Impact of a multidisciplinary pain management team on acute and chronic pain management after total knee arthroplasty

Yuba, Tomoo; Yamamoto, Shunsuke; Uematsu, Hironobu et al.

Journal of Anesthesia, 2025

Number of Access:34（2025-10-22 07:26 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/102594

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Title
Impact of a multidisciplinary pain management team on acute and chronic pain management after total knee arthroplasty
Creator
ORCID
0009-0003-8090-6047 0009-0003-8090-6047
researchmap permalink
tomoo-yuba tomoo-yuba
Scopus Author ID
59014175800 59014175800
CreatorName
Yuba, Tomoo
researchmap permalink
shunsuke_xs shunsuke_xs
Scopus Author ID
57204908251 57204908251
CreatorName
Yamamoto, Shunsuke
CreatorName
Uematsu, Hironobu
NRID
1000050725520 1000050725520
researchmap permalink
t_yoshida t_yoshida
Scopus Author ID
55531137700 55531137700
CreatorName
Yoshida, Takeshi
Subject
Acute pain management
Chronic postsurgical pain
Multidisciplinary pain management team
Total knee arthroplasty
Description
The version of record of this article, first published in Journal of Anesthesia, is available online at Publisher’s website: https://doi.org/10.1007/s00540-025-03529-3.
Abstract
Purpose: The impact of multidisciplinary team (MDT) interventions on chronic postsurgical pain remains unclear. This study evaluated the effects of MDT on acute and chronic pain outcomes in total knee arthroplasty (TKA) patients. Methods: This retrospective cohort study included 324 patients who underwent unilateral TKA between April 2017 and March 2023. The patients were divided into pre-MDT (n = 147) and post-MDT (n = 177) groups. The MDT, comprising anesthesiologists, pain nurses, and pharmacists, conducted daily rounds from postoperative day (POD) 1 to 4. The acute (duration of nerve block, incidence of breakthrough pain [BTP]) and chronic outcomes at 3 months (movement-related numerical rating scale [NRS] scores, regular analgesic use) were compared. Statistical significance was set at p < 0.05. Results: The preoperative demographics were comparable between groups. The MDT significantly prolonged nerve block duration (2.7 ± 1.0 vs. 3.0 ± 1.5 days, p = 0.027) and reduced BTP incidence (50.3 vs. 29.4%, p = 0.0001). At 3 months, movement-related NRS scores were lower in the post-MDT group (4.2 ± 3.5 vs. 2.1 ± 2.4, p = 0.025), while regular analgesic use showed no significant difference (21.8 vs. 16.9%, p = 0.31). Conclusion: MDT intervention improved acute pain management by reducing BTP and ensuring optimal nerve block use. Additionally, MDT was associated with better chronic pain outcomes, reflected in lower movement-related NRS scores at 3 months. These findings highlight MDTs’ role in improving acute pain management and reducing movement-related pain at 3 months after TKA.
Publisher
Springer
Source Title
Journal of Anesthesia
Date of Issued
2025-06-28
Language
English
Handle URL
https://hdl.handle.net/11094/102594
PISSN
09138668
eISSN
14388359
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1007/s00540-025-03529-3
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article