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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

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

G P Joshi¹, E Albrecht², M Van de Velde³

¹Department of Anaesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.

|September 26, 2023

Summary

This summary is machine-generated.

The PROSPECT group updated its methodology for creating evidence-based procedure-specific pain management recommendations. Revisions enhance rigor and transparency by refining inclusion criteria and adopting new quality assessment tools.

Keywords:

analgesia evidence-based medicine methodology postoperative pain recommendations

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Area of Science:

Pain Management
Evidence-Based Medicine
Clinical Practice Guidelines

Background:

The Procedure-Specific Postoperative Pain Management (PROSPECT) working group provides evidence-based recommendations.
Existing PROSPECT methodology has limitations and areas for improvement.
New factors have been identified to enhance the methodology.

Purpose of the Study:

To present updated PROSPECT methodology for developing procedure-specific pain management recommendations.
To detail methodological revisions for improved rigor and transparency.
To outline future PROSPECT working group procedures.

Main Methods:

Implementing prospective registration of randomized clinical trials.
Excluding specific placebo-controlled studies (paracetamol, NSAIDs, COX-2 inhibitors, opioids) and drug-class comparisons.
Utilizing the Cochrane Collaboration risk of bias tool for quality assessment.
Employing a modified Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach for evidence and recommendations.

Main Results:

The updated methodology incorporates prospective trial registration.
Specific study designs and drug comparisons will be excluded from future reviews.
Enhanced tools for assessing evidence quality and recommendation strength will be used.

Conclusions:

The revised PROSPECT methodology increases rigor and transparency in developing pain management guidelines.
Updated procedures ensure a more robust and reliable evidence-based approach.
These changes will lead to improved procedure-specific pain management recommendations.