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Updated: May 21, 2026
14:56
An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Diagnosing postoperative neuropathic pain: a Delphi survey
R D Searle1, S J Howell, M I Bennett
1The Pain Clinic, Royal Cornwall Hospital NHS Trust, Truro, Cornwall TR1 3LJ, UK. robert.searle@rcht.cornwall.nhs.uk
British Journal of Anaesthesia
|June 1, 2012
Summary
Acute pain specialists identified key characteristics for diagnosing neuropathic pain post-surgery. This expert consensus aids in distinguishing acute neuropathic pain from other pain types.
Area of Science:
- Pain Management
- Neurology
- Surgical Care
Background:
- Postoperative pain often includes a neuropathic component, challenging diagnosis.
- Existing guidelines and tools are insufficient for immediate postoperative settings.
- Acute pain specialists' diagnostic approaches for neuropathic pain require clarification.
Framework:
- Utilized a three-round Internet-based Delphi survey.
- Engaged acute pain specialists to identify and rank pain characteristics.
- Established consensus criteria: median score ≥ 7 for importance, inter-quartile range ≤ 3 for consensus.
Implementation:
- Generated 24 initial items in round 1.
- Achieved consensus on 13 items after round 3, with 10 panellists.
- Identified 9 items as important for diagnosing acute neuropathic pain.
Implications:
- Postoperative neuropathic pain diagnosis differs from chronic forms.
- Medication response is a more valuable diagnostic indicator than autonomic signs.
- Findings can inform the development of diagnostic tools for acute neuropathic pain.
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