Evidence map›Paper›PMID 42592115›Full record

ReviewFrontiers in pain research (Lausanne, Switzerland)2026

Factors influencing optimal postoperative pain management: a systematic scoping review.

Raeesah Fakier, Romy Parker, Mitchell Sarkies, Katleho Limakatso

Abstract readReview
In one paragraph

Review in Frontiers in pain research (Lausanne, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Raeesah FakierPain Management Unit, Department of Anaesthesia and Perioperative Medicine, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Romy ParkerPain Management Unit, Department of Anaesthesia and Perioperative Medicine, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Mitchell SarkiesSydney School of Health Services, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Katleho LimakatsoPain Management Unit, Department of Anaesthesia and Perioperative Medicine, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective postoperative pain management is a critical component of surgical care, directly influencing patient recovery, satisfaction, and long-term outcomes. Despite recent advances in pain management, postoperative pain remains poorly managed worldwide, suggesting that postoperative pain outcomes are influenced by several factors beyond the inherent efficacy of available treatments. The aim of this scoping review was to map the factors influencing postoperative pain management and to generate interventions that support optimal, evidence-based pain management after surgery. Articles published until September 2025 were identified through a systematic search of the following electronic databases: PubMed (MEDLINE) via EBSCOhost, CINAHL (Cumulative Index to Nursing & Allied Health Literature) via EBSCOhost, and PsycINFO via EBSCOhost. Two reviewers independently conducted the screening of articles and data extraction. Barriers and enablers were synthesized using the Theoretical Domains Framework. Intervention strategies were generated by mapping the identified barriers onto the Capability, Opportunity, Motivation-Behavior model. Patient empowerment and active engagement in pain management, strong clinician-patient rapport, and structured, team-based and policy-driven support were identified as key enablers for optimizing postoperative pain management. On the other hand, a lack of knowledge and misconception about postoperative pain, capability gaps in assessing and managing pain, interprofessional and communication challenges, organizational and policy deficiencies, and resource and workforce constraints were key barriers to optimal postoperative pain management. Despite advancements in treatment options, the findings suggest that optimal pain management requires a multifaceted approach that addresses both individual and systemic challenges. These insights contribute to a deeper understanding of the barriers and enablers of effective pain management and highlight the need for targeted interventions across various levels of healthcare delivery.

Indexed as

barriersenablerspain managementpostoperative paintheoretical domains framework

Identifiers

PMID42592115
PMCPMC13463247

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.