{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:00:00Z","timestamp":1780441200468,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,16]],"date-time":"2020-02-16T00:00:00Z","timestamp":1581811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Haemorrhoidectomy is associated with significant post\u2010operative pain which is primarily managed pharmacologically. Whether a non\u2010pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient\u2010completed checklist of prescribed post\u2010haemorrhoidectomy pain medications would improve pain management after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a dual\u2010centre randomized controlled trial of patients undergoing a Milligan\u2010Morgan haemorrhoidectomy for symptomatic third or fourth degree haemorrhoids. Thirty\u2010five patients were randomized into either a control group which received post\u2010operative pain medication plus a visual analogue scale (VAS) form, or an intervention group which received a post\u2010operative medication checklist in addition to the items the control group received. Both groups recorded their pain levels on the VAS forms at 10.00, 14.00 and 20.00\u2009hours each day for 14\u2009days post\u2010operatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in the checklist group reported a significantly greater reduction in mean VAS pain score of 2.51 (95% confidence interval (CI) 1.34\u20133.68; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) between day 1 post\u2010op and day 14 post\u2010op compared to 1.86 (95% CI 0.77\u20132.95; <jats:italic>P<\/jats:italic> = 0.001) for the control group. There was no significant difference between mean pain experienced by patients in either group over each of the 14\u2009days individually or overall (<jats:italic>P<\/jats:italic> = 0.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The pain medication checklist lead to a greater reduction in pain between day 1 and 14 after an open haemorrhoidectomy compared to standard care but did not significantly reduce mean pain across any individual days or overall.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15732","type":"journal-article","created":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:51:45Z","timestamp":1581900705000},"page":"580-584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of post\u2010haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8380-0366","authenticated-orcid":false,"given":"Johnny","family":"Huang","sequence":"first","affiliation":[{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3724-1698","authenticated-orcid":false,"given":"Matthew J. F. X.","family":"Rickard","sequence":"additional","affiliation":[{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Division of Colorectal Surgery, Department of Surgery, Concord Repatriation General Hospital The University of Sydney, Concord Clinical School  Sydney New South Wales Australia"},{"name":"Discipline of Colorectal Surgery, Faculty of Medicine and Health Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Keshava","sequence":"additional","affiliation":[{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Division of Colorectal Surgery, Department of Surgery, Concord Repatriation General Hospital The University of Sydney, Concord Clinical School  Sydney New South Wales Australia"},{"name":"Discipline of Colorectal Surgery, Faculty of Medicine and Health Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K. L.","family":"Suen","sequence":"additional","affiliation":[{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Division of Colorectal Surgery, Department of Surgery, Concord Repatriation General Hospital The University of Sydney, Concord Clinical School  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3737-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i11.1448"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02138.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-012-0438-3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzq039"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061115"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2014.11681015"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes175"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.5490"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1108\/09526861011081831"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/523516a"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20160301-02"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0108585"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2015-133328"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15732","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.15732","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15732","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T15:21:10Z","timestamp":1694013670000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.15732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,16]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1111\/ans.15732"],"URL":"https:\/\/doi.org\/10.1111\/ans.15732","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,16]]},"assertion":[{"value":"2019-10-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}