Synthesis of the Best Evidence for Perioperative Pain Administration in Patients Having Total Hip Prostheses

Objective: A methodical compendium of the best evidence on the management of pain in the Perioperative phase in patients undergoing total hip arthroplasty to offer evidence-based support for practice in the clinic. Methods: In the 6S pyramid model, we looked for guidelines, clinical decisions, expert consensus, evidence summaries, recommended practices, and systematic reviews of perioperative pain management in total hip arthroplasty patients in domestic and international guideline websites, websites of professional associations, and both English and Chinese data banks from December 16, 2014, to December 16, 2024, to obtain detailed statistics on perioperative patient pain monitoring and management in total hip joint arthroplasty patients, and to check the results of these results from the following sources. Literature quality assessment, evidence extraction, and summarization were done independently by 2 researchers. Literature quality assessment, evidence extraction, and summarization were done independently by 2 researchers. Results: A total of 20 papers were included, including 2 clinical decisions, 8 guidelines, 6 expert consensus, 3 Meta-analyses, and 1 randomized controlled trial. Forty pieces of evidence were summarized in six areas: preoperative preparation, principles of analgesic regimen development, choice of anesthesia, pharmacological analgesic modalities, nonpharmacological analgesic modalities, and post-discharge pain management. Conclusion: Perioperative pain management for THA patients is necessary, and healthcare professionals can refer to the summarized evidence to improve patients’ perioperative pain, increase their postoperative exercise compliance, and accelerate the postoperative recovery process.