Evidence map›Paper›PMID 39468775›Full record

Observational studyAnaesthesia2025

Patient-reported outcomes, postoperative pain and pain relief after day case surgery (POPPY): methodology for a prospective, multicentre observational study.

William M Hare, Martha Belete, Adam B Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Observational
  6. Article
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

9 authors.

William M HareSouth West Anaesthesia Research Matrix, UK.
Martha BeleteTorbay and South Devon NHS Foundation Trust, Torbay, UK.
Adam B BrayneSouth West Anaesthesia Research Matrix, UK.ORCID 0000-0002-2000-9251
Harriet DaykinSouth West Anaesthesia Research Matrix, UK.
Matthew EversonSouth West Anaesthesia Research Matrix, UK.
Anna RatcliffeSouth West Anaesthesia Research Matrix, UK.
Katie SamuelNorth Bristol NHS Trust, Bristol, UK.
Lexy SorrellFaculty of Health, University of Plymouth, Plymouth, UK.
Mark RockettUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.

Funding

Association of Anaesthetists of Great Britain WKR0-2022-0008British Association of Day Surgery (BADS)University Hospitals Plymouth NHS Trust
6 · The paper itself

Abstract

backgroundIn the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. The Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study was a national prospective multicentre observational study, measuring short- and longer-term patient-reported outcomes, postoperative pain and pain relief after day-case surgery.

methodsThis was a collaborative project led by resident anaesthetists under the Research and Audit Federation of Trainees umbrella. Adult day-case surgical patients were recruited on the day of surgery. Baseline data including patient characteristics; procedure details; pre-operative analgesic use; pre-existing pain; and quality of life scores were recorded. Patients were followed up through automated short message service messages. Short-term (postoperative days 1, 3 and 7) outcomes included: quality of recovery; pain severity; impact of pain on function; and analgesic use. Longer-term outcomes (postoperative day 97) included: quality of life; analgesic use; incidence of chronic post-surgical pain; and incidence persistent postoperative opioid use. Additional outcomes were completed by those patients with chronic post-surgical pain and persistent postoperative opioid use, with 30 patients recruited to a qualitative semi-structured interview study exploring postoperative expectations, recovery, postoperative pain and opioid use.

resultsAn embedded pilot study at four sites recruited 129 patients. Responses to the automated short message service were gained from 129 patients (100%) at day 1; 116 (89.9%) at day 3; 108 (83.7%) at day 7; and 77 (59.7%) at day 97 postoperatively. The pilot enabled refinement of the methods and processes before the national roll out.

conclusionThis paper outlines the methods for the POPPY study, the largest UK multicentre prospective observational study considering short- and longer-term outcomes following day-case surgery.

Indexed as

Ambulatory Surgical ProceduresPatient Reported Outcome MeasuresPostoperative PainAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementProspective StudiesQuality of LifeUnited KingdomAnalgesics, Opioidchronic painday surgerypainpatient‐reported outcome measuresrecovery

Identifiers

PMID39468775
PMCPMC11617135

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.