2 research outputs found
Patients' perception of postoperative pain management: validation of the International Pain Outcomes (IPO) questionnaire
UNLABELLED: PAIN OUT is a European Commission-funded project aiming at improving postoperative pain management. It combines a registry that can be useful for quality improvement and research using treatment and patient-reported outcome measures. The core of the project is a patient questionnaire-the International Pain Outcomes questionnaire-that comprises key patient-level outcomes of postoperative pain management, including pain intensity, physical and emotional functional interference, side effects, and perceptions of care. Its psychometric quality after translation and adaptation to European patients is the subject of this validation study. The questionnaire was administered to 9,727 patients in 10 languages in 8 European countries and Israel. Construct validity was assessed using factor analysis. Discriminant validity assessment used Mann-Whitney U tests to detect mean group differences between 2 surgical disciplines. Internal consistency reliability was calculated as Cronbach's alpha. Factor analysis resulted in a 3-factor structure explaining 53.6% of variance. Cronbach's alpha at overall scale level was high (.86), and for the 3 subscales was low, moderate, or high (range, .53-.89). Significant mean group differences between general and orthopedic surgery patients confirmed discriminant validity. The psychometric quality of the International Pain Outcomes questionnaire can be regarded as satisfactory. PERSPECTIVE: The International Pain Outcomes questionnaire provides an instrument for postoperative pain assessment and improvement of quality of care, which demonstrated good psychometric quality when translated into a variety of languages in a large European and Israeli patient population. This measure provides the basis for the first comprehensive postoperative pain registry in Europe and other countries
PAIN OUT: an international acute pain registry supporting clinicians in decision making and in quality improvement activities
Rationale, aims and objectives:
Management of postâoperative pain is unsatisfactory worldwide. An estimated 240 million patients undergo surgery each year. Forty to 60% of these patients report clinically significant pain. Discrepancy exists between availability of evidenceâbased medicine (EBM)âderived knowledge about management of perioperative pain and increased implementation of related practices versus lack of improvement in patientâreported outcomes (PROs). We aimed to assist health care providers to optimize perioperative pain management by developing and validating a medical registry that measures variability in care, identifies best pain management practices and assists clinicians in decision making.
Methods:
PAIN OUT was established from 2009 to 2012 with funding from the European Commission. It now continues as a selfâsustaining, notâforâprofit project, targeting health care professionals caring for patients undergoing surgery.
Results:
The growing registry includes data from 40â898 patients, 60 hospitals and 17 countries. Collaborators upload data (demographics, clinical, PROs) from patients undergoing surgery in their hospital/ward into an Internetâbased portal. Two modules make use of the data: (1) online, immediate feedback and benchmarking compares PROs across sites while offline analysis permits inâdepth analysis; and (2) the caseâbased clinical decision support system offers practiceâbased treatment recommendations for individual patients; it is available now as a prototype. The Electronicâ
Knowledgeâ
Library provides succinct summaries on perioperative pain management, supporting knowledge transfer and application of EBM.
Conclusion:
PAIN OUT, a large, growing international registry, allows use of ârealâlifeâ data related to management of perioperative pain. Ultimately, comparative analysis through audit, feedback and benchmarking will improve quality of care