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Gordon D – In the field of pain, recording data over time and analyzing chronological records is a relatively new methodology for evaluating evidence. Two terms, registry and database, are common in the literature. A number of subspecialties are in the process of developing registries or databases for assessing postoperative, neuropathic, and other types of chronic pain conditions. Here the authors limit the discussion to projects in the incipient field of postoperative pain. Acute Pain Service (APS) teams in many hospitals have created singlecenter, computerized databases. They use the information to document their activities over time as well as to assess the effectiveness and safety of treatments they provide. Concern about the meager published information for assessing performance and optimizing postoperative pain management led Liu and colleagues (2006) to propose that the American Society of Regional Anaesthesia develop an Acute Postoperative Pain (AcutePOP) database. The goal of this project is to create a national Internet–based, HIPAA–compliant database for tracking APS patients.

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