External Validation and Modification of a Predictive Model for Acute Postsurgical Pain at Home after Day Surgery.
Identifieur interne : 000009 ( PubMed/Curation ); précédent : 000008; suivant : 000010External Validation and Modification of a Predictive Model for Acute Postsurgical Pain at Home after Day Surgery.
Auteurs : Björn Stessel [Pays-Bas] ; Audrey A A. Fiddelers ; Marco A. Marcus ; Sander M J. Van Kuijk ; Elbert A. Joosten ; Madelon L. Peters ; Wolfgang F F A. Buhre ; Hans-Fritz GramkeSource :
- The Clinical journal of pain [ 1536-5409 ] ; 2016.
Abstract
In 2009, Gramke et al have described predictive factors to pre-operatively detect those at risk for moderate to severe acute postoperative pain (APSP) after day surgery. The aim of the present study is to externally validate this initial model and to improve and internally validate a modified version of this model.
DOI: 10.1097/AJP.0000000000000413
PubMed: 27428546
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Fiddelers</name></author><author><name sortKey="Marcus, Marco A" sort="Marcus, Marco A" uniqKey="Marcus M" first="Marco A" last="Marcus">Marco A. Marcus</name></author><author><name sortKey="Van Kuijk, Sander M J" sort="Van Kuijk, Sander M J" uniqKey="Van Kuijk S" first="Sander M J" last="Van Kuijk">Sander M J. Van Kuijk</name></author><author><name sortKey="Joosten, Elbert A" sort="Joosten, Elbert A" uniqKey="Joosten E" first="Elbert A" last="Joosten">Elbert A. Joosten</name></author><author><name sortKey="Peters, Madelon L" sort="Peters, Madelon L" uniqKey="Peters M" first="Madelon L" last="Peters">Madelon L. Peters</name></author><author><name sortKey="Buhre, Wolfgang F F A" sort="Buhre, Wolfgang F F A" uniqKey="Buhre W" first="Wolfgang F F A" last="Buhre">Wolfgang F F A. Buhre</name></author><author><name sortKey="Gramke, Hans Fritz" sort="Gramke, Hans Fritz" uniqKey="Gramke H" first="Hans-Fritz" last="Gramke">Hans-Fritz Gramke</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27428546</idno><idno type="pmid">27428546</idno><idno type="doi">10.1097/AJP.0000000000000413</idno><idno type="wicri:Area/PubMed/Corpus">000009</idno><idno type="wicri:Area/PubMed/Curation">000009</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">External Validation and Modification of a Predictive Model for Acute Postsurgical Pain at Home after Day Surgery.</title><author><name sortKey="Stessel, Bjorn" sort="Stessel, Bjorn" uniqKey="Stessel B" first="Björn" last="Stessel">Björn Stessel</name><affiliation wicri:level="1"><nlm:affiliation>*Department of Anesthesiology and Pain Medicine, Jessa Hospital, Hasselt, Belgium †Department of Anesthesiology and Pain Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands ‡Network Acute Care Limburg, Maastricht, The Netherlands §Department of Anesthesia/ICU, Pain & Palliative Care, Hamad Medical Corporation, Doha, Qatar ∥Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, the Netherlands ¶Department of Clinical Psychological Science, Maastricht University Medical Center+, Maastricht, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>*Department of Anesthesiology and Pain Medicine, Jessa Hospital, Hasselt, Belgium †Department of Anesthesiology and Pain Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands ‡Network Acute Care Limburg, Maastricht, The Netherlands §Department of Anesthesia/ICU, Pain & Palliative Care, Hamad Medical Corporation, Doha, Qatar ∥Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, the Netherlands ¶Department of Clinical Psychological Science, Maastricht University Medical Center+, Maastricht</wicri:regionArea></affiliation></author><author><name sortKey="Fiddelers, Audrey A A" sort="Fiddelers, Audrey A A" uniqKey="Fiddelers A" first="Audrey A A" last="Fiddelers">Audrey A A. Fiddelers</name></author><author><name sortKey="Marcus, Marco A" sort="Marcus, Marco A" uniqKey="Marcus M" first="Marco A" last="Marcus">Marco A. Marcus</name></author><author><name sortKey="Van Kuijk, Sander M J" sort="Van Kuijk, Sander M J" uniqKey="Van Kuijk S" first="Sander M J" last="Van Kuijk">Sander M J. Van Kuijk</name></author><author><name sortKey="Joosten, Elbert A" sort="Joosten, Elbert A" uniqKey="Joosten E" first="Elbert A" last="Joosten">Elbert A. Joosten</name></author><author><name sortKey="Peters, Madelon L" sort="Peters, Madelon L" uniqKey="Peters M" first="Madelon L" last="Peters">Madelon L. Peters</name></author><author><name sortKey="Buhre, Wolfgang F F A" sort="Buhre, Wolfgang F F A" uniqKey="Buhre W" first="Wolfgang F F A" last="Buhre">Wolfgang F F A. Buhre</name></author><author><name sortKey="Gramke, Hans Fritz" sort="Gramke, Hans Fritz" uniqKey="Gramke H" first="Hans-Fritz" last="Gramke">Hans-Fritz Gramke</name></author></analytic><series><title level="j">The Clinical journal of pain</title><idno type="eISSN">1536-5409</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 2009, Gramke et al have described predictive factors to pre-operatively detect those at risk for moderate to severe acute postoperative pain (APSP) after day surgery. The aim of the present study is to externally validate this initial model and to improve and internally validate a modified version of this model.