Setting Priorities for African Postoperative Pain Research Through an International Delphi Process

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dc.contributor.authorAsfaw, Gebrehiwot
dc.contributor.authorMelkie, Tadesse B.
dc.contributor.authorShiferaw, Ananya A.
dc.contributor.authorMwiti, Timothy M.
dc.contributor.authorNyirigira, Gaston
dc.contributor.authorRetief, Francois
dc.contributor.authorMikailu, Alfa A.
dc.contributor.authorZacharia, Amos
dc.contributor.authorJarju, Ensa
dc.contributor.authorLakew, Esubalew
dc.contributor.authorEpiu, Isabella
dc.contributor.authorVishaal, Kissoon
dc.contributor.authorAbed, Lynda
dc.contributor.authorYimer, Mequanent
dc.contributor.authorMohamed, Mubarak
dc.contributor.authorEkor, Oluwayemisi E.
dc.contributor.authorBukuru, Prudence
dc.contributor.authorDjagbletey, Robert
dc.contributor.authorAyad, Amany E.
dc.contributor.authorForget, Patrice
dc.contributor.authorGebremedhn, Endale G.
dc.date.accessioned2025-11-12T22:47:55Z
dc.date.available2025-11-12T22:47:55Z
dc.date.issued2025
dc.description.abstractAcute 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.
dc.identifier.citationAsfaw, 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
dc.identifier.other0.1213/ANE.0000000000007689
dc.identifier.urihttp://hdl.handle.net/20.500.12493/3016
dc.language.isoen
dc.publisherInternational Anesthesia Research Society
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United Statesen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.subjectPostoperative pain
dc.subjectAfrica
dc.subjectDelphi process
dc.subjectresearch priorities
dc.subjectregional anesthesia
dc.subjectmultimodal analgesia
dc.subjectpain management barriers
dc.subjectpatient satisfaction
dc.titleSetting Priorities for African Postoperative Pain Research Through an International Delphi Process
dc.typeArticle

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