Setting Priorities for African Postoperative Pain Research Through an International Delphi Process
Acute postoperative pain remains a significant challenge in Africa, with prevalence rates of moderate-to-severe pain reaching 91.4–95%, exacerbated by resource constraints, inadequate training, and policy gaps in low- and middle-income countries. This perspective article employs a modified two-round...
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International Anesthesia Research Society
2025
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| Online Access: | http://hdl.handle.net/20.500.12493/3016 |
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| author | Asfaw, Gebrehiwot Melkie, Tadesse B. Shiferaw, Ananya A. Mwiti, Timothy M. Nyirigira, Gaston Retief, Francois Mikailu, Alfa A. Zacharia, Amos Jarju, Ensa Lakew, Esubalew Epiu, Isabella Vishaal, Kissoon Abed, Lynda Yimer, Mequanent Mohamed, Mubarak Ekor, Oluwayemisi E. Bukuru, Prudence Djagbletey, Robert Ayad, Amany E. Forget, Patrice Gebremedhn, Endale G. |
| author_facet | Asfaw, Gebrehiwot Melkie, Tadesse B. Shiferaw, Ananya A. Mwiti, Timothy M. Nyirigira, Gaston Retief, Francois Mikailu, Alfa A. Zacharia, Amos Jarju, Ensa Lakew, Esubalew Epiu, Isabella Vishaal, Kissoon Abed, Lynda Yimer, Mequanent Mohamed, Mubarak Ekor, Oluwayemisi E. Bukuru, Prudence Djagbletey, Robert Ayad, Amany E. Forget, Patrice Gebremedhn, Endale G. |
| author_sort | Asfaw, Gebrehiwot |
| collection | KAB-DR |
| description | Acute postoperative pain remains a significant challenge in Africa, with prevalence rates of moderate-to-severe pain reaching 91.4–95%, exacerbated by resource constraints, inadequate training, and policy gaps in low- and middle-income countries. This perspective article employs a modified two-round Delphi process involving 174 multidisciplinary experts from 25 African countries to identify the top 10 research priorities and three key strategies for addressing postoperative pain. Priorities, ranked by consensus magnitude, include evaluating current practices, developing cost-effective multimodal analgesia, enhancing regional anesthesia training, assessing patient satisfaction, identifying barriers/enablers, examining impacts on surgical outcomes, exploring preemptive analgesia roles, addressing pediatric barriers, and predicting acute/chronic pain risks. Strategies emphasize developing regional anesthesia guidelines, harmonized multidisciplinary curricula, and context-specific pain assessment tools. These priorities aim to inform evidence-based policies, optimize resource allocation, and improve patient-centered care across diverse African settings. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-3016 |
| institution | KAB-DR |
| language | English |
| publishDate | 2025 |
| publisher | International Anesthesia Research Society |
| record_format | dspace |
| spelling | oai:idr.kab.ac.ug:20.500.12493-30162025-11-13T00:00:41Z Setting Priorities for African Postoperative Pain Research Through an International Delphi Process Asfaw, Gebrehiwot Melkie, Tadesse B. Shiferaw, Ananya A. Mwiti, Timothy M. Nyirigira, Gaston Retief, Francois Mikailu, Alfa A. Zacharia, Amos Jarju, Ensa Lakew, Esubalew Epiu, Isabella Vishaal, Kissoon Abed, Lynda Yimer, Mequanent Mohamed, Mubarak Ekor, Oluwayemisi E. Bukuru, Prudence Djagbletey, Robert Ayad, Amany E. Forget, Patrice Gebremedhn, Endale G. Postoperative pain Africa Delphi process research priorities regional anesthesia multimodal analgesia pain management barriers patient satisfaction Acute postoperative pain remains a significant challenge in Africa, with prevalence rates of moderate-to-severe pain reaching 91.4–95%, exacerbated by resource constraints, inadequate training, and policy gaps in low- and middle-income countries. This perspective article employs a modified two-round Delphi process involving 174 multidisciplinary experts from 25 African countries to identify the top 10 research priorities and three key strategies for addressing postoperative pain. Priorities, ranked by consensus magnitude, include evaluating current practices, developing cost-effective multimodal analgesia, enhancing regional anesthesia training, assessing patient satisfaction, identifying barriers/enablers, examining impacts on surgical outcomes, exploring preemptive analgesia roles, addressing pediatric barriers, and predicting acute/chronic pain risks. Strategies emphasize developing regional anesthesia guidelines, harmonized multidisciplinary curricula, and context-specific pain assessment tools. These priorities aim to inform evidence-based policies, optimize resource allocation, and improve patient-centered care across diverse African settings. 2025-11-12T22:47:55Z 2025-11-12T22:47:55Z 2025 Article Asfaw, G., Melkie, T. B., Shiferaw, A. A., Mwiti, T. M., Nyirigira, G., Retief, F., Mikailu, A. A., Zacharia, A., Jarju, E., Lakew, E., Epiu, I., Kissoon, V., Abed, L., Yimer, M., Mohamed, M., Ekor, O. E., Bukuru, P., Djagbletey, R., Ayad, A. E., ... Forget, P., & Gebremedhn, E. G. (2025). Setting priorities for African postoperative pain research through an international Delphi process. Anesthesia & Analgesia. International Anesthesia Research Society. https://doi.org/10.1213/ANE.0000000000007689 0.1213/ANE.0000000000007689 http://hdl.handle.net/20.500.12493/3016 en Attribution-NonCommercial-NoDerivs 3.0 United States http://creativecommons.org/licenses/by-nc-nd/3.0/us/ application/pdf International Anesthesia Research Society |
| spellingShingle | Postoperative pain Africa Delphi process research priorities regional anesthesia multimodal analgesia pain management barriers patient satisfaction Asfaw, Gebrehiwot Melkie, Tadesse B. Shiferaw, Ananya A. Mwiti, Timothy M. Nyirigira, Gaston Retief, Francois Mikailu, Alfa A. Zacharia, Amos Jarju, Ensa Lakew, Esubalew Epiu, Isabella Vishaal, Kissoon Abed, Lynda Yimer, Mequanent Mohamed, Mubarak Ekor, Oluwayemisi E. Bukuru, Prudence Djagbletey, Robert Ayad, Amany E. Forget, Patrice Gebremedhn, Endale G. Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title | Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title_full | Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title_fullStr | Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title_full_unstemmed | Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title_short | Setting Priorities for African Postoperative Pain Research Through an International Delphi Process |
| title_sort | setting priorities for african postoperative pain research through an international delphi process |
| topic | Postoperative pain Africa Delphi process research priorities regional anesthesia multimodal analgesia pain management barriers patient satisfaction |
| url | http://hdl.handle.net/20.500.12493/3016 |
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