025.03.009

Dan Benhamou , Patrice Forget

引用次数: 0

Abstract

Postoperative pain has many unwanted consequences as it delays immediate recovery and may be a factor leading to chronification of pain. Although many studies have shown a link between acute postoperative pain and persistent pain, many other factors may play a role. Maurice-Szamburski and colleagues have shown that acute postoperative pain is not directly associated with the occurrence of chronic pain, but that the pain component of the Evaluation du Vécu de l’Anesthésie Générale (EVAN-G) questionnaire is associated with this outcome. As EVAN-G is a questionnaire that focuses on the patient experience after surgery, this is in line with the suggestion that unidimensional pain scores are not sufficient to assess the quality of recovery, and that both clinical studies and practice should move towards a more holistic approach after surgery.

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术后疼痛的患者经验：一个范式转移到一个整体的方法

术后疼痛有许多意想不到的后果，因为它延迟了立即恢复，并可能是导致疼痛慢性化的一个因素。尽管许多研究表明急性术后疼痛和持续性疼痛之间存在联系，但许多其他因素可能也起作用。Maurice-Szamburski和他的同事已经证明，急性术后疼痛与慢性疼痛的发生没有直接关系，但是EVAN-G问卷中的疼痛部分与这一结果有关。由于EVAN-G是一份关注患者术后体验的问卷，这与单向度的疼痛评分不足以评估康复质量的建议是一致的，临床研究和实践都应该朝着更全面的方法发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British journal of anaesthesia 医学-麻醉学

CiteScore

13.50

自引率

7.10%

发文量

488

审稿时长

27 days

期刊介绍： The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.