{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T16:01:50Z","timestamp":1771257710694,"version":"3.50.1"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PR9"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>The burden of untreated postoperative pain is high.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>This study assessed feasibility of using quality improvement (QI) tools to improve management of perioperative pain in hospitals in multiple developing countries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>The International Pain Registry and Developing Countries working groups, from the International Association for the Study of Pain (IASP), sponsored the project and PAIN OUT, a QI and research network, coordinated it, and provided the research tools. The IASP published a call about the project on its website. Principal investigators (PIs) were responsible for implementing a preintervention and postintervention study in 1 to 2 surgical wards in their hospitals, and they were free to choose the QI intervention. Trained surveyors used standardized and validated web-based tools for collecting findings about perioperative pain management and patient reported outcomes (PROs). Four processes and PROs, independent of surgery type, assessed effectiveness of the interventions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Forty-three providers responded to the call; 13 applications were selected; and PIs from 8 hospitals, in 14 wards, in 7 countries, completed the study. Interventions focused on teaching providers about pain management. Processes improved in 35% and PROs in 37.5% of wards.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The project proved useful on multiple levels. It offered PIs a framework and tools to perform QI work and findings to present to colleagues and administration. Management practices and PROs improved on some wards. Interpretation of change proved complex, site-dependent, and related to multiple factors. PAIN OUT gained experience coordinating a multicentre, international QI project. The IASP promoted research, education, and QI work.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pr9.0000000000000705","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T09:26:39Z","timestamp":1549531599000},"page":"e705","source":"Crossref","is-referenced-by-count":10,"title":["Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries"],"prefix":"10.1097","volume":"4","author":[{"given":"Ruth","family":"Zaslansky","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Jena University Hospital, Jena, Germany"}]},{"given":"C. Richard","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain Research Center, University of Utah, Salt Lake City, UT"}]},{"given":"Philipp","family":"Baumbach","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Jena University Hospital, Jena, Germany"}]},{"given":"Adem","family":"Bytyqi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Prizen Regional Hospital, Prizen, Kosovo"}]},{"given":"Jos\u00e9 M.","family":"Castro Lopes","sequence":"additional","affiliation":[{"name":"Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Sean","family":"Chetty","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Rahima Moosa Mother and Child Hospital, Bedfordview, South Africa"}]},{"given":"Andreas","family":"Kopf","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Charite, Campus Benjamin Franklin, Berlin, Germany"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China"}]},{"given":"Lim","family":"Ern Ming","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia"}]},{"given":"Olayinka","family":"Olawoye","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria"}]},{"given":"Jane","family":"Rizza Parico","sequence":"additional","affiliation":[{"name":"Department of Hospice and Palliative Care, Centre for Palliative Care, Ibadan, Nigeria"}]},{"given":"Olaitan","family":"Soyannwo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Military Hospital, Belgrade, Serbia"}]},{"given":"Dusica","family":"Stamenkovic","sequence":"additional","affiliation":[{"name":"Department of Hospice and Palliative Care, Centre for Palliative Care, Ibadan, Nigeria"}]},{"given":"Hongwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Military Hospital, Belgrade, Serbia"}]},{"given":"Winfried","family":"Meissner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Jena University Hospital, Jena, Germany"}]}],"member":"276","published-online":{"date-parts":[[2019,1]]},"reference":[{"key":"R1-20230824","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1213\/00000539-200301000-00038","article-title":"An intervention study to enhance postoperative pain 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