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Pain, pain management and related outcomes following pelvic exenteration surgery: a systematic review
Aim Pelvic exenteration surgery can improve survival in people with advanced colorectal cancer. This systematic review aimed to review pain intensity and other outcomes, for example the management of pain, the relationship between pain and the extent of surgery and the impact of pain on short‐term o...
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| Published in: | Colorectal disease 2023-04, Vol.25 (4), p.562-572 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c3932-7766ec2c76e878e3d367b3ba4e732b3ee046e4237180e27a393f47359b432a803 |
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| cites | cdi_FETCH-LOGICAL-c3932-7766ec2c76e878e3d367b3ba4e732b3ee046e4237180e27a393f47359b432a803 |
| container_end_page | 572 |
| container_issue | 4 |
| container_start_page | 562 |
| container_title | Colorectal disease |
| container_volume | 25 |
| creator | Johnstone, Charlotte S. H. Roberts, Daniel Mathieson, Stephanie Steffens, Daniel Koh, Cherry E. Solomon, Michael J. McLachlan, Andrew J. |
| description | Aim
Pelvic exenteration surgery can improve survival in people with advanced colorectal cancer. This systematic review aimed to review pain intensity and other outcomes, for example the management of pain, the relationship between pain and the extent of surgery and the impact of pain on short‐term outcomes.
Method
Electronic databases were searched from inception to 1 May 2021. We included interventional studies of adults with any indication for pelvic exenteration surgery that also reported pain outcomes. Risk of bias was assessed using ROBINS‐1.
Results
The search found 21 studies that reported pain following pelvic exenteration [n = 1317 patients, mean age 58.4 years (SD 4.8)]. Ten studies were judged to be at moderate risk of bias. Before pelvic exenteration, pain was reported by 19%–100% of patients. Five studies used validated measures of pain intensity. No study measured pain at all three time points in the surgical journey. The presence of pain before surgery predicted postoperative adverse pain outcomes, and pain is more likely to be experienced in those who require wider resections, including bone resection.
Conclusion
Considering that pain following pelvic exenteration is commonly described by patients, the literature suggests that this symptom is not being measured and therefore addressed. |
| doi_str_mv | 10.1111/codi.16462 |
| format | article |
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Pelvic exenteration surgery can improve survival in people with advanced colorectal cancer. This systematic review aimed to review pain intensity and other outcomes, for example the management of pain, the relationship between pain and the extent of surgery and the impact of pain on short‐term outcomes.
Method
Electronic databases were searched from inception to 1 May 2021. We included interventional studies of adults with any indication for pelvic exenteration surgery that also reported pain outcomes. Risk of bias was assessed using ROBINS‐1.
Results
The search found 21 studies that reported pain following pelvic exenteration [n = 1317 patients, mean age 58.4 years (SD 4.8)]. Ten studies were judged to be at moderate risk of bias. Before pelvic exenteration, pain was reported by 19%–100% of patients. Five studies used validated measures of pain intensity. No study measured pain at all three time points in the surgical journey. The presence of pain before surgery predicted postoperative adverse pain outcomes, and pain is more likely to be experienced in those who require wider resections, including bone resection.
Conclusion
Considering that pain following pelvic exenteration is commonly described by patients, the literature suggests that this symptom is not being measured and therefore addressed.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.16462</identifier><identifier>PMID: 36572393</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; cancer ; Colorectal carcinoma ; Colorectal Neoplasms - surgery ; Humans ; Middle Aged ; Neoplasm Recurrence, Local - surgery ; Pain ; Pain Management ; Pain, Postoperative - etiology ; pelvic exenteration ; Pelvic Exenteration - adverse effects ; Retrospective Studies ; Surgery ; Systematic review</subject><ispartof>Colorectal disease, 2023-04, Vol.25 (4), p.562-572</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.</rights><rights>2022 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-7766ec2c76e878e3d367b3ba4e732b3ee046e4237180e27a393f47359b432a803</citedby><cites>FETCH-LOGICAL-c3932-7766ec2c76e878e3d367b3ba4e732b3ee046e4237180e27a393f47359b432a803</cites><orcidid>0000-0003-4312-5084 ; 0000-0002-5602-6045</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27900,27901</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36572393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnstone, Charlotte S. H.</creatorcontrib><creatorcontrib>Roberts, Daniel</creatorcontrib><creatorcontrib>Mathieson, Stephanie</creatorcontrib><creatorcontrib>Steffens, Daniel</creatorcontrib><creatorcontrib>Koh, Cherry E.</creatorcontrib><creatorcontrib>Solomon, Michael J.</creatorcontrib><creatorcontrib>McLachlan, Andrew J.</creatorcontrib><title>Pain, pain management and related outcomes following pelvic exenteration surgery: a systematic review</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
Pelvic exenteration surgery can improve survival in people with advanced colorectal cancer. This systematic review aimed to review pain intensity and other outcomes, for example the management of pain, the relationship between pain and the extent of surgery and the impact of pain on short‐term outcomes.
Method
Electronic databases were searched from inception to 1 May 2021. We included interventional studies of adults with any indication for pelvic exenteration surgery that also reported pain outcomes. Risk of bias was assessed using ROBINS‐1.
Results
The search found 21 studies that reported pain following pelvic exenteration [n = 1317 patients, mean age 58.4 years (SD 4.8)]. Ten studies were judged to be at moderate risk of bias. Before pelvic exenteration, pain was reported by 19%–100% of patients. Five studies used validated measures of pain intensity. No study measured pain at all three time points in the surgical journey. The presence of pain before surgery predicted postoperative adverse pain outcomes, and pain is more likely to be experienced in those who require wider resections, including bone resection.
