Reporting of Postoperative Pain Management Protocols in Randomized Clinical Trials of Mandibular Fracture Repair: A Systematic Review

JAMA Facial Plastic Surgery
Sydney C ButtsTimothy Doerr

Abstract

The control of pain associated with mandibular fractures is an important treatment outcome that affects function, adherence to treatment regimens, and patient comfort and satisfaction. To explore the pain management protocols reported in studies of mandibular fractures, including the reporting of quality-of-life measures. PubMed/MEDLINE, EMBASE, Cochrane CENTRAL, and clinicaltrials.gov were searched for randomized clinical trials published from 1970 to July 2014. We followed PRISMA reporting standards to assess study eligibility and extract data. Studies of patients older than 16 years who underwent operative mandibular fracture management were included. The primary data collected included the type of analgesic prescribed, associated adverse effects of the analgesic, method of pain assessment, and use of quality-of-life measures. A pain attentiveness score was assigned to studies based on the comprehensiveness of the information reported. Several variables were reviewed to determine the factors that predict reporting of pain-related data. Assessments of risk for bias were performed using the Cochrane Collaboration's domain-based evaluation method. The initial search identified 111 articles, of which 38 met inclusion criteria. A...Continue Reading

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Citations

Jul 9, 2016·The Journal of Craniofacial Surgery·Yeon Jin JeongSung-No Jung
Jan 31, 2018·The Journal of Craniofacial Surgery·Andre PeiskerStefan Schultze-Mosgau

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