PAIN OUT: an international acute pain registry supporting clinicians in decision making and in quality improvement activities
Corresponding Author
Ruth Zaslansky DSc
Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Correspondence
Dr Ruth Zaslansky
Department of Anesthesiology and Intensive Care
Friedrich-Schiller University Hospital
D-07740 Jena
Germany
E-mail: [email protected]
Search for more papers by this authorJudith Rothaug PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorRichard C. Chapman PhD
Researcher
Pain Research Center, Department of Anesthesiology, University of Utah, Salt Lake City, UT, USA
Search for more papers by this authorRagnar Backström MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Örebro, Örebro, Sweden
Search for more papers by this authorSilviu Brill MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Sourasky Medical Center, Tel-Aviv, Israel
Search for more papers by this authorChristoph Engel MD
Researcher
Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
Search for more papers by this authorDominique Fletcher MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Raymond Poincaré Hospital, Garches, France
Search for more papers by this authorLucian Fodor MD
Clinician and Researcher
Plastic and Reconstructive Surgery, Cluj University Hospital, Cluj, Romania
Search for more papers by this authorPeter Funk PhD
Researcher
School of Innovation, Design and Engineering, Mälardalen University, Västerås, Sweden
Search for more papers by this authorDebra Gordon DNP
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University of Washington Harborview Medical Center, Seattle, WA, USA
Search for more papers by this authorMarcus Komann PhD
Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorChristoph Konrad MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Kantonsspital, Lucerne, Switzerland
Search for more papers by this authorAndreas Kopf MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany
Search for more papers by this authorYigal Leykin MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Santa Maria Degli Angeli, University of Trieste and Udine, Pordenone, Italy
Search for more papers by this authorEsther Pogatzki-Zahn MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Muenster, Muenster, Germany
Search for more papers by this authorMargarita Puig MD PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, IMIM-Hospital del Mar-Universitat Autònoma de Barcelona, Barcelona, Spain
Search for more papers by this authorNarinder Rawal MD PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Örebro, Örebro, Sweden
Search for more papers by this authorMatthias Schwenkglenks PhD
Researcher
Institute of Pharmaceutical Medicine (ECPM), University of Basel, Basel, Switzerland
Search for more papers by this authorRod S. Taylor PhD
Researcher
Exeter Medical School, University of Exeter, Exeter, UK
Search for more papers by this authorKristin Ullrich MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Queen Mary and Westfield College, University of London, London, UK
Search for more papers by this authorThomas Volk MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Saarland University Hospital, Homburg, Germany
Search for more papers by this authorMaryam Yahiaoui-Doktor MSc
Researcher
Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
Search for more papers by this authorWinfried Meissner MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorCorresponding Author
Ruth Zaslansky DSc
Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Correspondence
Dr Ruth Zaslansky
Department of Anesthesiology and Intensive Care
Friedrich-Schiller University Hospital
D-07740 Jena
Germany
E-mail: [email protected]
Search for more papers by this authorJudith Rothaug PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorRichard C. Chapman PhD
Researcher
Pain Research Center, Department of Anesthesiology, University of Utah, Salt Lake City, UT, USA
Search for more papers by this authorRagnar Backström MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Örebro, Örebro, Sweden
Search for more papers by this authorSilviu Brill MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Sourasky Medical Center, Tel-Aviv, Israel
Search for more papers by this authorChristoph Engel MD
Researcher
Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
Search for more papers by this authorDominique Fletcher MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Raymond Poincaré Hospital, Garches, France
Search for more papers by this authorLucian Fodor MD
Clinician and Researcher
Plastic and Reconstructive Surgery, Cluj University Hospital, Cluj, Romania
Search for more papers by this authorPeter Funk PhD
Researcher
School of Innovation, Design and Engineering, Mälardalen University, Västerås, Sweden
Search for more papers by this authorDebra Gordon DNP
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University of Washington Harborview Medical Center, Seattle, WA, USA
Search for more papers by this authorMarcus Komann PhD
Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorChristoph Konrad MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Kantonsspital, Lucerne, Switzerland
Search for more papers by this authorAndreas Kopf MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany
Search for more papers by this authorYigal Leykin MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Santa Maria Degli Angeli, University of Trieste and Udine, Pordenone, Italy
Search for more papers by this authorEsther Pogatzki-Zahn MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Muenster, Muenster, Germany
Search for more papers by this authorMargarita Puig MD PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, IMIM-Hospital del Mar-Universitat Autònoma de Barcelona, Barcelona, Spain
Search for more papers by this authorNarinder Rawal MD PhD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, University Hospital Örebro, Örebro, Sweden
Search for more papers by this authorMatthias Schwenkglenks PhD
Researcher
Institute of Pharmaceutical Medicine (ECPM), University of Basel, Basel, Switzerland
Search for more papers by this authorRod S. Taylor PhD
Researcher
Exeter Medical School, University of Exeter, Exeter, UK
Search for more papers by this authorKristin Ullrich MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Queen Mary and Westfield College, University of London, London, UK
Search for more papers by this authorThomas Volk MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Saarland University Hospital, Homburg, Germany
Search for more papers by this authorMaryam Yahiaoui-Doktor MSc
Researcher
Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
Search for more papers by this authorWinfried Meissner MD
Clinician and Researcher
Department of Anesthesiology and Intensive Care, Friedrich-Schiller University Hospital, Jena, Germany
Search for more papers by this authorAbstract
Rationale, aims and objectives
Management of post-operative 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 evidence-based medicine (EBM)-derived knowledge about management of perioperative pain and increased implementation of related practices versus lack of improvement in patient-reported 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 self-sustaining, not-for-profit project, targeting health care professionals caring for patients undergoing surgery.
Results
The growing registry includes data from 40 898 patients, 60 hospitals and 17 countries. Collaborators upload data (demographics, clinical, PROs) from patients undergoing surgery in their hospital/ward into an Internet-based portal. Two modules make use of the data: (1) online, immediate feedback and benchmarking compares PROs across sites while offline analysis permits in-depth analysis; and (2) the case-based clinical decision support system offers practice-based treatment recommendations for individual patients; it is available now as a prototype. The Electronic Knowledge 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 ‘real-life’ data related to management of perioperative pain. Ultimately, comparative analysis through audit, feedback and benchmarking will improve quality of care.
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