Patient attitudes regarding pca and associated costs

Badner, Neal H.; Komar, Wendy E.; Craen, Rosemary A.

doi:10.1007/bf03015361

Cited by 15 publications

(3 citation statements)

References 8 publications

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“…In concordance with previous reports [5,17,19,30–32], patients in the current study reported a high rate of satisfaction with the PCA modality of postoperative pain control (as reflected by a median score of 7.5 on the 0–10 scale), regardless of whether the PCA was given epidurally or intravenously. Additionally, when PCA is managed by anesthesiologists, especially those with a focused attention of an acute pain service (as in the current study), patient satisfaction is further enhanced [33].…”

Section: Discussionsupporting

confidence: 92%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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Both techniques, i.v. and epidural PCA, result in high levels of satisfaction. Satisfaction with PCA can be accurately predicted in nearly three of four patients based on initial PCA route and preoperative attitudes. Additionally, maintaining the initial treatment plan can be accurately predicted based on age and preoperative attitudes. Patient expectations about pain relief should be addressed preoperatively, particularly with younger patients, for optimal results.

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Section: Discussionsupporting

confidence: 92%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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“…Patient-controlled analgesia (PCA) is an effective form of analgesia where the patient is in control of his/her own pain relief 8 . However there have been reported side-effects associated with the use of PCA such as respiratory depression 9 as well as nausea and vomiting 10 .…”

mentioning

confidence: 99%

Morphine-Sparing Effect of Ketoprofen after Abdominal Surgery

Rao

Cardosa

Inbasegaran

2000

Anaesth Intensive Care

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In a double-blind, placebo-controlled clinical trial (power of 80% to detect a 30% reduction in morphine consumption, P<0.05), we have determined that the administration of two doses of intravenous ketoprofen 100 mg, one at the end of surgery and the second 12 hours postoperatively, was associated with a significant reduction in morphine consumption at eight (P=0.028), 12 (P=0.013) and 24 hours (P=0.013) but not four hours (P=0.065) postoperatively, as compared to placebo, when assessed by patient-controlled analgesia. There was no difference between the groups in pain scores or in the incidence of nausea and vomiting. One patient in the placebo group suffered from excessive sedation while one patient from the ketoprofen group suffered from transient oliguric renal failure. There were no other adverse effects. The results of this study show that ketoprofen does provide a morphinesparing effect in the management of postoperative pain after abdominal surgery.

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“…Those who had higher degrees of satisfaction showed a greater cost from their presurgical bid [5,6]. In the previous study to determine WTP for hip and knee joint replacement surgery, a significant correlation was found between WTP and degree of satisfaction [7].…”

Section: Discussionmentioning

confidence: 99%

The willingness of patients to pay for intravenous patient-controlled analgesia in Korea

Lim

Lee

et al. 2012

Korean J Anesthesiol

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BackgroundThe use of intravenous patient-controlled analgesia (IV-PCA) has been increasing because it has advantages such as improved pain relief, greater patient satisfaction, and fewer postoperative complications. However, current research has not considered the patients' thoughts about IV-PCA's cost-effectiveness. The purpose of this study was to investigate the willingness to pay (WTP) for IV-PCA and the relationship between patients' characteristics and WTP in Korea.MethodsWe enrolled 400 adult patients who were scheduled for elective surgery. The patient was requested to indicate a series of predefined amounts of money (Korean won; 30,000/50,000/100,000/150,000/200,000/300,000/500,000). We also recorded patient characteristics, such as age, sex, type of surgery, IV-PCA history, education level, the person responsible for medical expenses, type of insurance, net annual income, and residential area. Three days after surgery, we asked about the degree of satisfaction and the WTP for IV-PCA.ResultsFor IV-PCA, the median WTP was 100,000 won (25-75%; 50,000-200,000 won: US$1 = W1078.04; July 19, 2011) before surgery. All patients' characteristics were not related to preoperative WTP for IV-PCA, whereas the increase in WTP after surgery showed a tendency correlated to higher IV-PCA satisfaction.ConclusionsThe median WTP was 100,000 won. The satisfaction of IV-PCA increased patients' WTP after surgery, but the WTP may be independent of patient characteristics in Korea.

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Patient attitudes regarding pca and associated costs

Cited by 15 publications

References 8 publications

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Morphine-Sparing Effect of Ketoprofen after Abdominal Surgery

The willingness of patients to pay for intravenous patient-controlled analgesia in Korea

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