{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:39:08Z","timestamp":1780069148386,"version":"3.54.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,5]],"date-time":"2017-03-05T00:00:00Z","timestamp":1488672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Spanish Pain Society (SED)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although the need for structured assessment and management of acute postoperative pain has been recognized, practices and responsibilities vary between and within hospitals and countries. We sought to determine current pain management practices in Spanish hospitals with and without acute pain services (<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>s) or acute pain management programmes (<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>s) and compare them to practices reported for 1997\u20131998.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Members of the Spanish Pain Society and<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>heads were asked to respond to a survey. Responses were stratified by hospital size (&lt; 200 or \u2265 200 beds) and<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>presence or not. Categorical variables were described by percentages and the 95% confidence interval and continuous ones by the median and interquartile range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses were received from 42.4% of hospitals with \u2265 200 beds (vs. 9.6% of the smaller ones). We fully analysed only data for the larger hospitals, 57.7% of which had an<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>or<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>. Full\u2010time pain physicians were on staff in 28.6% of large hospitals; 25% had full\u2010time nurses. Patients received written information about postoperative pain in 34.8% of<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>hospitals, and 72% of them recorded pain assessments routinely. Protocols reflected interdepartmental consensus in 80.8%; training in postoperative pain was organised in 54%. Respondents thought pain was well or very well managed in 46.4%. In<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>hospitals the following results had improved: provision of written information for patients (58.5% vs. 0%), the recording of pain assessments (93% vs. 43.8%), consensus on a pain scale (92.5% vs. 41.9%), use of protocols (99.7% vs. 55.2%), analysis of quality indicators (52.8% vs. 15.4%), training (73% vs. 26.9%), and respondents\u2019 satisfaction with pain management in their hospital (68.6% vs. 9.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The presence of an<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>or<jats:styled-content style=\"fixed-case\">APMP<\/jats:styled-content>is associated with better results on indicators of quality of acute postoperative pain management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12876","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T02:06:44Z","timestamp":1488766004000},"page":"480-491","source":"Crossref","is-referenced-by-count":17,"title":["Management of postoperative pain in Spain: a nationwide survey of practice"],"prefix":"10.1111","volume":"61","author":[{"given":"A.","family":"Montes","sequence":"first","affiliation":[{"name":"Pain Clinic Department of Anaesthesiology Parc de Salut MAR Fundaci\u00f3 IMIM Neurosciences Programme Perioperative Medicine Research Group Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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C.","family":"Benito","sequence":"additional","affiliation":[{"name":"Acute Pain Service Hospital General Gregorio Mara\u00f1\u00f3n Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Caba","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Hospital Nuestra Se\u00f1ora de Valme Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Margarit","sequence":"additional","affiliation":[{"name":"Pain Clinic Department of Anaesthesiology Hospital General Universitario de Alicante Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Acute Pain Group of the Spanish Pain Society (SED)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,5]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"95","article-title":"Postoperative pain [Editorial]","volume":"4","author":"Anonymus","year":"1976","journal-title":"Anaesth Intensive Care"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.12.008"},{"key":"e_1_2_7_4_1","unstructured":"Joint Commission on Accreditation of Healthcare Organizations.Pain assessment and management standards\u2010Hospitals. 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