Feasibility of international data collection and feedback on post‐operative pain data: Proof of concept
Identifieur interne : 000603 ( Istex/Checkpoint ); précédent : 000602; suivant : 000604Feasibility of international data collection and feedback on post‐operative pain data: Proof of concept
Auteurs : R. Zaslansky [Allemagne] ; C. R. Chapman [États-Unis] ; J. Rothaug [Allemagne] ; R. B Ckström [Suède] ; S. Brill [Israël] ; E. Davidson [Israël] ; K. Elessi ; D. Fletcher [France] ; L. Fodor [Roumanie] ; E. Karanja [Kenya] ; C. Konrad [Suisse] ; A. Kopf [Allemagne] ; Y. Leykin [Italie] ; A. Lipman [États-Unis] ; M. Puig [Espagne] ; N. Rawal [Suède] ; S. Schug [Australie] ; K. Ullrich [Royaume-Uni] ; T. Volk [Allemagne] ; W. Meissner [Allemagne]Source :
- European Journal of Pain [ 1090-3801 ] ; 2012-03.
Descripteurs français
- Wicri :
English descriptors
- KwdEn :
- Acute pain, Acute pain service, American pain society quality, Anesthesiology, Benchmarking, Care committee, Chronic pain, Clinical experience, Concept study, Data analysis, Data collection, Data entry, Data input, Data sets, Database, Deep breath, Enrolment criteria, European federation, Feasibility, Feedback, Framework program, General surgery, General surgery patients, Intensive care, International association, International data collection, Limitedresource countries, Medical centres, National survey, Native language, Ndings support, Online database, Orthopaedic, Orthopaedic patients, Orthopaedic surgery, Orthopaedic wards, Other sites, Outcome measures, Outcomes data, Outcomes questionnaire, Pain assessment, Pain chapters, Pain control, Pain data, Pain management, Pain management practices, Pain registry, Pain scores, Patient outcomes, Patientreported outcomes, Pilot study, Postoperative, Postoperative pain, Postoperative pain management, Process data, Project staff, Quality improvement, Representative sample, Routine pain assessment, Salt lake city, Side effects, Small number, Standard error, Surgery, Takwa gmbh, Teaching status, Technical feasibility, University hospital, Vital sign, Webbased feedback, Zaslansky.
- Teeft :
- Acute pain, Acute pain service, American pain society quality, Anesthesiology, Benchmarking, Care committee, Chronic pain, Clinical experience, Concept study, Data analysis, Data collection, Data entry, Data input, Data sets, Database, Deep breath, Enrolment criteria, European federation, Feasibility, Feedback, Framework program, General surgery, General surgery patients, Intensive care, International association, International data collection, Limitedresource countries, Medical centres, National survey, Native language, Ndings support, Online database, Orthopaedic, Orthopaedic patients, Orthopaedic surgery, Orthopaedic wards, Other sites, Outcome measures, Outcomes data, Outcomes questionnaire, Pain assessment, Pain chapters, Pain control, Pain data, Pain management, Pain management practices, Pain registry, Pain scores, Patient outcomes, Patientreported outcomes, Pilot study, Postoperative, Postoperative pain, Postoperative pain management, Process data, Project staff, Quality improvement, Representative sample, Routine pain assessment, Salt lake city, Side effects, Small number, Standard error, Surgery, Takwa gmbh, Teaching status, Technical feasibility, University hospital, Vital sign, Webbased feedback, Zaslansky.