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27428546</PMID><DateCreated><Year>2016</Year><Month>7</Month><Day>18</Day></DateCreated><DateRevised><Year>2016</Year><Month>7</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1536-5409</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2016</Year><Month>Jul</Month><Day>15</Day></PubDate></JournalIssue><Title>The Clinical journal of pain</Title><ISOAbbreviation>Clin J Pain</ISOAbbreviation></Journal><ArticleTitle>External Validation and Modification of a Predictive Model for Acute Postsurgical Pain at Home after Day Surgery.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">In 2009, Gramke et al have described predictive factors to pre-operatively detect those at risk for moderate to severe acute postoperative pain (APSP) after day surgery. The aim of the present study is to externally validate this initial model and to improve and internally validate a modified version of this model.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Elective patients scheduled for day surgery were prospectively enrolled from November 2008 to April 2010. Model discrimination was quantified using the area under the receiver operating characteristic curve (AUC). Model calibration was assessed by visual inspection of the calibration plot. Subsequently, we modified (different assignment of type of surgery, different cut-off for moderate to severe APSP, continuous of dichotomized variables and testing of additional variables) and internally validated this model by standard bootstrapping techniques.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 1118 patients were included. The AUC for the original model was 0.81 in the derivation dataset and 0.72 in our validation dataset. The model showed poorly calibrated risk predictions. The AUC of the modified model was 0.82 (optimism-corrected AUC=0.78). This modified model showed good calibration.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The original prediction model of Gramke et al performed insufficient on our cohort of outpatients with respect to discrimination and calibration. Internal validation of a modified model shows promising results. In this model, preoperative pain, patient derived expected pain and different types of surgery are the strongest predictors of moderate to severe APSP after day surgery.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stessel</LastName><ForeName>Björn</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>*Department of Anesthesiology and Pain Medicine, Jessa Hospital, Hasselt, Belgium †Department of Anesthesiology and Pain Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands ‡Network Acute Care Limburg, Maastricht, The Netherlands §Department of Anesthesia/ICU, Pain & Palliative Care, Hamad Medical Corporation, Doha, Qatar ∥Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, the Netherlands ¶Department of Clinical Psychological Science, Maastricht University Medical Center+, Maastricht, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fiddelers</LastName><ForeName>Audrey A A</ForeName><Initials>AA</Initials></Author><Author ValidYN="Y"><LastName>Marcus</LastName><ForeName>Marco A</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>van Kuijk</LastName><ForeName>Sander M J</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Joosten</LastName><ForeName>Elbert A</ForeName><Initials>EA</Initials></Author><Author ValidYN="Y"><LastName>Peters</LastName><ForeName>Madelon L</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Buhre</LastName><ForeName>Wolfgang F F A</ForeName><Initials>WF</Initials></Author><Author ValidYN="Y"><LastName>Gramke</LastName><ForeName>Hans-Fritz</ForeName><Initials>HF</Initials></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>Jul</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin J Pain</MedlineTA><NlmUniqueID>8507389</NlmUniqueID><ISSNLinking>0749-8047</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27428546</ArticleId><ArticleId IdType="doi">10.1097/AJP.0000000000000413</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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