Postoperative pain is an important issue that affects a large number of patients across Europe.  An estimated 234 million major surgical procedures are undertaken each year worldwide.1 Therefore it is not surprising that over the last two decades numerous guidelines on managing post-operative acute pain were published2-5 and that there is a variety of effective analgesics available. It is of major importance that patients undergoing surgery receive an adequate pain management, since poor management of post-operative pain is not only one of the three most common medical causes of delayed discharge after ambulatory surgery6, but it can also lead to severe medical complications.7-8

However, the literature reflects that post-operative pain management has improved little for patients and is still inadequate.9-11 A great number of patients still experience a significant amount of post-operative pain: 55% of surgical patients are dissatisfied with their pain management and 30% reported that their pain management was inadequately effective.12 Analgesic gaps also remain an issue with current post-operative pain management: 12% of IV PCA patients experience analgesic gaps caused by equipment issues such as kinks in tubing and catheter infiltration or displacement13. In the case of nurse-controlled administration, there can be a gap of up to 40 minutes or more between the patient requesting an analgesic and actually receiving it.14

Not all healthcare professionals are aware of the shortfalls in post-operative pain management. Therefore CHANGE PAIN aims to raise awareness about currently unmet needs and deficits in post-operative pain management. Furthermore, CHANGE PAIN aims to provide product independent services and solutions, in order to support health care professionals in their daily work managing post-operative pain.



1 Weiser TG et al. Lancet. 2008;372:139-44.
2 Fearon KCH, Ljungkvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005;24:466-477.
3 Gordon DB, Dahl JL, Miakowski RN, et al. American Pain Society recommendations for improving the quality of acute and cancer pain management. Arch Intern Med 2005;165:1574-1580.
4 Savoia G, Alampi D, Amantea B, et al. Postoperative pain treatment SIAARTI Recommendations 2010. Short version. Minerva Anesthesiol 2010;76(8):657-667.
5 Korean Knee Society. Guidelines for the management of postoperative pain after total knee arthroplasty. Knee Surg Relat Res 2012;24(4):201-207.
6 Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Yale J Biol Med 2010;83(1):11-25.
7 Thomas MA. Pain management – the challenge. Ochner J 2003;15-21.
8 Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Ed: Hughes RG. Rockville, Maryland: Agency for Healthcare Research and Quality, 2008.
9 Warfield CA, Kahn CH. Acute pain management. Programs in U.S. hospitals and experiences and attitudes among U.S. adults. Anesthesiology 1995;83:1090-1094.
10 Apfelbaum JL, Chen C, Mehta SS, et al. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003;97:534-540.
11 Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin 2014; 30:149-160.
12 Maier C et al. Dtsch Arztebl Int. 2010; 107: 607-614.
13 Panchal SJ et al. Anesth Analg. 2007;105:1437-41.
14 Chan VW et al. Reg Anesth. 1995;20:506-14.


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