Abstract
Post‐operative pain exacts a high toll from patients, families, healthcare professionals and healthcare systems worldwide. PAIN‐OUT is a research project funded by the European Union's 7th Framework Program designed to develop effective, evidence‐based approaches to improve pain management after surgery, including creating a registry for feedback, benchmarking and decision support. In preparation for PAIN‐OUT, we conducted a pilot study to evaluate the feasibility of international data collection with feedback to participating sites. Adult orthopaedic or general surgery patients consented to participate between May and October 2008 at 14 collaborating hospitals in 13 countries. Project staff collected patient‐reported outcomes and process data from 688 patients and entered the data into an online database. Project staff in 10 institutions met the enrolment criteria of collecting data from at least 50 patients. The completeness and quality of the data, as assessed by rate of missing data, were acceptable; only 2% of process data and 0.06% of patient‐reported outcome data were missing. Participating institutions received access to select items as Web‐based feedback comparing their outcomes to those of the other sites, presented anonymously. We achieved proof of concept because staff and patients in all 14 sites cooperated well despite marked differences in cultures, nationalities and languages, and a central database management team was able to provide valuable feedback to all.
Url:
DOI: 10.1002/j.1532-2149.2011.00024.x
Affiliations:
- Allemagne, Australie, Espagne, France, Israël, Italie, Kenya, Roumanie, Royaume-Uni, Suisse, Suède, États-Unis
- Angleterre, Berlin, Catalogne, Grand Londres
- Barcelone, Berlin, Londres
- Université de Londres
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Links to Exploration step
ISTEX:B31EFF635E372400749D4B641D744B20E976CC65Le document en format XML
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Lipman</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pharmacotherapy, College of Pharmacy, University of Utah, UT, Salt Lake City</wicri:regionArea><wicri:noRegion>Salt Lake City</wicri:noRegion></affiliation></author><author><name sortKey="Puig, M" sort="Puig, M" uniqKey="Puig M" first="M." last="Puig">M. Puig</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, IMIM‐Hospital del Mar‐UAB, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rawal, N" sort="Rawal, N" uniqKey="Rawal N" first="N." last="Rawal">N. Rawal</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, University Hospital Örebro, Örebro</wicri:regionArea><wicri:noRegion>Örebro</wicri:noRegion></affiliation></author><author><name sortKey="Schug, S" sort="Schug, S" uniqKey="Schug S" first="S." last="Schug">S. Schug</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, University of Western Australia and Royal Perth Hospital, Perth</wicri:regionArea><wicri:noRegion>Perth</wicri:noRegion></affiliation></author><author><name sortKey="Ullrich, K" sort="Ullrich, K" uniqKey="Ullrich K" first="K." last="Ullrich">K. Ullrich</name><affiliation wicri:level="4"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Queen Mary and Westfield College, University of London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">Université de Londres</orgName></affiliation></author><author><name sortKey="Volk, T" sort="Volk, T" uniqKey="Volk T" first="T." last="Volk">T. Volk</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Saarland University Hospital, Homburg</wicri:regionArea><wicri:noRegion>Homburg</wicri:noRegion><wicri:noRegion>Homburg</wicri:noRegion></affiliation></author><author><name sortKey="Meissner, W" sort="Meissner, W" uniqKey="Meissner W" first="W." last="Meissner">W. Meissner</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Friedrich‐Schiller University Hospital, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">European Journal of Pain</title><title level="j" type="alt">EUROPEAN JOURNAL OF PAIN</title><idno type="ISSN">1090-3801</idno><idno type="eISSN">1532-2149</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="430">430</biblScope><biblScope unit="page" to="438">438</biblScope><biblScope unit="page-count">9</biblScope><date type="published" when="2012-03">2012-03</date></imprint><idno type="ISSN">1090-3801</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1090-3801</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute pain</term><term>Acute pain