Pain medicine

Comparison of different pain management strategies during the perioperative period of esophageal squamous cell carcinoma: a retrospective cohort study

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

The "5 + nursing" pain management strategy can effectively reduce the degree of postoperative pain and shorten the length of hospital stays, improving patient's quality of life.

Study context

Population
Patients undergoing surgery for esophageal squamous cell carcinoma (ESCC)
Participants
274 patients
Exposure
5 + nursing vs Conventional nursing
  • 5 + nursingn = 147
  • Conventional nursingn = 127reference
Outcome
Postoperative pain score, analgesic dosage, postoperative analgesic side effects and hospital LOS (main observation indicators)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Postoperative pain score and hospital LOS
  • Significantly lower postoperative pain score in the 5 + nursing vs the conventional nursing group
  • Significantly shorter hospital LOS in the 5 + nursing vs the conventional nursing group

Observational data: associations, not effects.

Further findings

Predictors of postoperative arrhythmias (multiple logistic regression)

Postoperative pain score an independent risk factor for postoperative arrhythmias

Daily average postoperative opioid dose and pain score

Pain score dropped fastest at a daily average opioid dose between 37.5 and 50 mg

Safety

Postoperative analgesic side effects

No significant difference between the two groups

Original publication

Comparison of different pain management strategies during the perioperative period of esophageal squamous cell carcinoma: a retrospective cohort study. Perioper Med (Lond). Published 6 January 2025. doi:10.1186/s13741-024-00488-3

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