AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain
Faraj W Abdallah, MD, MSc,1 Ian Gilron, MD, MSc, FRCPC,2,3 Roger B Fillingim, PhD,4 Patrick Tighe, MD, MSc,5 Hari K Parvataneni, MD,6 Nader Ghasemlou, PhD,2,3 Mona Sawhney, NP, PhD,7 and Colin J L McCartney, MBChB, PhD, FRCA, FCARCSI, FRCPC1Knee
Objective
The relationship between preexisting osteoarthritic pain and subsequent post-total knee arthroplasty (TKA) pain is not well defined. This knowledge gap makes diagnosis of post-TKA pain and development of management plans difficult and may impair future investigations on personalized care. Therefore, a set of diagnostic criteria for identification of acute post-TKA pain would inform standardized management and facilitate future research.
Methods
The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public–private partnership with the US Food and Drug Administration (FDA), the American Pain Society (APS), and the American Academy of Pain Medicine (AAPM) formed the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) initiative to address this goal. A multidisciplinary work group of pain experts was invited to conceive diagnostic criteria and dimensions of acute post-TKA pain.
Results
The working group used contemporary literature combined with expert opinion to generate a five-dimensional taxonomical structure based upon the AAAPT framework (i.e., core diagnostic criteria, common features, modulating factors, impact/functional consequences, and putative mechanisms) that characterizes acute post-TKA pain.
Conclusions
The diagnostic criteria created are proposed to define the nature of acute pain observed in patients following TKA.
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