AAAPT Diagnostic Criteria for Acute Abdominal and Peritoneal Pain After Surgery.
Abdominal and peritoneal pain after surgery is common and burdensome, yet the lack of standardized diagnostic criteria for this type of acute pain impedes basic, translational, and clinical investigations. The collaborative effort among the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks, American Pain Society, and American Academy of Pain Medicine Pain Taxonomy (AAAPT) provides a systematic framework to classify acute painful conditions. Using this framework, a multidisciplinary working group reviewed the literature and developed core diagnostic criteria for acute abdominal and peritoneal pain after surgery. In this report, we apply the proposed AAAPT framework to 4 prototypical surgical procedures resulting in abdominal and peritoneal pain as examples: cesarean delivery, cholecystectomy, colorectal surgical procedures, and pancreas resection. These diagnostic criteria address the 3 most common surgical procedures performed in the United States, capture diverse surgical approaches, and may also be applied to other surgical procedures resulting in abdominal and peritoneal pain. Additional investigation regarding the validity and reliability of this framework will facilitate its adoption in research that advances our comprehension of mechanisms, deliver better treatments, and help prevent the transition of acute to chronic pain after surgery in the abdominal and peritoneal region. PERSPECTIVE: Using AAAPT, we present key diagnostic criteria for acute abdominal and peritoneal pain after surgery. We provide a systematic classification using 5 dimensions for abdominal and peritoneal pain that occurs after surgery, in addition to 4 specific surgical procedures: cesarean delivery, cholecystectomy, colorectal surgical procedures, and pancreas resection.
['Bicket|Mark C|MC|', 'Grant|Michael C|MC|', 'Scott|Michael J|MJ|', 'Terman|Gregory W|GW|', 'Wick|Elizabeth C|EC|', 'Wu|Christopher L|CL|']
D015746:Abdominal Pain D059787:Acute Pain D003226:Congresses as Topic D032921:Consensus D005260:Female D006801:Humans D008297:Male D010147:Pain Measurement D010149:Pain, Postoperative D010537:Peritoneum D055818:Public-Private Sector Partnerships D012955:Societies, Medical D014481:United States
Abdominal and peritoneal pain cesarean delivery cholecystectomy colorectal surgery surgical or postsurgical or postoperative pain