OBJECTIVE: In recent years, there has been increased attention to pain management after surgery in the hospital setting along with financial enticement from the US government. The aim of this study is to evaluate the current efficacy of postoperative pain management. METHODS: In a prospective study, patients in an academic private nonprofit medical center were asked the same questions about their postoperative pain as in a previously published 2003 survey. Questionnaires on 1) pain intensity on a verbal categorical scale and 2) patient satisfaction with pain medication were completed in the patient's room before hospital discharge, and followed-up by telephone interviews at 1 and 2 weeks later. Numerical Pain Scale (NRS) pain scores were obtained at the same time points. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results for pain management were obtained at bedside interview along with standard mailed HCAHPS survey obtained by Press Ganey. RESULTS: Based on 441 surgical inpatients (Orthopedic, General, Neurosurgery, Gynecological) 12% of patients had "Severe-to-Extreme" pain and 54% had "Moderate-to-Extreme" pain at discharge. During the first 2 weeks after discharge, 13% of patients had "Severe-to-Extreme" pain and 46% had "Moderate-to-Extreme" pain. Pain scores at discharge and after discharge were negatively correlated with patient satisfaction with pain medication (P < 0.0001), indicating that increased pain intensity was associated with decreased patient satisfaction. For the HCAHPS question "how often was your pain well controlled?," 66% answered "Always" in the Press Ganey report versus 51% at bedside (P < 0.0001). CONCLUSIONS: The incidence of severe-to-extreme pain in patients before and after discharge following inpatient surgery is 12-13%, and this is a reduction from 10 years ago. Wiley Periodicals, Inc.
OBJECTIVE: In recent years, there has been increased attention to pain management after surgery in the hospital setting along with financial enticement from the US government. The aim of this study is to evaluate the current efficacy of postoperative pain management. METHODS: In a prospective study, patients in an academic private nonprofit medical center were asked the same questions about their postoperative pain as in a previously published 2003 survey. Questionnaires on 1) pain intensity on a verbal categorical scale and 2) patient satisfaction with pain medication were completed in the patient's room before hospital discharge, and followed-up by telephone interviews at 1 and 2 weeks later. Numerical Pain Scale (NRS) pain scores were obtained at the same time points. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results for pain management were obtained at bedside interview along with standard mailed HCAHPS survey obtained by Press Ganey. RESULTS: Based on 441 surgical inpatients (Orthopedic, General, Neurosurgery, Gynecological) 12% of patients had "Severe-to-Extreme" pain and 54% had "Moderate-to-Extreme" pain at discharge. During the first 2 weeks after discharge, 13% of patients had "Severe-to-Extreme" pain and 46% had "Moderate-to-Extreme" pain. Pain scores at discharge and after discharge were negatively correlated with patient satisfaction with pain medication (P < 0.0001), indicating that increased pain intensity was associated with decreased patient satisfaction. For the HCAHPS question "how often was your pain well controlled?," 66% answered "Always" in the Press Ganey report versus 51% at bedside (P < 0.0001). CONCLUSIONS: The incidence of severe-to-extreme pain in patients before and after discharge following inpatient surgery is 12-13%, and this is a reduction from 10 years ago. Wiley Periodicals, Inc.
Authors: Michael L Kent; Patrick J Tighe; Inna Belfer; Timothy J Brennan; Stephen Bruehl; Chad M Brummett; Chester C Buckenmaier; Asokumar Buvanendran; Robert I Cohen; Paul Desjardins; David Edwards; Roger Fillingim; Jennifer Gewandter; Debra B Gordon; Robert W Hurley; Henrik Kehlet; John D Loeser; Sean Mackey; Samuel A McLean; Rosemary Polomano; Siamak Rahman; Srinivasa Raja; Michael Rowbotham; Santhanam Suresh; Bernard Schachtel; Kristin Schreiber; Mark Schumacher; Brett Stacey; Steven Stanos; Knox Todd; Dennis C Turk; Steven J Weisman; Christopher Wu; Daniel B Carr; Robert H Dworkin; Gregory Terman Journal: J Pain Date: 2017-05 Impact factor: 5.820
Authors: Patrick Tighe; François Modave; MaryBeth Horodyski; Matthew Marsik; G Lipori; Roger Fillingim; Hui Hu; Jennifer Hagen Journal: Pain Med Date: 2020-08-01 Impact factor: 3.750
Authors: Terrie Vasilopoulos; Richa Wardhan; Parisa Rashidi; Roger B Fillingim; Margaret R Wallace; Paul L Crispen; Hari K Parvataneni; Hernan A Prieto; Tiago N Machuca; Steven J Hughes; Gregory J A Murad; Patrick J Tighe Journal: Anesthesiology Date: 2021-03-01 Impact factor: 7.892
Authors: Elbert J Mets; Michael R Mercier; Ari S Hilibrand; Michelle C Scott; Arya G Varthi; Jonathan N Grauer Journal: Clin Orthop Relat Res Date: 2020-03 Impact factor: 4.755
Authors: Cameron R Smith; Raheleh Baharloo; Paul Nickerson; Margaret Wallace; Baiming Zou; Roger B Fillingim; Paul Crispen; Hari Parvataneni; Chancellor Gray; Hernan Prieto; Tiago Machuca; Steven Hughes; Gregory Murad; Parisa Rashidi; Patrick J Tighe Journal: Eur J Pain Date: 2020-12-04 Impact factor: 3.931