%0 Journal Article
%T Surveys of post-operative pain management in a teaching hospital in Rwanda ¡ª 2013 and 2017
%A Adolphe Masu
%A Danyela Lee
%A Eugene Tuyishime
%A Jennifer O¡¯Brien
%A Joseph Niyitegeka
%A Paulin Ruhato
%A Shefali Thakore
%A Theogene Twagirumugabe
%A William McKay
%J Canadian Journal of Pain
%D 2019
%R https://doi.org/10.1080/24740527.2019.1673158
%X ABSTRACT Background: Postoperative pain management (POPM) appeared to be weak in Rwanda. Aims: The aim of this study was to compare POPM measures in a teaching hospital between 2013 and 2017. Methods: A two-phase observational study in 2013 and 2017. was conducted. Participants were recruited prior to major surgery and followed for two postoperative days. A numerical rating scale (0¨C10) was administered to all participants in both years, and the International Pain Outcomes questionnaire was administered in 2017. Recruitment, consent, and data collection were performed in participants¡¯ preferred language. Results: One hundred adult participants undergoing major general, gynecologic, orthopedic, or urologic surgery were recruited in 2013 and 83 were recruited in 2017. Fourteen percent of participants in 2013 and 46% in 2017 scored their worst pain as severe (>6; P < 0.001). This was despite improved preoperative recognition of patients at high risk for severe postoperative pain (those with chronic pain or preoperative pain); 27% and 0% of these patients were not documented in 2013 and 2017, respectively (P = 0.006). Other measures of improved planning included ¡°any preoperative discussion of POPM¡± (P < 0.001) and ¡°discussion of POPM options¡± (P = 0.002). Preemptive analgesia use increased (3% of participants in 2013 and 54% in 2017; P < 0.001). Incidence of participants having no postoperative analgesic at all decreased from 25% in 2013 to 5% in 2017 (P < 0.001). Conclusions: Though severe postoperative pain incidence did not improve from 2013 to 2017, POPM improved by a number of measures. These changes may be attributed to pain research conducted there having raised awareness
%U https://www.tandfonline.com/doi/full/10.1080/24740527.2019.1673158