INTRODUCTION: Most patients undergoing elective surgery in the UK are discharged from hospital on the same day. Despite this, there is a lack of UK patient-centred outcome measures relating to quality of recovery, pain and analgesic use. The POPPY study was a UK-wide prospective, observational study measuring short- and longer-term patient-reported outcomes following day-case surgery. This article is the second in a series and describes baseline characteristics to contextualise successive articles which explore outcome data. METHODS: Baseline data were collected from eligible consenting adults undergoing day-case surgery. Data included patient characteristics; pre-operative analgesic use; pre-existing pain surgical and anaesthetic details; and quality of life scores. Descriptive analysis was performed to provide baseline characteristics of the study cohort. RESULTS: A total of 9618 patients were eligible on screening from 199 sites, with 7839 eligible following exclusions. Unplanned admission following surgery was the most common reason for exclusion, affecting 1131/9618 (11.8%) patients. Unplanned admission was more likely with increasing surgical magnitude, frailty and higher ASA physical status. Some common operations had admission rates of > 50%. Pain at the site of proposed surgery was reported by 3060/7839 (39%) patients and this was chronic pain in 2387/7839 (30.5%). Opioids were taken at least daily by 885/7839 (11.3%) patients, 1109/7839 (14.1%) were receiving treatment for depression and 1039/7839 (13.3%) were receiving treatment for anxiety. Anxiety or depression was rated as moderate or worse in 1002/7839 (12.8%) patients. DISCUSSION: In the UK, over a third of patients presenting for day-case surgery are in pain, which is mostly chronic in duration. One in four have access to opioid medications and a little over one in 10 are using opioids daily. More than one in 10 do not receive their planned surgery as a day-case and readmission rates for day-case surgery do not meet suggested targets.
Journal article
2026-04-01T00:00:00+00:00
81
477 - 488
11
acute pain, chronic pain, day‐case surgery, mental health, opioids, Humans, Postoperative Pain, Ambulatory Surgical Procedures, Female, Patient Reported Outcome Measures, United Kingdom, Male, Middle Aged, Prospective Studies, Aged, Adult, Pain Management, Quality of Life, Aged, 80 and over, Analgesics, Pain Measurement