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systematic review AND QUANTITATIVE TREND analysis of Scientific quality in preclinical studies using rodent models of post-surgical pain

Segelcke, Daniel; Jolmes, Johanna; Pradier, Bruno; Rosenberger, Daniela Constanze; Macháček, Philipp André; Bakker, René; Ritte, Anneke; ... Pogatzki-Zahn, Esther Miriam; + view all (2025) systematic review AND QUANTITATIVE TREND analysis of Scientific quality in preclinical studies using rodent models of post-surgical pain. Neuroscience & Biobehavioral Reviews , Article 106422. 10.1016/j.neubiorev.2025.106422. (In press). Green open access

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Abstract

Post-operative pain management is crucial, yet remains a global healthcare challenge with many patients suffering from unexpectedly severe acute pain, leading to impaired recovery and chronic pain. Post-operative pain models are useful for research and intervention development. However, there is substantial variability in design, reporting, and translational relevance. To provide an integrated map that links preclinical model choice, outcome domains, and methodological safeguards to clinical relevance, we conducted a systematic review and quantitative trend-analysis. We evaluated models, outcomes, methodologies, study details, quality, reporting, and patterns in relation to perioperative domains. Screening of 7,519 records identified 674 studies, which were analyzed for methodological quality, risk of bias, and reporting trends. Incision models dominated, while procedure-specific models accounted for 13.65%. Sex bias was evident, with 83% of studies using only males and limited justification for single-sex studies. Most pain-related behavior assessments were mechanical (87%), with non-evoked (24%) and movement-evoked (5%) less utilized. The majority used fewer assessments, but 17% used three or more outcomes. Methodological rigor remains limited, with randomization and blinding reported in just over half of studies, and sample size calculations in only 17.69%. Critical details such as housing enrichment or experimenter sex were rarely reported. Together, these patterns motivate a minimum translational set for further studies: combine different behavioural outcomes aligned to perioperative domains, include both sexes or justify single-sex designs, and predefine and transparently report perioperative regimens alongside randomization, blinding, and sample-size planning. We advocate for these changes to improve translational research in this field.

Type: Article
Title: systematic review AND QUANTITATIVE TREND analysis of Scientific quality in preclinical studies using rodent models of post-surgical pain
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.neubiorev.2025.106422
Publisher version: https://doi.org/10.1016/j.neubiorev.2025.106422
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Animal Models, Postoperative pain, Translational research, chronic pain, male-only bias, pain assessment, randomization, study design
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10216218
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