PAIN OUT Helping to Advance Management of Perioperative Pain

Mar 9, 2016

The question of how to improve the quality of care for patients who have undergone surgery has motivated the development of programs of continuous quality assessment in different fields of medicine. Developed in 2009 with funding from the European Commission for use in high-resource countries, PAIN OUT is an international quality-improvement and research program in the field of perioperative pain. Coordinated from Jena University  Hospital in Germany, it offers health-care professionals web-based tools to help them carry out continuous quality assessment.

Here’s how it works: Patients evaluate pain-related outcomes using a questionnaire available in 17 languages. Information about perioperative pain-management practices is abstracted from the patient’s file. The large, continuously growing repository consists of more than 40,000 datasets from hospitals in Europe, the United States, Southeast Asia, and Africa.

Today, PAIN OUT increasingly works with collaborators in low and middle-resource regions, including Kenya, Gaza, Serbia, and Rwanda. Recently, IASP’s International Pain Registry and Developing Countries Working Groups initiated a two-year project  involving PAIN OUT methodology. Participants collected data assessing existing pain-management practices and patient-reported outcomes, planned and implemented interventions, and then collected data once again to evaluate  the interventions. 

Collaborators from eight hospitals in seven countries (China, Phillipines, Malaysia, Serbia, Kosovo, South Afraica, and Nigeria) recently  completed the project, collecting more than 5,000 datasets from 16 surgical wards. Preliminary analyses shows that they were able to identify areas of deficits and success, introduce changes in practice, and assess the effect on outcomes.

At a topical workshop during the upcoming World Congress on Pain in Yokohoma, Drs. Sean Chetty, Ern Ming Lim, and Dusica Stamenkovic will present findings from work they carried out in their institution. Their presentation is titled “Introducing Change in Management of Postoperative pain: Can it Be Done in Developing Countries?” Drs. Adem Bytyqui, Olayinka Olawoye, and Rizza Jane Parico have submitted posters describing their work.

PAIN OUT is now launching a new initiative along similar lines in Mexico. Pfizer Independent Grants for Learning & Change provided funding for a two-year project that will take place in 10 hospitals in coordination with the Instituto Nacional de Ciencias Medicas y Nutricion in Mexico City. The findings and experience from this initiative will be used to create a long-term perioperative pain-management program in Mexico and possibly in South America.

For additional information about PAIN OUT, contact Claudia Weinmann.