service</term><term>American pain society quality</term><term>Anesthesiology</term><term>Benchmarking</term><term>Care committee</term><term>Chronic pain</term><term>Clinical experience</term><term>Concept study</term><term>Data analysis</term><term>Data collection</term><term>Data entry</term><term>Data input</term><term>Data sets</term><term>Database</term><term>Deep breath</term><term>Enrolment criteria</term><term>European federation</term><term>Feasibility</term><term>Feedback</term><term>Framework program</term><term>General surgery</term><term>General surgery patients</term><term>Intensive care</term><term>International association</term><term>International data collection</term><term>Limitedresource countries</term><term>Medical centres</term><term>National survey</term><term>Native language</term><term>Ndings support</term><term>Online database</term><term>Orthopaedic</term><term>Orthopaedic patients</term><term>Orthopaedic surgery</term><term>Orthopaedic wards</term><term>Other sites</term><term>Outcome measures</term><term>Outcomes data</term><term>Outcomes questionnaire</term><term>Pain assessment</term><term>Pain chapters</term><term>Pain control</term><term>Pain data</term><term>Pain management</term><term>Pain management practices</term><term>Pain registry</term><term>Pain scores</term><term>Patient outcomes</term><term>Patientreported outcomes</term><term>Pilot study</term><term>Postoperative</term><term>Postoperative pain</term><term>Postoperative pain management</term><term>Process data</term><term>Project staff</term><term>Quality improvement</term><term>Representative sample</term><term>Routine pain assessment</term><term>Salt lake city</term><term>Side effects</term><term>Small number</term><term>Standard error</term><term>Surgery</term><term>Takwa gmbh</term><term>Teaching status</term><term>Technical feasibility</term><term>University hospital</term><term>Vital sign</term><term>Webbased feedback</term><term>Zaslansky</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acute pain</term><term>Acute pain service</term><term>American pain society quality</term><term>Anesthesiology</term><term>Benchmarking</term><term>Care committee</term><term>Chronic pain</term><term>Clinical experience</term><term>Concept study</term><term>Data analysis</term><term>Data collection</term><term>Data entry</term><term>Data input</term><term>Data sets</term><term>Database</term><term>Deep breath</term><term>Enrolment criteria</term><term>European federation</term><term>Feasibility</term><term>Feedback</term><term>Framework program</term><term>General surgery</term><term>General surgery patients</term><term>Intensive care</term><term>International association</term><term>International data collection</term><term>Limitedresource countries</term><term>Medical centres</term><term>National survey</term><term>Native language</term><term>Ndings support</term><term>Online database</term><term>Orthopaedic</term><term>Orthopaedic patients</term><term>Orthopaedic surgery</term><term>Orthopaedic wards</term><term>Other sites</term><term>Outcome measures</term><term>Outcomes data</term><term>Outcomes questionnaire</term><term>Pain assessment</term><term>Pain chapters</term><term>Pain control</term><term>Pain data</term><term>Pain management</term><term>Pain management practices</term><term>Pain registry</term><term>Pain scores</term><term>Patient outcomes</term><term>Patientreported outcomes</term><term>Pilot study</term><term>Postoperative</term><term>Postoperative pain</term><term>Postoperative pain management</term><term>Process data</term><term>Project staff</term><term>Quality improvement</term><term>Representative sample</term><term>Routine pain assessment</term><term>Salt lake city</term><term>Side effects</term><term>Small number</term><term>Standard error</term><term>Surgery</term><term>Takwa gmbh</term><term>Teaching status</term><term>Technical feasibility</term><term>University hospital</term><term>Vital sign</term><term>Webbased feedback</term><term>Zaslansky</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>étalonnage des performances</term><term>Collecte de données</term><term>Base de données</term><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Post‐operative pain exacts a high toll from patients, families, healthcare professionals and healthcare systems worldwide. PAIN‐OUT is a research project funded by the European Union's 7th Framework Program designed to develop effective, evidence‐based approaches