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• W2038871671 abstract "Abstract Objective To develop recommendations, based on best evidence and experience, on pain management in patients undertaking total knee or hip replacement. Methods Nominal group methodology was followed. A group of experts was selected (five orthopedics, one anesthesiologist), who defined the scope, users, topics, preliminary recommendations, and three systematic reviews: efficacy and safety of pre-surgical analgesia regarding to post-surgical pain, efficacy and safety of pre-emptive analgesia and pre-operative factors of post-operative pain. The level of evidence and grade of recommendation were established using the Oxford Centre for Evidence Based Medicine, and the level of agreement with the Delphi technique (two rounds). The Delphi was extended to 39 orthopedics and anesthesiologists. The whole document was reviewed by all the experts. Results A total of 21 recommendations were produced. They include specific pharmacological treatment, as well as the evaluation and monitoring of patients on this treatment, and post-operative pre-emptive treatment. Agreement above 70% was reached in 19 recommendations. Conclusions In patients undergoing total knee or hip replacement, a proper evaluation, follow-up, pharmacological and non-pharmacological treatment of predictors of poor surgical outcomes should be performed, especially those related to pre-operative pain. This can improve post-operative pain and surgery outcomes." @default.
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• W2038871671 date "2015-05-01" @default.
• W2038871671 modified "2023-10-17" @default.
• W2038871671 title "SECOT-GEDOS consensus on pre-surgical pain management in knee and hip arthrosis" @default.
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• W2038871671 doi "https://doi.org/10.1016/j.recote.2015.03.008" @default.
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