A survey of acute pain service in Canadian teaching hospitals

Tawfic, Qutaiba A.; Freytag, Andreas; Armstrong, Kevin

doi:10.1016/j.bjane.2021.02.002

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Better patient outcomes (Kersting et al 2020 ), including reduced pain intensity (Lee et al 2010 ; Fang et al 2021 ), decreased anxiety about pain (Jepegnanam et al 2021 ), and declining opioid consumption (Edwards et al 2020 ; Stamer et al 2020 ), have been reported. The uptake of the technology seems to be associated with the more frequent use of up-to-date pain relief procedures, such as patient-controlled analgesia (PCA) (Tawfic et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…As the technology evolved, the involvement of other health professionals, such as pharmacists, surgeons, physiotherapists, psychiatrists, and psychologists, has also been recommended by various guidelines (Sinatra 2010 ; Upp et al 2013 ; Rockett et al 2017 ). Nevertheless, the structure and composition of APS can vary depending on the health system context (Sinatra 2010 ; Stamer et al 2020 ; Tawfic et al 2021 ). An APS should provide a 24/7 service, develop pain management protocols, train the health care staff and patients, and regularly assess and document pain as well as organize clinical audits on a regular basis (Stamer et al 2002 , 2020 ; Upp et al 2013 ).…”

Section: Introductionmentioning

confidence: 99%

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Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals

Lovasi,

Gaál,

Frank

et al. 2024

Perioper Med

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Background Postoperative pain management is an important part of surgical care, where Acute Pain Service offers added value in terms of patient outcomes and costs. The technology, however, has hardly been adopted in Hungary, with only two hospitals operating Acute Pain Service and whose performance has not been evaluated yet. This research compared pain management outcomes of surgical, orthopedic, and traumatology patients in Hungarian hospitals with and without Acute Pain Service. Methods We recruited 348 patients, 120 in the APS group and 228 in the control group, whose experience was surveyed with an adapted version of the American Pain Society Patient Outcome Questionnaire. The questionnaire covered pain intensity, pain interference with physical and emotional functions, side effects, patient satisfaction, information received, and participation in treatment decisions. The differences were analyzed by Fisher’s exact test and Mann–Whitney U test. Results The APS group showed better results with lower pain intensity scores regarding worst postoperative pain (χ2 = 18.919, p = 0.0043). They reported less pain interference with activities in bed (χ2 = 21.978, p = 0.0006) and out of bed (χ2 = 14.341, p = 0.0129). Furthermore, patients in the APS group experienced fewer pain-management-related side effects, like nausea (χ2 = 15.240, p = 0.0101), drowsiness (χ2 = 26.965, p = 0.0001), and dizziness (χ2 = 13.980, p = 0.0124). However, patient information (χ2 = 3.480, p = 0.0945) and patient satisfaction (χ2 = 5.781, p = 0.2127) did not differ significantly between the two groups. Conclusions Our findings confirm earlier international evidence on the benefits of Acute Pain Service in postoperative pain management and support the wider adoption of the technology in Hungarian hospitals. Nevertheless, close attention should be paid to patient information and involvement as better outcomes alone do not necessarily increase patient satisfaction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals

Lovasi,

Gaál,

Frank

et al. 2024

Perioper Med

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The effect of pharmacist-initiated perioperative multidisciplinary pharmaceutical care model and clinical pathway on pain management in patients undergoing orthopedic surgery: a before-after study

Wang,

Liu,

Feng

et al. 2023

Int J Clin Pharm

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Evaluating clinical pharmacists’ involvement in postoperative acute pain services: a multicenter survey in Guangdong Province, China

Lu,

Chen,

et al. 2023

Front. Pharmacol.

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Objective: Postoperative pain management is an important part of surgical pharmacy. Postoperative acute pain services in China are in their initial stages. This survey aimed to investigate the attitudes, involvement, and knowledge of clinical pharmacists in China regarding postoperative acute pain services. The results can provide valuable information to guide clinical pharmacists in developing targeted strategies to improve their postoperative acute pain service capabilities.Methods: A questionnaire was distributed to the pharmacy departments of 133 grade A tertiary hospitals in Guangdong province, and the responses were collected electronically.Results: 123 completed questionnaires were collected from clinical pharmacists. Although 95.93% of clinical pharmacists believed they should participate in postoperative pain services, only 62.6% reported substantial involvement. Overall satisfaction with the postoperative pain service was 93.5%. Understanding of non-steroidal anti-inflammatory drugs and opioid analgesics by clinical pharmacists was comparable (p > 0.05). Furthermore, 98.37% of clinical pharmacists desired systematic learning in postoperative pain management, and 40.65% expressed a strong need.Conclusion: Clinical pharmacists in China demonstrate a positive attitude toward participating in postoperative acute pain services. However, the actual level of involvement was concerning, and the lack of systematic training and well-established work protocols may be contributing factors. Efforts should be made to establish comprehensive and standardized processes and work protocols for postoperative acute pain services and provide systematic and hierarchical professional training to enhance clinical pharmacists’ capabilities in postoperative acute pain services.

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A survey of acute pain service in Canadian teaching hospitals

Cited by 3 publications

References 16 publications

Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals

Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals

The effect of pharmacist-initiated perioperative multidisciplinary pharmaceutical care model and clinical pathway on pain management in patients undergoing orthopedic surgery: a before-after study

Evaluating clinical pharmacists’ involvement in postoperative acute pain services: a multicenter survey in Guangdong Province, China

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