Priority 5 from the Complex Fractures PSP

UNCERTAINTY:What are the options for preventing and treating chronic (long-term) pain after complex fractures?  (JLA PSP Priority 5)
Overall ranking 5
JLA question ID 0105/5
Explanatory note Pain affects patients at the time of injury and in some cases for the remainder of the patients life. This causes significant morbidity and may reduce quality of life and negatively impact work and leisure.  

NG193 has been published (Apr 2021) since the evidence checking process for this JLA PSP was conduct (Oct 2020).

Chronic pain related to fractures is not referenced.

No other relevant trial evidence Cochrane/PUBMED since 2015.

NICE Guideline 193 Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain

Health Research Classification System category Injuries and accidents
Extra information provided by this PSP
Original uncertainty examples If a standard analgesia protocol would improve patients recovery. ~  Chronic pain prevention ~ What is the proportion of patients who have residual symptoms vs no residual symptoms following treatment for complex fracture and polytrauma? ~ How long until pain disappears?
Submitted by 1 x Nurse, 2 x Surgeon/Doctor, 3 x Patient 
PSP information
PSP unique ID 0105
PSP name Complex Fractures
Total number of uncertainties identified by this PSP. 58  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 8th June 2021