The POPPY study was a national trainee led prospective multi-centre mixed methods observational cohort study investigating patient reported outcomes in quality of recovery, postoperative pain and pain relief in adults undergoing day case surgery in the UK, between June 2023 and August 2024. It included all adult patients who are having day case surgery (excluding overnight or 23 hour stay) requiring an anaesthetist to be present for the case. 

Primary objectives

• To measure short and long-term patient reported outcomes in UK day-case surgery patients in relation to recovery, post-surgical pain and opiate use.

• To describe the quality of recovery over the first postoperative week

• To establish the prevalence of persistent postsurgical pain (PPSP) and persistent postoperative opioid use (PPOU) in day case surgical patients.

Secondary objectives

• To conduct a pilot study over 4 hospital sites to confirm the feasibility of the large-scale multi-centre study

• To identify those patient, medication, anaesthetic, and surgical characteristics that are associated with poor quality of recovery, and PPSP and/or PPOU

• To describe the acute pain experience and analgesia use in the first postoperative week

• To estimate the need for further healthcare support in the first postoperative week

• To determine the patient reported acceptability of SMS prompted follow-up

• To determine the difference in quality of life between participants with and without PPSP

• To investigate the difficulty in reducing opioid use in participants with PPOU

You can find more information here.

Publications

Hare WM, Belete M, Brayne AB, Daykin H, Everson M, Ratcliffe A, Samuel K, Sorrell L, Rockett M. Patient‐reported outcomes, postoperative pain and pain relief after day case surgery (POPPY): methodology for a prospective, multicentre observational study. Anaesthesia. 2024 Oct 28. Available from: https://doi.org/10.1111/anae.16460