Impact of Clinical Pharmacist Consultations on Postoperative Pain in Ambulatory Surgery

Eric Barat (), Catherine Chenailler, André Gillibert, Sophie Pouplin, Remi Varin and Vincent Compere
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Eric Barat: Department of Pharmacy, CHU Rouen, CEDEX, 76031 Rouen, France
Catherine Chenailler: Department of Pharmacy, CHU Rouen, CEDEX, 76031 Rouen, France
André Gillibert: Department of Biostatistics, CHU Rouen, CEDEX, 76031 Rouen, France
Sophie Pouplin: Department of Rheumatology, CHU Rouen, CEDEX, 76031 Rouen, France
Remi Varin: Department of Pharmacy, UNIROUEN, Inserm U1234, CHU Rouen, Normandie University, Rouen, CEDEX, 76031 Rouen, France
Vincent Compere: Department of Anesthesiology and Critical Care, CHU Rouen, CEDEX, 76031 Rouen, France

IJERPH, 2023, vol. 20, issue 5, 1-21

Abstract: Post-operative pain is a common symptom of ambulatory surgery. The objective of this study was to evaluate a pain management protocol integrating a pharmacist consultation. We conducted a quasi-experimental, single center, before-after study. The control group was recruited between 1 March and 31 May 2018 and the intervention group between 1 March and 31 May 2019. Outpatients in the intervention group received a pharmacist consultation, in addition to the usual anesthesiologist and nurse consultations. Pharmacist consultations were conducted in two steps: the first step consisted of general open-ended questions and the second step of a specific and individualized pharmaceutical interview. A total of 125 outpatients were included in each group. There were 17% (95% CI 5 to 27%, p = 0.022) fewer patients with moderate to severe pain in the pharmaceutical intervention group compared with the control group, which corresponded to a decrease in the mean pain level of 0.9/10 (95% CI −1.5/10; −0.3/10; p = 0.002). The multivariate analysis did not reveal any confounding factors, showing that only the pharmaceutical intervention could explain this result. This study demonstrates a positive impact of pharmacist consultations on postoperative pain in ambulatory surgery.

Keywords: patient pathway; health care; pharmaceutical care; pharmaceutical interviews; post-operative pain; ambulatory surgery; city-hospital link (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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