{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T15:54:24Z","timestamp":1776873264104,"version":"3.51.2"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002733","name":"Secr\u00e9tariat G\u00e9n\u00e9ral pour les Affaires R\u00e9gionales, Etat en R\u00e9gion Aquitaine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002733","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008322","name":"CSL Behring","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Inadequately treated postoperative pain can lead to longer healing processes, longer hospital stays, and the development of chronic pain. In a 900\u2010bed university hospital in Switzerland, pain scores were assessed systematically. The study's primary aim was to define whether the routine pain assessment on the ward is accurate and reproducible. Subsequently the obtained data were used for a benchmark analysis to determine the hospital's performance in pain assessment quality compared with similar centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During a 3\u2010month period, <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> questionnaires were used for patients\u2019 interviews. Patients were included randomly according to the daily surgical schedule. Pain scores were assessed routinely by nursing staff on the wards and compared to <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> data. The ascertained data were analyzed by descriptive statistics as well as the Wilcoxon test for nonparametric values using <jats:styled-content style=\"fixed-case\">IBM SPSS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>658 patients were included in the study. Comparing routine pain measurements with <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> results revealed that within the first 24 hours on the ward, pain scores were significantly lower than measured with <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> questionnaires. This difference increased with increasing pain scores. The quality of pain management of the hospital in which this study was performed ranged around the 50th percentile when compared to similar centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The cross\u2010sectional data comparison of pain assessment by the ward staff and by interviews with the <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> questionnaire showed a large gap of underrated pain. The benchmark analysis with the method of <jats:styled-content style=\"fixed-case\">PAIN OUT<\/jats:styled-content> suggests a decent pain management among reference groups.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12612","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T10:06:39Z","timestamp":1500026799000},"page":"360-367","source":"Crossref","is-referenced-by-count":7,"title":["Pain Assessment Discrepancies: A Cross\u2010Sectional Study Highlights the Amount of Underrated Pain"],"prefix":"10.1111","volume":"18","author":[{"given":"Andrea","family":"van Ransbeeck","sequence":"first","affiliation":[{"name":"Institute of Anesthesiology University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Budilivski","sequence":"additional","affiliation":[{"name":"Department of Quality Management &amp; Patient Safety University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donat R.","family":"Spahn","sequence":"additional","affiliation":[{"name":"Institute of Anesthesiology University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucian","family":"Macrea","sequence":"additional","affiliation":[{"name":"Institute of Anesthesiology University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Giuliani","sequence":"additional","affiliation":[{"name":"Department of Quality Management &amp; Patient Safety University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad","family":"Maurer","sequence":"additional","affiliation":[{"name":"Institute of Anesthesiology University Hospital Zurich Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00133"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.12.008"},{"key":"e_1_2_8_4_1","first-page":"53","volume-title":"Encyclopedia of Neuroscience","author":"Boehm U","year":"2009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2012.02.018"},{"key":"e_1_2_8_6_1","unstructured":"Pain Out.About PAIN OUT\/concept and ideas. pain\u2010out.med.uni\u2010jena.de (accessed June 19 2016)"},{"key":"e_1_2_8_7_1","volume-title":"Schmerzerfassung in der postoperativen Schmerztherapie: Psychometrische Qualit\u00e4t von QUIPS und PAIN OUT","author":"Rothaug J","year":"2012"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.08.016"},{"key":"e_1_2_8_9_1","volume-title":"Discovering Statistics Using SPSS: (and Sex and Drugs and Rock \u2018n\u2019 Roll)","author":"Field A","year":"2012"},{"key":"e_1_2_8_10_1","unstructured":"EislerR.Patientenzufriedenheit in Schweizer Spit\u00e4lern.2007. comparis.ch.https:\/\/www.comparis.ch\/-\/media\/...\/studie%20patientenzufriedenheit%202007_de.pdf(accessed May 13 2016)."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cacc.2009.02.003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2009.02.005"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10039-012-1858-9"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000366"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12192"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-199924010-00013"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31828866e1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31828866b3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000163"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1177\/2049463713510288","article-title":"A prospective audit project into the adequacy of pain assessment in the medical and surgical wards in a North London District General Hospital","volume":"8","author":"Atkinson VJ","year":"2014","journal-title":"Br J Pain"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60245-6"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.2002.00691.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(94)90115-5"},{"key":"e_1_2_8_24_1","volume-title":"Classification of Chronic Pain","author":"Merskey H","year":"1994"},{"key":"e_1_2_8_25_1","volume-title":"Assessment and Management of Acute Pain in Adult Medical Inpatients: A Systematic Review","author":"Helfand M","year":"2008"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.07.009"},{"key":"e_1_2_8_27_1","first-page":"5","article-title":"Ethical and practical issues with opioids in life\u2010limiting illness","volume":"20","author":"Fine RL","year":"2007","journal-title":"Proceedings"},{"key":"e_1_2_8_28_1","first-page":"84","article-title":"Deep change. 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