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Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review

(2021) CLINICAL REHABILITATION. 35(10). p.1364-1382
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Abstract
Objective : To synthesize the evidence on the effectiveness of pain science education on pain, psychological factors and physical functioning in adults who underwent surgery. Data sources : A systematic literature search of English articles using PubMed/Medline, Embase, Web of Science Core Collection, and Cochrane Library. Review methods : The search strategy was constructed as follows: (((pain) AND (education)) OR (pain education)) AND (surgery). Only controlled quantitative studies in adults reporting outcome(s) on pain, psychological factors and/or physical functioning were included. Risk of bias was assessed using the Cochrane risk of bias tools. P-values and corresponding effect sizes for interaction-effect (time × group) portrayed the difference in change over time between groups were of interest. The last search was conducted on February 28, 2021. Results : Nine papers (n = 1078) were deemed eligible for this review. Two randomized controlled trials showed significant interaction effects. Breast cancer patients who had received one preoperative pain science education session showed a significant increase in postoperative pain compared to controls (P-value = 0.0394). Furthermore, psychological factors (pain catastrophizing and kinesiophobia) decreased in participants who had received pain science education before total knee arthroplasty, while this was not the case in the control group (P-value < 0.001, ƞ2p:0.11). Conclusions : Overall, pain science education did not result in any significant postoperative effects on pain, psychological factors and/or physical functioning compared to controls. There is currently no strong evidence for the implementation of pain science education in the perioperative period.
Keywords
Pain science education, perioperative, surgery, pain, systematic review, CHRONIC MUSCULOSKELETAL PAIN, LOW-BACK-PAIN, NEUROSCIENCE EDUCATION, LUMBAR RADICULOPATHY, POSTSURGICAL PAIN, KNEE ARTHROPLASTY, RISK-FACTORS, CANCER, MODERATE, POINTS

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Citation

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MLA
Van der Gucht, Elien, et al. “Effectiveness of Perioperative Pain Science Education on Pain, Psychological Factors and Physical Functioning : A Systematic Review.” CLINICAL REHABILITATION, vol. 35, no. 10, 2021, pp. 1364–82, doi:10.1177/02692155211006865.
APA
Van der Gucht, E., Dams, L., Haenen, V., Godderis, L., Morlion, B., Bernar, K., … Meeus, M. (2021). Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review. CLINICAL REHABILITATION, 35(10), 1364–1382. https://doi.org/10.1177/02692155211006865
Chicago author-date
Van der Gucht, Elien, Lore Dams, Vincent Haenen, Lode Godderis, Bart Morlion, Koen Bernar, Margaux Evenepoel, et al. 2021. “Effectiveness of Perioperative Pain Science Education on Pain, Psychological Factors and Physical Functioning : A Systematic Review.” CLINICAL REHABILITATION 35 (10): 1364–82. https://doi.org/10.1177/02692155211006865.
Chicago author-date (all authors)
Van der Gucht, Elien, Lore Dams, Vincent Haenen, Lode Godderis, Bart Morlion, Koen Bernar, Margaux Evenepoel, Tessa De Vrieze, Thomas Vandendriessche, Anne Asnong, Inge Geraerts, Nele Devoogdt, An De Groef, and Mira Meeus. 2021. “Effectiveness of Perioperative Pain Science Education on Pain, Psychological Factors and Physical Functioning : A Systematic Review.” CLINICAL REHABILITATION 35 (10): 1364–1382. doi:10.1177/02692155211006865.
Vancouver
1.
Van der Gucht E, Dams L, Haenen V, Godderis L, Morlion B, Bernar K, et al. Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review. CLINICAL REHABILITATION. 2021;35(10):1364–82.
IEEE
[1]
E. Van der Gucht et al., “Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review,” CLINICAL REHABILITATION, vol. 35, no. 10, pp. 1364–1382, 2021.
@article{01JMJ21PK45KHNRGGPZ7FYVDMB,
  abstract     = {{Objective : 
To synthesize the evidence on the effectiveness of pain science education on pain, psychological factors and physical functioning in adults who underwent surgery. 

Data sources : 
A systematic literature search of English articles using PubMed/Medline, Embase, Web of Science Core Collection, and Cochrane Library.

Review methods : 
The search strategy was constructed as follows: (((pain) AND (education)) OR (pain education)) AND (surgery). Only controlled quantitative studies in adults reporting outcome(s) on pain, psychological factors and/or physical functioning were included. Risk of bias was assessed using the Cochrane risk of bias tools. P-values and corresponding effect sizes for interaction-effect (time × group) portrayed the difference in change over time between groups were of interest. The last search was conducted on February 28, 2021. 

Results : 
Nine papers (n = 1078) were deemed eligible for this review. Two randomized controlled trials showed significant interaction effects. Breast cancer patients who had received one preoperative pain science education session showed a significant increase in postoperative pain compared to controls (P-value = 0.0394). Furthermore, psychological factors (pain catastrophizing and kinesiophobia) decreased in participants who had received pain science education before total knee arthroplasty, while this was not the case in the control group (P-value < 0.001, ƞ2p:0.11). 

Conclusions : 
Overall, pain science education did not result in any significant postoperative effects on pain, psychological factors and/or physical functioning compared to controls. There is currently no strong evidence for the implementation of pain science education in the perioperative period.}},
  author       = {{Van der Gucht, Elien and Dams, Lore and Haenen, Vincent and Godderis, Lode and Morlion, Bart and Bernar, Koen and Evenepoel, Margaux and De Vrieze, Tessa and Vandendriessche, Thomas and Asnong, Anne and Geraerts, Inge and Devoogdt, Nele and De Groef, An and Meeus, Mira}},
  issn         = {{0269-2155}},
  journal      = {{CLINICAL REHABILITATION}},
  keywords     = {{Pain science education,perioperative,surgery,pain,systematic review,CHRONIC MUSCULOSKELETAL PAIN,LOW-BACK-PAIN,NEUROSCIENCE EDUCATION,LUMBAR RADICULOPATHY,POSTSURGICAL PAIN,KNEE ARTHROPLASTY,RISK-FACTORS,CANCER,MODERATE,POINTS}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1364--1382}},
  title        = {{Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review}},
  url          = {{http://doi.org/10.1177/02692155211006865}},
  volume       = {{35}},
  year         = {{2021}},
}

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