ArticleDeutsches Arzteblatt international2017
The Quality of Postoperative Pain Therapy in German Hospitals.
Article in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Leveraging sociological systems theory: integrating transformational leadership and social capital to enhance quality of care - an exploratory longitudinal study of German hospitals.BMC health services research · 2026Article
- Pain in Hospital: A Real-Word Data Analysis.Nursing open · 2025Article
- Article
- Operation-specific risk of postoperative nausea: a cross-sectional study comparing 72 procedures.BMJ open · 2024Article
- Pain After Outpatient Surgical Procedures.Deutsches Arzteblatt international · 2024Observational
- [Dealing with "complex" pain patients in eye surgery : Perioperative management of patients with pre-existing chronic pain, opioid consumption and opioid use disorder].Die Ophthalmologie · 2023Review
- [Principles of acute pain therapy-An overview taking special features in the patient collective of ophthalmology into consideration].Die Ophthalmologie · 2023Review
- [Identifying patients with risk for severe pain after ophthalmological surgery].Die Ophthalmologie · 2023Review
- [Resolution of the Federal Joint Committee on the mandatory introduction and implementation of acute pain management concepts-Importance and consequences for ophthalmology].Die Ophthalmologie · 2023Article
- Status of inpatient pain therapy using the example of a general and abdominal surgery normal ward - a prospective questionnaire study to review a pain therapy algorithm ("real-world data").Innovative surgical sciences · 2023Article
- Measurement of Postoperative Quality of Pain in Abdominoplasty Patients-An Outcome Oriented Prospective Study.Journal of clinical medicine · 2023Article
- [Applicability of QUIKS in conservatively treated tumor inpatients].Schmerz (Berlin, Germany) · 2022Article
- [The guidelines of the Federal Joint Committee on acute pain management : Background and consequences for the practice in hospitals].Die Anaesthesiologie · 2022Review
- [For a better and safer acute pain treatment in the future : An interdisciplinary challenge].Die Anaesthesiologie · 2022Article
- [Pain management in departments of internal medicine : Results of a national survey on structures and processes of care].Schmerz (Berlin, Germany) · 2021Article
- Acute postoperative pain in 23 procedures of gynaecological surgery analysed in a prospective open registry study on risk factors and consequences for the patient.Scientific reports · 2021Article
- Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry.Journal of clinical medicine · 2021Article
- Towards Better Perioperative Pain Management in Mexico: A Study in a Network of Hospitals Using Quality Improvement Methods from PAIN OUT.Journal of pain research · 2021Article
- [Long-term outcome of perioperative pain therapy assessed based on routine data (LOPSTER)].Der Anaesthesist · 2020Article
- [Quality improvement in conservative pain management (QUIKS) : A module of the QUIPS project for benchmarking of pain treatment in patients with nonoperative care].Schmerz (Berlin, Germany) · 2020Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMany patients in German hospitals complain of inadequate treatment of their postoperative pain. Hospital-related structural and procedural variables may affect pain perception and patient satisfaction. We studied the association of individual variables with outcome quality.
methodsData from the years 2011 to 2014 from the world's largest acute pain registry (QUIPS) were evaluated. The analysis was performed with mixed linear regression models.
resultsWe studied registry data from 138 German hospitals concerning four commonly performed types of operations (total number of operations, 21 114) and found that the intensity of pain, functional impairment, and satisfaction with postoperative pain therapy were all highly variable from one hospital to another. Patients in university hospitals complained more often than those in standard care facilities of highly intense pain (odds ratio [OR] 2.44; 95% con - fidence interval [CI] [1.18; 5.04]) and dissatisfaction (OR 3.58 [1.85; 6.93]). In specialized centers as well, pain intensity (OR 1.39 [1.06; 1.83]) and dissatisfaction (OR 1.59 [1.25; 2.02]) were higher. Pain-related limitation of movement was also reported more commonly in university hospitals (OR 2.12 [0.87; 5.16]) and specialized centers (OR 1.87 [1.33; 2.65]) than in standard care facilities. Less pain-related limitation of movement and higher satisfaction were reported in hospitals in which pain was documented in the patients' charts and the patients felt adequately informed about the treatment options.
conclusionThe current state of postoperative pain therapy leaves much room for improvement. Quality indicators in the field of acute pain medicine might help improve patient care.
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