PMID- 21720283
OWN - NLM
STAT- MEDLINE
DCOM- 20120508
LR  - 20220316
IS  - 1827-1596 (Electronic)
IS  - 0375-9393 (Linking)
VI  - 78
IP  - 1
DP  - 2012 Jan
TI  - ITalian Observational Study of the management of mild-to-moderate Post-Operative 
      Pain (ITOSPOP).
PG  - 15-25
AB  - BACKGROUND: The multicenter observational ITalian Observational Study on the 
      management of mild-to-moderate PostOperative Pain (ITOSPOP) was carried out in 24 
      hospitals to describe current postoperative pain management in Italy and the 
      intensity of pain experienced by patients during the first 48 hours after 
      surgery. METHODS: Adult patients, after surgery expected to result in 
      mild-moderate postoperative pain, underwent six evaluations. The primary endpoint 
      was the level of organization and standardization of postoperative pain 
      management. Secondary objectives included the intensity of postoperative pain, 
      and an assessment of incident pain, postoperative analgesic and concomitant 
      treatment administration. RESULTS: Only 16.7% hospitals had an acute pain service 
      and 41.7% hospitals applied a standardized protocol for postoperative pain 
      management. The majority (>60%) of the 1952 patients monitored underwent all six 
      assessments, >70% of which were performed by a physician. The proportion of 
      patients with moderate pain decreased during the study period, but almost 10% of 
      patients still experienced moderate pain at study end. Mild pain was reported by 
      50% of the patients for the entire study duration. At the final assessment, 5% of 
      patients still presented with incident pain frequently interfering with daily 
      activities. Most patients were treated with analgesics, but 20% of patients did 
      not receive any pain medications despite experiencing pain. CONCLUSION: The level 
      of organization and standardization of postoperative pain management in Italian 
      hospitals remains low. Postoperative analgesic treatment remained suboptimal and 
      almost two-thirds of patients continued to experience pain.
FAU - Tufano, R
AU  - Tufano R
AD  - Department of Anesthesia and Intensive Care, Federico II University, Naples, 
      Italy.
FAU - Puntillo, F
AU  - Puntillo F
FAU - Draisci, G
AU  - Draisci G
FAU - Pasetto, A
AU  - Pasetto A
FAU - Pietropaoli, P
AU  - Pietropaoli P
FAU - Pinto, G
AU  - Pinto G
FAU - Catarci, S
AU  - Catarci S
FAU - Cardone, A
AU  - Cardone A
FAU - Varrassi, G
AU  - Varrassi G
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20110630
PL  - Italy
TA  - Minerva Anestesiol
JT  - Minerva anestesiologica
JID - 0375272
RN  - 0 (Analgesics, Opioid)
SB  - IM
CIN - Minerva Anestesiol. 2012 Jan;78(1):1-3. PMID: 21750488
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Analgesics, Opioid/adverse effects/therapeutic use
MH  - Child
MH  - Child, Preschool
MH  - Clinical Trials as Topic
MH  - Dose-Response Relationship, Drug
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Italy
MH  - Male
MH  - Middle Aged
MH  - Pain Clinics
MH  - Pain Management/adverse effects/*methods
MH  - Pain Measurement/methods
MH  - Pain, Postoperative/*drug therapy
MH  - Patient Satisfaction
MH  - Young Adult
EDAT- 2011/07/02 06:00
MHDA- 2012/05/09 06:00
CRDT- 2011/07/02 06:00
PHST- 2011/07/02 06:00 [entrez]
PHST- 2011/07/02 06:00 [pubmed]
PHST- 2012/05/09 06:00 [medline]
AID - R02116618 [pii]
PST - ppublish
SO  - Minerva Anestesiol. 2012 Jan;78(1):15-25. Epub 2011 Jun 30.