Perioperative prevention of persistent pain after total hip and knee arthroplasty - protocol for two systematic reviews

Jens Laigaard*, Anders Karlsen, Mathias Maagaard, Lukas Kristian Rosenberg, Andreas Creutzburg, Troels Haxholdt Lunn, Ole Mathiesen, Søren Overgaard

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftProtokolpeer review


BACKGROUND: Between 9% and 20% of patients experience moderate to severe persistent postoperative pain after total hip or knee arthroplasty. Severe immediate postoperative pain limits rehabilitation and is associated with the development of persistent postoperative pain. Therefore, perioperative analgesic and physiotherapeutic interventions are of interest to reduce persistent pain. In two systematic reviews with identical methodology, we aim to investigate the effects of (a) perioperative analgesic interventions and (b) physiotherapeutic interventions in reducing persistent pain after total hip and knee arthroplasty.

METHODS: We will include randomised and cluster-randomised controlled trials on perioperative analgesic and physiotherapeutic interventions for patients undergoing elective total hip or knee arthroplasty for osteoarthritis. After contact with the authors, trials without pain data 3-24 months postoperatively will be excluded. Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase and reference lists will be searched for eligible trials. Two authors will independently screen, extract data and assess the risk of bias. The primary outcome is pain scores 3-24 months postoperatively. Meta-analyses will be performed for interventions with two or more trials. We will conduct trial sequential analyses and assign Grading of Recommendations, Assessment, Development and Evaluation (GRADE) ratings.

CONCLUSION: No previous review on reduction of persistent postoperative pain has included non-pharmacological or invasive analgesic techniques. These two reviews with identical methodology will summarise the evidence of analgesic and physiotherapeutic perioperative interventions to prevent persistent pain.


Sider (fra-til)772-777
Antal sider6
TidsskriftActa Anaesthesiologica Scandinavica
Udgave nummer6
Tidlig onlinedato24 mar. 2022
StatusUdgivet - jul. 2022

Bibliografisk note

© 2022 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.


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