Photo Credit: Dragos Condrea
The following is a summary of “Construction of Pain Management Strategies After Hepatectomy: Evidence Summary and Delphi Study,” published in the December 2024 issue of Pain by Wang et al.
Researchers conducted a retrospective study to develop and summarize pain management strategies after hepatectomy for liver cancer based on the best evidence summary and improve the plan of the Delphi study.
They searched the database according to the “6S” evidence pyramid model, with a search deadline of December 2023 and 2 researchers independently screened the literature and evaluated its quality. Relevant evidence on pain management was extracted and integrated to form a preliminary strategy through a one-day, face-to-face meeting. A Delphi process was then performed to refine the strategy. The scientific soundness of the Delphi method was assessed using the effective response rate, authority coefficient (Cr), and coordination coefficient. The Cr was required to be above 0.700, and the coefficient of variation (CV) was maintained below 0.25. Data analysis was conducted using SPSS V.25.0.
The results showed that 14 studies were included, with 13 first-level items and 48 second-level items summarized across 2 rounds of Delphi. The effective response rate for both rounds was 100.00%, and the experts’ Cr was 0.832. The coefficients of variation ranged from 0.00 to 0.41 and 0.05 to 0.17, respectively. Kendall’s W values for both rounds ranged from 0.114 to 0.222 (P < 0.05).
Investigators concluded the pain management strategy after hepatectomy was scientific and applicable, with plans to translate it into a plan and confirm its feasibility in the future.
