ArticleFrontiers in surgery2026
Patient satisfaction with postoperative analgesia after hepatobiliary and pancreatic surgery: a retrospective analysis.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
Objectives: Patient satisfaction is a key metric for evaluating healthcare quality. Patients undergoing hepatobiliary and pancreatic surgery frequently experience severe postoperative pain, necessitating patient-controlled intravenous analgesia (PCIA). This study aimed to identify factors associated with reduced satisfaction regarding PCIA in this context. Methods: A retrospective observational study analyzed data from adults receiving PCIA after elective hepatobiliary and pancreatic surgery. Univariate and multivariate logistic regression, employing a forced-entry method to adjust for a comprehensive panel of clinically relevant confounders [including age, sex, body mass index (BMI), American Society of Anesthesiologists (ASA) status, surgical trauma category, surgical approach, malignancy, and major postoperative complications], were used to examine associations between satisfaction and demographics, surgical details, analgesic regimens, postoperative pain (NRS), and adverse effects. Results: Among 1,667 patients, 108 (6.5%) were dissatisfied. Multivariable analysis identified moderate-to-severe pain (NRS > 3; aOR = 14.93, 95%CI: 9.52-26.32) and hyperhidrosis (aOR = 6.29, 95% CI: 3.05-13.89) as strong independent predictors of dissatisfaction (both Conclusions: Dissatisfaction is driven by moderate-to-severe pain and hyperhidrosis. The benefit of dezocine is context-dependent. Optimizing satisfaction requires managing pain, autonomic side effects, and personalized analgesic selection.
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