An international research group with members from the University of Basel, several EU countries, Israel and the USA, analyzed patient satisfaction with pain treatment after surgery.
The study based on an extensive multi-national dataset shows that patients actively involved in their treatment report higher levels of satisfaction. Overall, satisfaction seems to be less associated with actual pain but rather with impressions of improvement. The scientific journal “PAIN” has published the results.
Every year, millions of surgeries are performed. At least half of the patients suffer from moderate to severe pain after surgery. Well managed postoperative pain is thus an important quality criterion for healthcare providers.
Even though previous studies have shown that patient ratings of satisfaction with their pain treatment tend to be high, the determinants for this effect are poorly understood and have previously not been studied in large-scale, international datasets.
PAIN OUT registry
For their analysis, the research team led by Dr. Matthias Schwenkglenks from the Institute of Pharmaceutical Medicine used PAIN OUT, an EU-funded, international acute pain registry and research project that collects patient-reported outcome data on day 1 after surgery.
Patients use a standardized questionnaire for self-completion. PAIN OUT offers a system for measurement and feedback of outcome quality and supports the process of decision making in order to achieve an optimized treatment of patients.
Schwenkglenks and his team used this large database to investigate patients’ level of satisfaction across more than 40 healthcare centers in 15 countries. The study included roughly 16,900 patients from three continents who had undergone a wide range of surgical procedures.
The analysis showed three aspects to be most important for patient satisfaction: pain experience, patient involvement and characteristics of the patient-caregiver relationship (e.g. provision of adequate information on pain treatment options). "We were the first research group that was able to study this topic at such a large scale, a unique opportunity. It was striking to us how consistent our results were across healthcare centers and countries", states Schwenkglenks.
Expanding patient involvement
Overall, the findings indicate that satisfaction with postoperative pain treatment is less associated with the patients’ actual pain experience but rather with impressions of improvement and appropriateness of care. Specifically, the area of patient involvement in the decision making process seems to be of high importance. The study thus suggests that in the effort to manage pain effectively, it would be inappropriate to focus on low pain intensity as the only goal of postoperative pain treatment. Patients should, to the degree they desire, be provided with information and involved in pain treatment decisions.
Schwenkglenks M, Gerbershagen HJ, Taylor RS, Pogatzki-Zahn E, Komann M, Rothaug J, Volk T, Yahiaoui-Doktor M, Zaslansky R, Brill S, Ullrich K, Gordon DB, Meissner W.
Correlates of satisfaction with pain treatment in the acute postoperative period: results from the international PAIN OUT registry.
PAIN 2014; 155,| DOI: 10.1016/j.pain.2014.04.021
[The PAIN OUT project was funded by the European Commission 7th Framework Programme, Call HEALTH-2007-3.1-4: Improving clinical decision making, under Grant Agreement No. 223590.]
PD Dr. Matthias Schwenkglenks, Institute of Pharmaceutical Medicine (ECPM), University of Basel, Switzerland, phone: +41 61 267 19 49, email: firstname.lastname@example.org
Olivia Poisson | Universität Basel
Custom-tailored strategy against glioblastomas
26.09.2016 | Rheinische Friedrich-Wilhelms-Universität Bonn
New leukemia treatment offers hope
23.09.2016 | King Abdullah University of Science and Technology
Friction stir welding is a still-young and thus often unfamiliar pressure welding process for joining flat components and semi-finished components made of light metals.
Scientists at the University of Stuttgart have now developed two new process variants that will considerably expand the areas of application for friction stir welding.
Technologie-Lizenz-Büro (TLB) GmbH supports the University of Stuttgart in patenting and marketing its innovations.
Friction stir welding is a still-young and thus often unfamiliar pressure welding process for joining flat components and semi-finished components made of...
Optical quantum computers can revolutionize computer technology. A team of researchers led by scientists from Münster University and KIT now succeeded in putting a quantum optical experimental set-up onto a chip. In doing so, they have met one of the requirements for making it possible to use photonic circuits for optical quantum computers.
Optical quantum computers are what people are pinning their hopes on for tomorrow’s computer technology – whether for tap-proof data encryption, ultrafast...
The Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP has been developing various applications for OLED microdisplays based on organic semiconductors. By integrating the capabilities of an image sensor directly into the microdisplay, eye movements can be recorded by the smart glasses and utilized for guidance and control functions, as one example. The new design will be debuted at Augmented World Expo Europe (AWE) in Berlin at Booth B25, October 18th – 19th.
“Augmented-reality” and “wearables” have become terms we encounter almost daily. Both can make daily life a little simpler and provide valuable assistance for...
With the help of artificial intelligence, chemists from the University of Basel in Switzerland have computed the characteristics of about two million crystals made up of four chemical elements. The researchers were able to identify 90 previously unknown thermodynamically stable crystals that can be regarded as new materials. They report on their findings in the scientific journal Physical Review Letters.
Elpasolite is a glassy, transparent, shiny and soft mineral with a cubic crystal structure. First discovered in El Paso County (Colorado, USA), it can also be...
For the first time, Fraunhofer IKTS shows additively manufactured hardmetal tools at WorldPM 2016 in Hamburg. Mechanical, chemical as well as a high heat resistance and extreme hardness are required from tools that are used in mechanical and automotive engineering or in plastics and building materials industry. Researchers at the Fraunhofer Institute for Ceramic Technologies and Systems IKTS in Dresden managed the production of complex hardmetal tools via 3D printing in a quality that are in no way inferior to conventionally produced high-performance tools.
Fraunhofer IKTS counts decades of proven expertise in the development of hardmetals. To date, reliable cutting, drilling, pressing and stamping tools made of...
28.09.2016 | Event News
27.09.2016 | Event News
23.09.2016 | Event News
28.09.2016 | Medical Engineering
28.09.2016 | Materials Sciences
28.09.2016 | Business and Finance