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Updated: May 24, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Construction of an Evidence Ecosystem-Based Postoperative Pain Management Programme for Paediatric Patients
Jin-Xia Yang1,2, Yue Liu1,3, Zhen Yu2
1Basic Medical Science, Tongji University School of Medicine, Shanghai, China.
Insights
A new evidence ecosystem-based program for pediatric postoperative pain management was developed using a mixed-methods approach. This practical and scientific program requires further clinical validation.
Area of Science:
- Pediatric Surgery
- Evidence-Based Medicine
- Pain Management
Background:
- Effective postoperative pain management in children is crucial.
- Existing programs may lack a comprehensive, evidence-based framework.
- The evidence ecosystem theory offers a novel approach to program construction.
Purpose of the Study:
- To construct an evidence ecosystem-based postoperative pain management program for children.
- To integrate assessment, principles, and methods into a cohesive program.
- To ensure the program's scientific rigor and practicality.
Main Methods:
- A mixed-methods research design combining qualitative and quantitative studies.
- Literature review to identify key components of pain management.
- Two rounds of Delphi expert consultation to refine the program.
Main Results:
- The program was developed using the evidence ecosystem theory framework.
- Expert consensus achieved high authority (0.83) and agreement (Kendall's W > 0.64).
- The final program comprises three levels with 11 level 2 and eight level 3 entries.
Conclusions:
- The constructed program is practical and scientifically grounded.
- The evidence ecosystem approach provides a robust framework for pediatric pain management.
- Further controlled studies are needed to verify the program's clinical effectiveness.
Aim:
To construct an evidence ecosystem-based postoperative pain management programme for children with postoperative pain management.
Design:
A mixed research design that combines qualitative and quantitative studies.
Methods:
According to the literature search and analysis, the postoperative pain management programme for children was constructed from three aspects: assessment of pain intensity of children, management principles and management methods, and the preliminary draft of the programme was finally constructed to include three first-level entries and 11 second-level entries. In January-February 2023, the first draft of the postoperative pain management programme for children was developed based on a literature review using the ecosystem of evidence theory as the research framework; in March-April 2023, the postoperative pain management programme for children was revised and finalised through two rounds of Delphi expert consultation.
Results:
In the second round of expert consultation, the return rate of valid questionnaires was 100%, the expert authority coefficient was 0.83, the importance scores and feasibility scores of each entry were > 3.5, the coefficients of variation were < 0.25, the Kendall's harmony coefficients of the importance scores of the entries were 0.650 (χ2 = 273.134, p < 0.001) and those of the feasibility scores were 0.649 (χ2 = 272.720, p < 0.001). The resulting postoperative pain management programme for the affected patients included three level 1, 11 level 2 and eight level 3 entries.
Patient Or Public Contribution:
The postoperative pain management programme for children constructed based on the evidence ecosystem is practical and scientific, but its effectiveness in clinical practice needs to be further verified by a controlled study design.
Objectives:
Evidence ecosystem; paediatrics, surgery; pain; Delphi method.
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