A systematic review of the added value of perioperative pain neuroscience education

To identify and summarize evidence about the benefits of perioperative pain neuroscience education (PNE) on pain-related and psychosocial outcomes. Included were reports written in English that carried out PNE or its synonyms; perioperative period; aged ≥ 18 years; interventional studies and observa...

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Bibliographic Details
Published in:Patient education and counseling 2023-12, Vol.117, p.107984-107984, Article 107984
Main Authors: Machado, Paula Muniz, Carmo, Anne Caroline Nunes, Leal, Laura Borges Lopes Garcia, de Souza, Raquel Pereira, Rocha, Priscilla Roberta Silva, Funez, Mani Indiana
Format: Article
Language:English
Subjects:
Explaining pain
Pain catastrophizing
Pain education
Postoperative outcomes
Preoperative education
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Summary:To identify and summarize evidence about the benefits of perioperative pain neuroscience education (PNE) on pain-related and psychosocial outcomes. Included were reports written in English that carried out PNE or its synonyms; perioperative period; aged ≥ 18 years; interventional studies and observational studies. Secondary studies, conference abstracts, and editorials were excluded. There was no time limitation. Information sources: PubMed, Virtual Health Library, Cochrane Library, and Science Direct. Search: June 20th 2023. The risk of bias was assessed using the Joanna Briggs Institute checklists, and synthesis followed the recommendations of the Synthesis Without Meta-analysis (SWiM) guideline. Register: Center for Open Science website (10.17605/OSF.IO/ZTNEJ). The sample consisted of 18 reports. For pain outcomes, it was not possible to attribute PNE benefits because ten reports found improvements in both intervention and control groups. For psychosocial outcomes, fourteen reports found benefits for PNE groups. All the analyzed reports showed low risk of bias. PNE had additional benefits beyond those obtained with conventional treatment for psychosocial outcomes. Due to the lack of evidence, it was not possible to indicate the clinical use of PNE. It is suggested that further studies are needed aimed at clarifying the possible benefits. •Pain Neuroscience Education did not entail improvements in pain-related outcomes.•Pain Neuroscience Education results in improvements in psychosocial outcomes.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2023.107984