Evidence map›Paper›PMID 41906195›Full record

Observational studyAnaesthesia2026

Patient-reported outcomes, postoperative pain and pain relief after day-case surgery (POPPY): short-term peri-operative analgesic use.

Anna Ratcliffe, Martha Belete, Adam B Brayne, Harriet Daykin, Matthew Everson, William M Hare, Katy Samuel, Lexy Sorrell, POPPY Study Delivery Group, Mark Rockett and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Anna RatcliffeDepartment of Anaesthesia and Pain Medicine, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Martha BeleteDepartment of Anaesthetics, Torbay and South Devon NHS Foundation Trust, Torbay, Devon, UK.
Adam B BrayneDepartment of Anaesthesia and Pain Medicine, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Harriet DaykinSouth West Anaesthesia Research Matrix, UK.
Matthew EversonSouth West Anaesthesia Research Matrix, UK.
William M HareSouth West Anaesthesia Research Matrix, UK.
Katy SamuelNorth Bristol NHS Trust, Bristol, UK.
Lexy SorrellFaculty of Health, University of Plymouth, Plymouth, UK.
POPPY Study Delivery Group
Mark RockettDepartment of Anaesthesia and Pain Medicine, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Research and Audit Federation of Anaesthetists in Training

Funding

British Association of Day SurgeryNational Institute of Academic Anaesthesia NIAA22R203NHS TrustsPenARCPeninsula PGME School of AnaesthesiaResearch and Audit Federation of Anaesthetists in Training (RAFT)South West Anaesthesia Research MatrixUniversity Hospitals Plymouth NHS Trust Charitable Trust
6 · The paper itself

Abstract

introductionAn increasing proportion of complex surgical procedures are being performed in the UK as day-cases, with variable and limited follow up. Discharge prescriptions must provide adequate analgesia, while considering the safety of the patient and public, following best practice guidance and good opioid stewardship.

methodsData were collected by the POPPY study, a national, prospective, observational study measuring short- and longer-term patient-reported outcomes relating to postoperative pain and pain relief after day-case surgery in adults. We aimed to describe pre-operative and early postoperative analgesia in the first 7 days following surgery alongside describing prescribing practices; analgesic use; patient satisfaction with pain relief; and the need for further healthcare support for pain management.

resultsOf the 7839 patients recruited, 1985 (25.3%) were taking opioid analgesics pre-operatively, of whom 1366 (68.8%) reported pain of more than 3 months duration. After surgery, 3628 (46.4%) patients received opioid analgesics and 1229 (25.9%) reported taking opioid analgesics on day 7. Of those patients prescribed opioids after surgery, 474 (22.8%) reported never taking them. Over three-quarters of patients (3876, 76.7%) reported being satisfied with their analgesia, but 922 (18.2%) sought further help for pain relief, most commonly from their GP. Patients taking postoperative opioids reported higher pain scores; lower satisfaction scores; lower quality of recovery scores; and had higher rates of seeking help to manage pain after discharge. DISCUSSION: Most patients were satisfied with pain relief after surgery but a large proportion were still taking opioid medications on day 7. Nearly 1 in 5 patients sought additional help for pain relief, potentially constituting a significant burden on community health services. These findings suggest improvements could be made in the systems for day-case patient support after discharge.

Indexed as

Ambulatory Surgical ProceduresAnalgesicsPain ManagementPatient Reported Outcome MeasuresPostoperative PainAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedPain MeasurementPatient SatisfactionProspective StudiesUnited KingdomAnalgesicsAnalgesics, Opioidday surgeryopioid analgesicspain managementpatient reported outcome measurespatient satisfaction

Identifiers

PMID41906195
PMCPMC13352583

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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.