ArticlePloS one2019
Quality of postoperative pain management in Ethiopia: A prospective longitudinal study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 60 citations in OpenAlex.
- Patient satisfaction with postoperative pain management among adult surgical patients in Ethiopia: the role of analgesia waiting time, multimodal analgesia, and patient-provider communication.BMC anesthesiology · 2026Article
- Adequacy of pain management and its predictors following cesarean section: a longitudinal data analysis using a generalized estimating equation model.Scientific reports · 2026Article
- Impact of an algorithm-based postoperative pain management in patients undergoing abdominal surgery-A prospective interventional study.Journal of education and health promotion · 2026Article
- Differentiating network structures and sex differences of pain-related outcomes, analgesic opioid dosages, and psychosocial factors for postoperative management: a study of PAIN OUT registry in seven Asian regions.Global health research and policy · 2025Article
- Knowledge, Attitude, Practice, and Associated Factors of Postoperative Pain Management Among Nurses.Pain research & management · 2025Article
- Pain expectations, experiences and coping strategies used by post-operative patients: A descriptive phenomenological study.PloS one · 2025Article
- Prevalence and associated factors of acute postoperative pain in adult surgical patients: A prospective study.Surgery in practice and science · 2024Article
- Article
- Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals.Perioperative medicine (London, England) · 2024Article
- Acute postoperative pain prevalence and intensity in the first 72 hour in Dessie Comprehensive Specialized Hospital, Ethiopia: a prospective single center observational study.Annals of medicine and surgery (2012) · 2024Article
- A Cross-Sectional Study of Anesthesia Safety in Wad Medani, Sudan: A Pre-war Status Indicating a Post-war Crisis.Cureus · 2024Article
- Pain-free hospital implementation: a multidimensional intervention to improve pain management at Wallaga University Referral Hospital, Nekemte, Ethiopia.BMC research notes · 2024Article
- Patients' preferences for delivering bad news in palliative care in Ethiopia: a qualitative study.BMC palliative care · 2023Article
- Incidence and predictors of postoperative severe acute pain within 24 hours after cesarean section performed under spinal anesthesia at public hospitals in West Shoa, Ethiopia, 2022 prospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- Assessment of adequacy and appropriateness of pain management practice among trauma patients at the Ethiopian Aabet Hospital: A prospective observational study.BMC emergency medicine · 2023Observational
- The prevalence and factors associated with acute postoperative pain in elective gynecologic surgical patients at two referral hospitals in Addis Abeba, Ethiopia, 2021: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Modifiable factors associated with a consistently high acute pain trajectory after surgical treatment of traumatic fractures in Ethiopia: a multi-center prospective cohort study.Journal of orthopaedic surgery and research · 2023Observational
- Assessment of patients' satisfaction with the postanesthesia care unit service at University Hospital in Al Khobar, KSA.Journal of Taibah University Medical Sciences · 2023Article
- Review of the Current Situation of Postoperative Pain and Causes of Inadequate Pain Management in Africa.Journal of pain research · 2023Review
- Level of attitude, knowledge and practice of nurses toward postoperative pain management, cross-sectional study.Annals of medicine and surgery (2012) · 2022Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe annual number of surgical operations performed is increasing throughout the world. With this rise in the number of surgeries performed, so too, the challenge of effectively managing postoperative pain. In Africa, there are scanty data available that make use of multi-center data to characterize the quality of postoperative pain management. In this study using a longitudinal data, we have attempted to characterize the quality of postoperative pain management; among patients scheduled for major elective orthopedic, gynecologic and general surgery.
methodsThis prospective longitudinal study evaluated the quality of postoperative pain management in patients undergoing elective general, gynecologic, and orthopedic surgery. We quantified the prevalence of moderate to severe postoperative pain with the International Pain Outcome Questionnaire and the corresponding adequacy of treatment with the pain management index. At four time points after surgery, we estimated pain severity, its physical and emotional interference, and patient satisfaction.
resultsModerate to severe postoperative pain was present in 88.2% of patients, and pain was inadequately treated in 58.4% of these patients. Chronic pain (β = 0.346, 95% CI: 0.212, 0.480) predicted patients' worst pain intensity. Gender was not associated with the worst pain intensity or percentage of time spent in severe pain. Patient's pain intensity did not predicted the level of satisfaction.
conclusionsThe prevalence of moderate to severe postoperative pain and its functional interference is high in Ethiopian patients. The treatment provided to patients is inadequate and not in line with international recommendations and standards.
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