From Post-Operative to Chronic Pain: Insights from Registry-Based Findings in South Africa, Germany and Australasia

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Includes a Live Web Event on 11/05/2025 at 10:30 AM (EST)

  • Register
    • Non-member - $25
    • Member - $10
    • Retired - $5
    • Trainee - $5
    • Life Member - $5
    • Life Honorary - $5
    • Honorary - $5

Wednesday 29 October at 8:30 a.m. EDT

IASP Members are free;  Non-members - $25.00USD 

This webinar is being presented by the Pain Registry Special Interest Group (SIG).  Among others, this SIG  aims to:

  • Encourage collaborators to present their findings at IASP-related events
  • Support collaborators from medical centers, worldwide, to join or initiate pain registries for procedures, therapies, or services.
  • Promote registry-based trials.

 The upcoming webinar will include speakers describing finding from registries addressing acute and chronic pain conditions. 

Despite the importance of effective pain management, studies internationally have highlighted inadequacies in pain assessment and treatment for women undergoing Caesarean Sections. The first talk in this session  
will address findings from a multidisciplinary study using tools from the  PAIN OUT perioperative pain registry to improve postoperative pain management in resource-limited hospitals in Cape Town, South Africa.

The risk of persistent postoperative opioid use (PPOU) and its association with the type of surgery in Germany are unknown. This question will be addressed in the second talk in this session which will describe a study  using data from a statutory health insurance carrier in Germany, as well as in the QUIPS registry (=German Quality Improvement in Postoperative Pain Therapy registry). Opioid-naive adults who did not have cancer and who underwent inpatient surgery in 2018 were included in the study. Interestingly, the findings indicate that overall, the incidence of PPOU in Germany is low. However, type of surgery plays an important role in its development, with specific surgeries having >10x higher risk of PPOU. The methods used in this study will demonstrate the challenges of research with different types of registries. 

Australia and New Zealand have relatively dispersed populations and large rural and regional areas. The third talk in this session  will look at the electronic Persistent Pain Outcomes Collaboration (ePPOC) dataset and its findings in relation to chronic pain outcomes and geographic isolation, with some unexpected results that have generated momentum for further research by ePPOC.

Speakers:

  • Claire  Pfister, MD and Jessica Purcell-Jones, MD - Enhancing Pain Management in Caesarean Sections: Evaluating the Outcomes of a Quality Improvement Initiative in a Resource-Limited Setting
  • Prof. Dr. Winfried Meissner - Persistent Opioid Use After Surgery in Germany: Is this a Problem  and Who’s at Risk
  • David Holloway, PhD - Geographic Isolation and Accessing care: Evidence from the electronic Persistent Pain Outcomes Collaboration (ePPOC) Bi-National Dataset

David Holloway, PhD

Director

Electronic Persistent Pain Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Wollongong


David Holloway joined the electronic Persistent Pain Outcomes Collaboration (ePPOC) as Director in May 2022, after an extensive career in both the public and private sector, most recently as Director of Quality and Safety for an Australian community nursing and aged care organisation. ePPOC has been collecting pain outcomes data for more than a decade across Australia and New Zealand and is currently progressing towards the third iteration of its dataset. 

David has held a varied range of operational management and clinical governance roles covering both face-to-face and telehealth delivery models and completed his PhD thesis on the efficacy of virtual environments in increasing competence and confidence of nursing students in relation to medication administration.

Prof. Dr. Winfried Meissner

Head of Pain Unit and Palliative Care Department

Jena University Hospital

Winfried Meissner was appointed Head of Jena University Hospital’s Pain Unit in 1994, and Head of the Palliative Care Department in 2009. The Pain Unit covers all areas of pain management (acute pain service, outpatient service unit, inpatient consultation service, multimodal pain management program, interdisciplinary pain conference). Meissner and his group have initiated two large pain registries, QUIPS in Germany and PAIN OUT international, to improve postoperative pain management and to facilitate health service research. These projects resulted in more than 100 publications, including a couple of landmark papers. He was coordinator of European Commission funded IMIPainCare and subproject PROMPT (Providing Standardized Consented PROMs for Improving Pain Treatment).

In 2020, Winfried received the Robert G. Addison Award by the American Academy of Pain Medicine.

Winfried was President of the German Pain Society from 2021-2022 and Past President from 2023-2024. He is member of several national and international societies including ESAIC and IASP.

 

Winfried volunteers with the Johanniter Unfallhilfe (St John Ambulance), a humanitarian organisation affiliated with the Brandenburg Bailiwick of the Order of St John. Recently, he  raised funding for PAMELA, a project aiming to prevent and treat phantom limb pain in Ukraine.

Winfried is married and has five children.

Claire Pfister, MD

Dept. of Anaesthesia and Perioperative Medicine

University of Cape Town and Groote Schuur Hospital, South Africa

Dr. Pfister is a Specialist Anaesthetist at the UCT Department of Anaesthesia and Perioperative Medicine and the Lead Anaesthetist at Mowbray Maternity Hospital. 

She is also a mom of two beautiful daughters. She is a compassionate, energetic, and dedicated anaesthetist with a passion for teaching, research, and clinical excellence.

She has interests in obstetric anaesthesia, paediatrics, pain management, and is an advocate for working mothers in healthcare. 

She is an active contributor to research with multiple publications and a strong record of mentorship and service improvement.


 

Jessica Purcell-Jones, MD

Specialist Anaesthetist

Groote Schuur Hospital

Jess is a specialist anaesthetist at Groote Schuur hospital in Cape Town.

Having training in the UK, worked in Australia and specialised in South Africa Jess has seen the healthcare inequalities between countries first hand. She is passionate about improving the patient experience and is a big believer that compassion improves patient outcomes. She can recommend the book "Compassionomics" if you need scientific proof.

Jess's research interests lie in acute pain, obstetrics and healthcare education. Clinically she enjoys being a generalist, but particularly enjoys her work at Red Cross children's hospital and working with other mothers in obstetrics.

Ruth Zaslansky, DSc (Moderator)

Scientific Director of PAIN OUT

Jena University Hospital

Ruth Zaslansky, DSc. Trained as a pain neurophysiologist. Currently Scientific Director of PAIN OUT, an international quality improvement and research network working to improve management of postoperative management.  PAIN OUT has been involved in many projects in low resource countries – working with local healthcare providers to assess  pain-related patient reported outcomes, treatments for post-operative pain and implement quality improvement projects.  In IASP, Ruth is secretary of the Pain Registry SIG.  

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Pain Registry SIG Webinar
11/05/2025 at 10:30 AM (EST)  |  60 minutes
11/05/2025 at 10:30 AM (EST)  |  60 minutes
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