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AAAPT Diagnostic Criteria for Acute Thoracic Surgery Pain
Emine Ozgur Bayman1, Michele Curatolo2, Siamak Rahman3
1Associate Professor, Departments of Biostatistics and Anesthesia, University of Iowa, Iowa City, Iowa.
The Journal of Pain
|April 13, 2021
Summary
Developing standardized diagnostic criteria for acute pain after thoracic surgery (thoracotomy and VATS) is crucial. This study outlines initial criteria using a 5-dimension taxonomy for better pain management and research.
Area of Science:
- Pain Medicine
- Thoracic Surgery
- Clinical Taxonomy
Background:
- Acute pain management after thoracic surgery presents significant challenges.
- Lack of standardized diagnostic criteria hinders evidence-based treatment and research for thoracotomy and video-assisted thoracic surgery (VATS) pain.
Purpose of the Study:
- To develop initial diagnostic criteria for acute pain following thoracotomy and VATS.
- To address the absence of standardized criteria through the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) initiative.
Main Methods:
- A multidisciplinary expert working group was convened.
- Characterized acute thoracotomy and VATS pain using the 5-dimension AAAPT taxonomic structure.
- Utilized existing studies and expert consensus to define criteria.
Main Results:
- Proposed diagnostic criteria for acute pain after thoracotomy and VATS.
- Defined criteria across core diagnostic features, commonalities, modulators, functional impacts, and mechanisms.
Conclusions:
- The proposed criteria serve as a foundation for future empirical validation.
- Standardized criteria are essential for advancing acute thoracic surgical pain management and research.
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