{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:25:20Z","timestamp":1786980320793,"version":"build-2736575974"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T00:00:00Z","timestamp":1751068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T00:00:00Z","timestamp":1751068800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"The University of Osaka"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Anesth"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The impact of multidisciplinary team (MDT) interventions on chronic postsurgical pain remains unclear. This study evaluated the effects of MDT on acute and chronic pain outcomes in total knee arthroplasty (TKA) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 324 patients who underwent unilateral TKA between April 2017 and March 2023. The patients were divided into pre-MDT\n                      <jats:italic>(n<\/jats:italic>\n                      \u2009=\u2009147) and post-MDT (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009177) groups. The MDT, comprising anesthesiologists, pain nurses, and pharmacists, conducted daily rounds from postoperative day (POD) 1 to 4. The acute (duration of nerve block, incidence of breakthrough pain [BTP]) and chronic outcomes at 3\u00a0months (movement-related numerical rating scale [NRS] scores, regular analgesic use) were compared. Statistical significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The preoperative demographics were comparable between groups. The MDT significantly prolonged nerve block duration (2.7\u2009\u00b1\u20091.0 vs. 3.0\u2009\u00b1\u20091.5\u00a0days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027) and reduced BTP incidence (50.3 vs. 29.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). At 3\u00a0months, movement-related NRS scores were lower in the post-MDT group (4.2\u2009\u00b1\u20093.5 vs. 2.1\u2009\u00b1\u20092.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.025), while regular analgesic use showed no significant difference (21.8 vs. 16.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.31).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MDT intervention improved acute pain management by reducing BTP and ensuring optimal nerve block use. Additionally, MDT was associated with better chronic pain outcomes, reflected in lower movement-related NRS scores at 3\u00a0months. These findings highlight MDTs\u2019 role in improving acute pain management and reducing movement-related pain at 3\u00a0months after TKA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00540-025-03529-3","type":"journal-article","created":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T09:12:54Z","timestamp":1751101974000},"page":"869-877","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of a multidisciplinary pain management team on acute and chronic pain management after total knee arthroplasty"],"prefix":"10.1007","volume":"39","author":[{"given":"Tomoo","family":"Yuba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironobu","family":"Uematsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,28]]},"reference":[{"issue":"Suppl 3","key":"3529_CR1","doi-asserted-by":"publisher","first-page":"144","DOI":"10.2106\/JBJS.G.00587","volume":"89","author":"SM Kurtz","year":"2007","unstructured":"Kurtz SM, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E, Karrholm J, Garellick G, Havelin LI, Furnes O, Malchau H, Lau E. 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