{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:47:58Z","timestamp":1789559278776,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012373","name":"National Institute of Academic Anaesthesia","doi-asserted-by":"publisher","award":["NIAA22R203"],"award-info":[{"award-number":["NIAA22R203"]}],"id":[{"id":"10.13039\/100012373","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019219","name":"National Institute for Health Research Applied Research Collaboration South West Peninsula","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019219","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>An increasing proportion of complex surgical procedures are being performed in the UK as day\u2010cases, with variable and limited follow up. Discharge prescriptions must provide adequate analgesia, while considering the safety of the patient and public, following best practice guidance and good opioid stewardship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected by the POPPY study, a national, prospective, observational study measuring short\u2010 and longer\u2010term patient\u2010reported outcomes relating to postoperative pain and pain relief after day\u2010case surgery in adults. We aimed to describe pre\u2010operative and early postoperative analgesia in the first 7\u2009days following surgery alongside describing prescribing practices; analgesic use; patient satisfaction with pain relief; and the need for further healthcare support for pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 7839 patients recruited, 1985 (25.3%) were taking opioid analgesics pre\u2010operatively, of whom 1366 (68.8%) reported pain of more than 3\u2009months duration. After surgery, 3628 (46.4%) patients received opioid analgesics and 1229 (25.9%) reported taking opioid analgesics on day 7. Of those patients prescribed opioids after surgery, 474 (22.8%) reported never taking them. Over three\u2010quarters of patients (3876, 76.7%) reported being satisfied with their analgesia, but 922 (18.2%) sought further help for pain relief, most commonly from their GP. Patients taking postoperative opioids reported higher pain scores; lower satisfaction scores; lower quality of recovery scores; and had higher rates of seeking help to manage pain after discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Most patients were satisfied with pain relief after surgery but a large proportion were still taking opioid medications on day 7. Nearly 1 in 5 patients sought additional help for pain relief, potentially constituting a significant burden on community health services. These findings suggest improvements could be made in the systems for day\u2010case patient support after discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70211","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T03:19:44Z","timestamp":1774840784000},"page":"1057-1067","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Patient\u2010reported outcomes, postoperative pain and pain relief after day\u2010case surgery (\n                    <scp>POPPY<\/scp>\n                    ): short\u2010term peri\u2010operative analgesic use"],"prefix":"10.1111","volume":"81","author":[{"given":"Anna","family":"Ratcliffe","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine University Hospitals Plymouth NHS Trust  Plymouth UK"},{"name":"South West Anaesthesia Research Matrix  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UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Everson","sequence":"additional","affiliation":[{"name":"South West Anaesthesia Research Matrix  UK"},{"name":"Anaesthesia and Critical Care Department Royal Devon University Healthcare NHS Foundation Trust  Exeter Devon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William M.","family":"Hare","sequence":"additional","affiliation":[{"name":"South West Anaesthesia Research Matrix  UK"},{"name":"Anaesthesia and Critical Care Department Royal Devon University Healthcare NHS Foundation Trust  Exeter Devon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Samuel","sequence":"additional","affiliation":[{"name":"North Bristol NHS Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lexy","family":"Sorrell","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Plymouth  Plymouth 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