Evidence map›Paper›PMID 19561807›Full record

ArticleDeutsches Arzteblatt international2008

Quality improvement in postoperative pain management: results from the QUIPS project.

Winfried Meissner, Swantje Mescha, Judith Rothaug, Sibylle Zwacka, Antje Goettermann, Kristin Ulrich, Alexander Schleppers

Registry-linked trialAbstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06701175 (Anterolateral Geniculate Nerve Block and Portal Anesthesia in Knee Arthroscopy for Pain Control), which is not on this map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06701175 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

Anterolateral Geniculate Nerve Block and Portal Anesthesia in Knee Arthroscopy for Pain Control: A Randomized Control Trial

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2025 to 2026Enrolled0ConditionsKnee ArthroscopyArmsNerve Block, Portal Anesthesia
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Winfried MeissnerKlinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität Jena, Jena, Germany. meissner@med.uni-jena.de
Swantje Mescha
Judith Rothaug
Sibylle Zwacka
Antje Goettermann
Kristin Ulrich
Alexander Schleppers

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute postoperative pain management is still far from satisfactory despite the availability of high-quality guidelines and advanced pain management techniques.

methodsAn outcome-oriented project called QUIPS (Quality Improvement in Postoperative Pain Management) was developed, consisting of standardized data acquisition and an analysis of quality and process indicators.

resultsAfter validation of the questionnaire, a total of 12 389 data sets were collected from 30 departments in six participating hospitals. Improved outcomes (reduction in pain intensity) were observed in four of the six hospitals. The most painful operations, in the patients' judgment, were traumatological and orthopedic procedures, as well as laparoscopic appendectomy. Traditional process indicators, such as routine pain documentation, were only poorly correlated with outcomes. DISCUSSION: QUIPS shows that outcomes in postoperative pain management can be measured and compared in routine clinical practice. This may lead to improved care. QUIPS reveals which operations are the most painful. Quality improvement initiatives should use as few resources as possible, measure the quality of the outcomes, and provide rapid feedback. Structural and process parameters should be continuously reevaluated to determine their suitability as indicators of quality.

Indexed as

benchmarkingpostoperative painpostoperative phasequality managementQUIPS

Identifiers

PMID19561807
PMCPMC2689629

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.