{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:06:12Z","timestamp":1791389172295,"version":"4.3.3"},"reference-count":72,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012632","name":"Nazarbayev University Faculty Development Competitive Research","doi-asserted-by":"publisher","award":["SOM2021005"],"award-info":[{"award-number":["SOM2021005"]}],"id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012632","name":"Nazarbayev University Faculty Development Competitive Research","doi-asserted-by":"publisher","award":["021220FD2851"],"award-info":[{"award-number":["021220FD2851"]}],"id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012632","name":"Nazarbayev University Faculty Development Competitive Research","doi-asserted-by":"publisher","award":["11022021FD2906"],"award-info":[{"award-number":["11022021FD2906"]}],"id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This study aimed to investigate the efficacy and safety of transcutaneous electrical nerve stimulation (TENS) in postoperative acute pain control. PubMed, Scopus, and Cochrane Library were searched on 1\u20138 December 2022, for randomized controlled trials on the analgesic effects of TENS. The outcomes were pain intensity and opioid use (primary), and postoperative (PO) adverse events, blood pressure, and the duration of hospital stay (secondary); PROSPERO CRD42022333335. A total of 40 articles were included in the meta-analysis. Pain intensity at rest and during coughing for all types of surgeries combined was lower in the TENS group (standardized mean difference (SMD) = \u22120.51 [\u22120.61, \u22120.41], p &lt; 0.00001, 29 studies, and \u22121.28 [\u22122.46, \u22120.09], p-value = 0.03, six studies, respectively). There was a statistically significant decrease in morphine requirements, as well as in the incidence of postoperative nausea and vomiting, dizziness, and pruritus. There was no difference between the groups in postoperative pain intensity during walking, in blood pressure, and only a borderline difference in the length of hospital stay. The subgroup analysis by surgery type did not show significant differences between the groups in pain severity at rest. Thus, TENS has a potential for pain control and postoperative recovery outcomes.<\/jats:p>","DOI":"10.3390\/jcm13020427","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T07:47:16Z","timestamp":1705045636000},"page":"427","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on Acute Pain and Other Postoperative Outcomes: A Systematic Review with Meta-Analysis"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6007-9326","authenticated-orcid":false,"given":"Dmitriy","family":"Viderman","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan"},{"name":"Department of Anesthesiology, Intensive Care and Pain Medicine, National Research Oncology Center, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5562-7810","authenticated-orcid":false,"given":"Fatima","family":"Nabidollayeva","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2446-3109","authenticated-orcid":false,"given":"Mina","family":"Aubakirova","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8268-6522","authenticated-orcid":false,"given":"Nurzhamal","family":"Sadir","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0755-4412","authenticated-orcid":false,"given":"Karina","family":"Tapinova","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramil","family":"Tankacheyev","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Surgery, National Research Neurosurgery Center, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7074-4377","authenticated-orcid":false,"given":"Yerkin G.","family":"Abdildin","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1891\/J-PE-D-20-00035","article-title":"Transcutaneous Electrical Nerve Stimulation: An Overview","volume":"31","year":"2022","journal-title":"J. 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