to improve pain management after surgery, including creating a registry for feedback, benchmarking and decision support. In preparation for PAIN‐OUT, we conducted a pilot study to evaluate the feasibility of international data collection with feedback to participating sites. Adult orthopaedic or general surgery patients consented to participate between May and October 2008 at 14 collaborating hospitals in 13 countries. Project staff collected patient‐reported outcomes and process data from 688 patients and entered the data into an online database. Project staff in 10 institutions met the enrolment criteria of collecting data from at least 50 patients. The completeness and quality of the data, as assessed by rate of missing data, were acceptable; only 2% of process data and 0.06% of patient‐reported outcome data were missing. Participating institutions received access to select items as Web‐based feedback comparing their outcomes to those of the other sites, presented anonymously. We achieved proof of concept because staff and patients in all 14 sites cooperated well despite marked differences in cultures, nationalities and languages, and a central database management team was able to provide valuable feedback to all.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Espagne</li><li>France</li><li>Israël</li><li>Italie</li><li>Kenya</li><li>Roumanie</li><li>Royaume-Uni</li><li>Suisse</li><li>Suède</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Berlin</li><li>Catalogne</li><li>Grand Londres</li></region><settlement><li>Barcelone</li><li>Berlin</li><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><noCountry><name sortKey="Elessi, K" sort="Elessi, K" uniqKey="Elessi K" first="K." last="Elessi">K. Elessi</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Zaslansky, R" sort="Zaslansky, R" uniqKey="Zaslansky R" first="R." last="Zaslansky">R. Zaslansky</name></noRegion><name sortKey="Kopf, A" sort="Kopf, A" uniqKey="Kopf A" first="A." last="Kopf">A. Kopf</name><name sortKey="Meissner, W" sort="Meissner, W" uniqKey="Meissner W" first="W." last="Meissner">W. Meissner</name><name sortKey="Rothaug, J" sort="Rothaug, J" uniqKey="Rothaug J" first="J." last="Rothaug">J. Rothaug</name><name sortKey="Volk, T" sort="Volk, T" uniqKey="Volk T" first="T." last="Volk">T. Volk</name><name sortKey="Zaslansky, R" sort="Zaslansky, R" uniqKey="Zaslansky R" first="R." last="Zaslansky">R. Zaslansky</name></country><country name="États-Unis"><noRegion><name sortKey="Chapman, C R" sort="Chapman, C R" uniqKey="Chapman C" first="C. R." last="Chapman">C. R. Chapman</name></noRegion><name sortKey="Lipman, A" sort="Lipman, A" uniqKey="Lipman A" first="A." last="Lipman">A. Lipman</name></country><country name="Suède"><noRegion><name sortKey="B Ckstrom, R" sort="B Ckstrom, R" uniqKey="B Ckstrom R" first="R." last="B Ckström">R. B Ckström</name></noRegion><name sortKey="Rawal, N" sort="Rawal, N" uniqKey="Rawal N" first="N." last="Rawal">N. Rawal</name></country><country name="Israël"><noRegion><name sortKey="Brill, S" sort="Brill, S" uniqKey="Brill S" first="S." last="Brill">S. Brill</name></noRegion><name sortKey="Davidson, E" sort="Davidson, E" uniqKey="Davidson E" first="E." last="Davidson">E. Davidson</name></country><country name="France"><noRegion><name sortKey="Fletcher, D" sort="Fletcher, D" uniqKey="Fletcher D" first="D." last="Fletcher">D. Fletcher</name></noRegion></country><country name="Roumanie"><noRegion><name sortKey="Fodor, L" sort="Fodor, L" uniqKey="Fodor L" first="L." last="Fodor">L. Fodor</name></noRegion></country><country name="Kenya"><noRegion><name sortKey="Karanja, E" sort="Karanja, E" uniqKey="Karanja E" first="E." last="Karanja">E. Karanja</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Konrad, C" sort="Konrad, C" uniqKey="Konrad C" first="C." last="Konrad">C. Konrad</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Leykin, Y" sort="Leykin, Y" uniqKey="Leykin Y" first="Y." last="Leykin">Y. Leykin</name></noRegion></country><country name="Espagne"><region name="Catalogne"><name sortKey="Puig, M" sort="Puig, M" uniqKey="Puig M" first="M." last="Puig">M. Puig</name></region></country><country name="Australie"><noRegion><name sortKey="Schug, S" sort="Schug, S" uniqKey="Schug S" first="S." last="Schug">S. Schug</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ullrich, K" sort="Ullrich, K" uniqKey="Ullrich K" first="K." last="Ullrich">K. 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