Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey

Abstract

Objective: During the past two decades, professional associations, accrediting bodies, and payors have made postsurgical pain treatment a high priority. In light of the disappointing findings in previous surveys, a survey was conducted to assess patient perceptions and characterize patient experiences/levels of satisfaction with post-surgical pain management. Research design and methods:Survey included a random sample of US adults who had undergone surgery within 5 years from the survey date. Participants were asked about their concerns before surgery, severity of perioperative pain, pain treatments, perceptions about post-surgical pain and pain medications, and satisfaction with treatments they received. Results:Of the 300 participants, 86% experienced pain after surgery; of these, 75% had moderate/extreme pain during the immediate post-surgical period, with 74% still experiencing these levels of pain after discharge. Post-surgical pain was the most prominent pre-surgical patient concern, and nearly half reported they had high/very high anxiety levels about pain before surgery. Approximately 88% received analgesic medications to manage pain; of these, 80% experienced adverse effects and 39% reported moderate/severe pain even after receiving their first dose. Study limitations:Key study limitations include the relatively small population size, potential for recall bias associated with the 14-month average time delay from surgery date to survey date, and the inability to account for influences of type of surgery and intraoperative anesthetic/analgesic use on survey results. Conclusions:Despite heightened awareness and clinical advancements in pain management, there has been little improvement in post-surgical analgesia as measured by this survey of post-surgical patients.

Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways

“…Despite increased awareness and clinical advancements, however, there has been limited improvement in control of post-surgical pain. 15 A recent study found that more than 80% of patients still experience pain after surgery, and 75% of those have moderate to extreme pain in the immediate postoperative period. It is therefore hardly surprising that post-surgical pain is the patient's greatest concern before surgery.…”

“…It is therefore hardly surprising that post-surgical pain is the patient's greatest concern before surgery. 15 Hence, there is paramount importance in harnessing multimodal techniques to achieve effective analgesia. With an emphasis on multimodal analgesia, this review covers techniques to optimize pain management and thus facilitate enhanced post-surgical recovery.…”

Peri-operative Pain Management in Chronic Opioid Users and Unhabituated Patients

“…24,25 Less than half of patients who undergo surgery report adequate post-operative pain relief. 24 Inadequately controlled pain negatively affects quality of life (QoL), function, functional recovery, the risk of post-surgical complications, and the risk of persistent postsurgical pain.…”

Ketaminas Pooperaciniam Skausmui Gydyti

“…Net 75 proc. iš jų skausmą apibūdina kaip vidutinio sunkumo, sunkų ar nepakeliamą [1,2]. Šios studijos patvirtina, kad šis pooperacinis skausmas vis dar yra gydomas netinkamai.…”