Conclusion
Considering that pain following pelvic exenteration is commonly described by patients, the literature suggests that this symptom is not being measured and therefore addressed.</description><subject>Adult</subject><subject>cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Pain</subject><subject>Pain Management</subject><subject>Pain, Postoperative - etiology</subject><subject>pelvic exenteration</subject><subject>Pelvic Exenteration - adverse effects</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Systematic review</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kMtOAyEUhonRWK1ufABD4sYYR7nMAHVn6jUx0YWuCcOcNjQzQ4UZa99ebKsLF7I4kJOPn8OH0BElFzStS-srd0FFLtgW2qO54BnlVG2vzixTI0oGaD_GGSFUSKp20YCLQjI-4nsIXoxrz_E8VdyY1kyhgbbDpq1wgNp0UGHfd9Y3EPHE17VfuHaK51B_OIvhM7EQTOd8i2MfphCWV9jguIwdNKltU8iHg8UB2pmYOsLhZh-it7vb1_FD9vR8_zi-fspsGoZlUgoBllkpQEkFvOJClrw0OUjOSg5AcgE54-kTBJg06dIkl7wYlTlnRhE-RKfr3Hnw7z3ETjcuWqhr04Lvo2ayUIVUitGEnvxBZ74PbZpOM0WSHVqkl4bobE3Z4GMMMNHz4BoTlpoS_S1ff8vXK_kJPt5E9mUD1S_6YzsBdA0sXA3Lf6L0-PnmcR36BWbOjqI</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Johnstone, Charlotte S. H.</creator><creator>Roberts, Daniel</creator><creator>Mathieson, Stephanie</creator><creator>Steffens, Daniel</creator><creator>Koh, Cherry E.</creator><creator>Solomon, Michael J.</creator><creator>McLachlan, Andrew J.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4312-5084</orcidid><orcidid>https://orcid.org/0000-0002-5602-6045</orcidid></search><sort><creationdate>202304</creationdate><title>Pain, pain management and related outcomes following pelvic exenteration surgery: a systematic review</title><author>Johnstone, Charlotte S. H. ; Roberts, Daniel ; Mathieson, Stephanie ; Steffens, Daniel ; Koh, Cherry E. ; Solomon, Michael J. ; McLachlan, Andrew J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-7766ec2c76e878e3d367b3ba4e732b3ee046e4237180e27a393f47359b432a803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Pain</topic><topic>Pain Management</topic><topic>Pain, Postoperative - etiology</topic><topic>pelvic exenteration</topic><topic>Pelvic Exenteration - adverse effects</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnstone, Charlotte S. H.</creatorcontrib><creatorcontrib>Roberts, Daniel</creatorcontrib><creatorcontrib>Mathieson, Stephanie</creatorcontrib><creatorcontrib>Steffens, Daniel</creatorcontrib><creatorcontrib>Koh, Cherry E.</creatorcontrib><creatorcontrib>Solomon, Michael J.</creatorcontrib><creatorcontrib>McLachlan, Andrew J.</creatorcontrib><collection>Wiley Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnstone, Charlotte S. H.</au><au>Roberts, Daniel</au><au>Mathieson, Stephanie</au><au>Steffens, Daniel</au><au>Koh, Cherry E.</au><au>Solomon, Michael J.</au><au>McLachlan, Andrew J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain, pain management and related outcomes following pelvic exenteration surgery: a systematic review</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2023-04</date><risdate>2023</risdate><volume>25</volume><issue>4</issue><spage>562</spage><epage>572</epage><pages>562-572</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim
Pelvic exenteration surgery can improve survival in people with advanced colorectal cancer. This systematic review aimed to review pain intensity and other outcomes, for example the management of pain, the relationship between pain and the extent of surgery and the impact of pain on short‐term outcomes.
Method
Electronic databases were searched from inception to 1 May 2021. We included interventional studies of adults with any indication for pelvic exenteration surgery that also reported pain outcomes. Risk of bias was assessed using ROBINS‐1.
Results
The search found 21 studies that reported pain following pelvic exenteration [n = 1317 patients, mean age 58.4 years (SD 4.8)]. Ten studies were judged to be at moderate risk of bias. Before pelvic exenteration, pain was reported by 19%–100% of patients. Five studies used validated measures of pain intensity. No study measured pain at all three time points in the surgical journey. The presence of pain before surgery predicted postoperative adverse pain outcomes, and pain is more likely to be experienced in those who require wider resections, including bone resection.
Conclusion
Considering that pain following pelvic exenteration is commonly described by patients, the literature suggests that this symptom is not being measured and therefore addressed.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36572393</pmid><doi>10.1111/codi.16462</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4312-5084</orcidid><orcidid>https://orcid.org/0000-0002-5602-6045</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Colorectal disease, 2023-04, Vol.25 (4), p.562-572 |
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| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult cancer Colorectal carcinoma Colorectal Neoplasms - surgery Humans Middle Aged Neoplasm Recurrence, Local - surgery Pain Pain Management Pain, Postoperative - etiology pelvic exenteration Pelvic Exenteration - adverse effects Retrospective Studies Surgery Systematic review |
| title | Pain, pain management and related outcomes following pelvic exenteration surgery: a systematic review |
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