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Updated: Jul 2, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Precision anaesthesia: A paradigm shift in patient care
Callum Clark1, Finn Radtke, Basak Ceyda Meco
1From the Department of Anaesthesia and Critical Care, Royal Alexandra Hospital, Paisley, UK (CC, PM), Department of Anaesthesiology, University of Minnesota Medical School, Minneapolis, MN, USA and Founder of the Safe Brain Initiative (SBI) (FR), Department of Anaesthesia and Intensive Care, Ankara University Faculty of Medicine, Ankara, Türkiye; Ankara University Brain Research Center (BAUM), Ankara, Türkiye and Department of Interdisciplinary Neuroscience, Health Sciences Institute, Ankara University, Ankara, Türkiye (BCM).
Modern anesthesia and surgery are safer, but success metrics are evolving. Patient-centered care, using Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs), offers a more complete picture of perioperative success beyond mortality rates.
Area of Science:
- Anesthesiology and Perioperative Medicine
- Health Services Research
- Patient-Centered Care
Background:
- Anesthesia and surgery have achieved unprecedented safety levels, with millions of procedures performed globally each year.
- Traditional metrics like mortality rates (0.5-1% for elective non-cardiac surgery) and length of hospital stay are insufficient to fully capture perioperative success.
- A paradigm shift is occurring towards Value-Based HealthCare (VBHC), emphasizing patient-centered outcomes.
Purpose of the Study:
- To review the current landscape of patient-centered precision care (PC) within the field of anesthesiology.
- To highlight the growing importance of Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) in evaluating perioperative care.
- To advocate for a broader definition of perioperative success that incorporates patient-reported data.
Main Methods:
- This study is a review of current literature and trends in perioperative care.
- It synthesizes information on Value-Based HealthCare (VBHC) principles and their application in anesthesia.
- The review examines the role and integration of Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs).
Main Results:
- While perioperative mortality is low, traditional metrics do not fully represent patient outcomes or experiences.
- There is a significant and growing emphasis on patient-centered metrics like PROMs and PREMs.
- Precision care (PC) models are emerging as crucial for tailoring anesthetic and surgical care to individual patient needs and values.
Conclusions:
- Perioperative care must evolve beyond mortality and length of stay to include comprehensive patient-centered outcomes.
- The integration of PROMs and PREMs is essential for a holistic assessment of perioperative success.
- Patient-centered precision care holds significant promise for improving the quality and value of anesthesia and surgical services.
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