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However, significant postoperative pain persists in a number of patients, often leading to increased opioid use and opioid\u2010related adverse events in addition to prolonged admission times. Perioperatively administered glucocorticoids have been demonstrated effective in reducing pain after other types of surgeries, but the effect in VATS remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This systematic review will assess the impact of glucocorticoids on postoperative pain in adult patients undergoing VATS. We will include randomised trials comparing higher doses of glucocorticoids to lower doses, placebo or no treatment. The review will follow the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis statement and Cochrane methodology. The certainty of evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation system. The primary outcome is standardised dynamic pain scores within 24\u2009h. Secondary outcomes are opioid use, time to first mobilisation, length of hospital stay and numeric rating score\u2009&gt;3 at any point within the first 24\u2009h following surgery. Exploratory outcomes are opioid\u2010related adverse effects and glucocorticoid\u2010related adverse effects classified in major and minor events. Data will be meta\u2010analysed with sensitivity and subgroup analyses and trial sequential analyses. Furthermore, we will assess the risk of reporting bias and heterogeneity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This systematic review and meta\u2010analysis will provide an overview of the current evidence of how glucocorticoids affect postoperative pain and recovery in adult patients undergoing VATS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14577","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T02:18:51Z","timestamp":1737685131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["High\u2010dose glucocorticoids in the treatment of postoperative pain after video\u2010assisted thoracoscopic surgery\u2014protocol for systematic review and 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