☆ 4.5 Review

PROSPECT methodology for developing procedure-specific pain management recommendations: an update

ANAESTHESIA (2023)

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Review Anesthesiology

Flawed, futile, and fabricateddfeatures that limit confidence in clinical research in pain and anaesthesia: a narrative review

Andrew Moore et al.

Summary: The randomised controlled trial, the foundation of clinical research, is often flawed in design, conduct, and reporting, leading to concerns about its trustworthiness. Common flaws include bias, small sample sizes, irrelevant outcomes, and inability to detect efficacy. Some trials have been fabricated, with the fields of anaesthesia and pain having a larger number. This review highlights the need for special measures to improve the quality and confidence of clinical evidence.

BRITISH JOURNAL OF ANAESTHESIA (2023)

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Review Anesthesiology

PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations

S. Feray et al.

Summary: Video-assisted thoracoscopic surgery has become popular for its faster recovery and reduced postoperative pain. This systematic review analyzed 71 studies and recommended pre-intra-operative administration of basic analgesia, intra-operative dexmedetomidine infusion, and regional analgesic techniques for optimal pain management. Opioids should be used as rescue analgesics in the postoperative period.

ANAESTHESIA (2022)

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Editorial Material Anesthesiology

Predatory journals in anaesthesiology and critical care: what to know and how to avoid pitfalls!

Sacha Rozencwajg et al.

EUROPEAN JOURNAL OF ANAESTHESIOLOGY (2022)

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Editorial Material Anesthesiology

Critical appraisal of randomised trials assessing regional analgesic interventions for knee arthroplasty: implications for postoperative pain guidelines development

Girish P. Joshi et al.

Summary: Guidelines are increasingly used for clinical decision-making, but the current approach to analyzing meta-analyses of pain interventions is not optimal, potentially leading to inadequate or inappropriate conclusions and clinical guidance.

BRITISH JOURNAL OF ANAESTHESIA (2022)

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Letter Anesthesiology

Impact of country of origin on procedure-specific postoperative pain management (PROSPECT) recommendations

E. Albrecht et al.

ANAESTHESIA (2022)

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Article Anesthesiology

Pain management after total knee arthroplasty PROcedure SPEcific Postoperative Pain ManagemenT recommendations

Patricia M. Lavand'homme et al.

Summary: The study identifies an optimal analgesic regimen for unilateral primary TKA, recommending paracetamol and NSAIDs, combined with specific nerve block and local infiltration analgesia, along with a single dose of intravenous dexamethasone. Morphine may be considered for hospitalized patients in rare situations. Opioids should be used as rescue analgesics postoperatively, while other analgesic interventions are not recommended. Future research on enhanced recovery programs and specific patient groups is needed.

EUROPEAN JOURNAL OF ANAESTHESIOLOGY (2022)

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Article Anesthesiology

False individual patient data and zombie randomised controlled trials submitted toAnaesthesia

J. B. Carlisle

Summary: The author analyzed the baseline summary data of randomized controlled trials submitted to Anaesthesia from 2017 to 2020, identifying 14% of trials containing false data and categorizing 8% as 'zombie'. The analysis showed that individual patient data increased detection of false data and categorization of trials as 'zombie'. China, South Korea, India, Japan, and Egypt were the top five countries submitting trials, with China having the highest proportion.

ANAESTHESIA (2021)

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Review Anesthesiology

PROSPECT guideline for tonsillectomy: systematic review and procedure-specific postoperative pain management recommendations

N. Aldamluji et al.

Summary: Tonsillectomy is a common surgical procedure, and effective pain management is crucial. This systematic review identified interventions such as paracetamol, non-steroidal anti-inflammatory drugs, and intravenous dexamethasone as beneficial for improving postoperative pain after tonsillectomy. Further research is needed to determine the most effective drug regimens for postoperative pain relief in this context.

ANAESTHESIA (2021)

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Review Anesthesiology

Meta-analyses of gabapentinoids for pain management after knee arthroplasty: A caveat emptor? A narrative review

Girish P. Joshi et al.

Summary: Nine systematic reviews and meta-analyses have examined the use of gabapentinoids for perioperative pain management after total knee arthroplasty. However, a critical analysis reveals major flaws in the clinical aspects of the methodology of these publications, which limits the interpretation and recommended use of gabapentinoids for pain management in unilateral primary total knee arthroplasty. Therefore, readers and authors of systematic reviews and meta-analyses should carefully assess the clinical aspects of the included studies.

ACTA ANAESTHESIOLOGICA SCANDINAVICA (2021)

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Review Medicine, General & Internal

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Matthew J. Page et al.

Summary: The methods and results of systematic reviews should be reported in sufficient detail to allow users to assess trustworthiness. PRISMA 2020 aims to improve the transparency and completeness of systematic review reporting, in hopes of guiding more accurate and transparent reporting.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Article Anesthesiology

PROSPECT guideline for total hip arthroplasty: a systematic review and procedure-specific postoperative pain management recommendations

M. Anger et al.

Summary: This systematic review identified specific interventions that can effectively improve postoperative pain management, including medications and nerve blocks. Surgical and anesthetic techniques have minimal impact on postoperative pain, suggesting the choice should be based on other criteria.

ANAESTHESIA (2021)

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Editorial Material Anesthesiology

The systematic review/meta-analysis epidemic: a tale of glucocorticoid therapy in total knee arthroplasty

H. Kehlet et al.

ANAESTHESIA (2020)

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Article Anesthesiology

Development of evidence-based recommendations for procedure-specific pain management: PROSPECT methodology

G. P. Joshi et al.

ANAESTHESIA (2019)

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Article Medicine, General & Internal

RoB 2: a revised tool for assessing risk of bias in randomised trials

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2019)

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Review Anesthesiology

Postoperative pain management in the era of ERAS: An overview

Girish P. Joshi et al.

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY (2019)

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Article Health Care Sciences & Services

A guide for health professionals to interpret and use recommendations in guidelines developed with the GRADE approach

Ignacio Neumann et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2016)

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Article Health Care Sciences & Services

GRADE guidelines: 15. Going from evidence to recommendation-determinants of a recommendation's direction and strength

Jeffrey C. Andrews et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2013)

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Article Health Care Sciences & Services

GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables

Gordon Guyatt et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2011)

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