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Title
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Effectiveness of perioperative pain science education on pain, psychological factors and physical functioning : a systematic review
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Author
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Abstract
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| 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 x 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, n2p: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. Registration number: PROSPERO: ID 161267, registration number CRD42020161267 |
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Language
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English
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Source (journal)
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Clinical rehabilitation. - London
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Publication
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London
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Sage publications ltd
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2021
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ISSN
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0269-2155
0269-2155
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DOI
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10.1177/02692155211006865
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Volume/pages
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35
:10
(2021)
, p. 1364-1382
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Article Reference
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02692155211006865
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ISI
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000637125400001
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Pubmed ID
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33813914
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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