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Pain Manag. 2016 Oct;6(5):435-43. doi: 10.2217/pmt-2016-0004. Epub 2016 Jul 6.

Chronic postsurgical pain and persistent opioid use following surgery: the need for a transitional pain service.

Huang A1,2, Azam A1,2,3, Segal S1, Pivovarov K1, Katznelson G1,2, Ladak SS1,2, Mu A1,2, Weinrib A1,2,3, Katz J1,2,3,4, Clarke H1,2,4.

Author information

1
Department of Anaesthesia, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
2
Transitional Pain Service, Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada.
3
Department of Psychology, York University, Toronto, Ontario, Canada.
4
Department of Anesthesia, University of Toronto, Toronto, Ontario Canada.

Abstract

AIM:

To identify the 3-month incidence of chronic postsurgical pain and long-term opioid use in patients at the Toronto General Hospital.

METHODS:

200 consecutive patients presenting for elective major surgery completed standardized questionnaires by telephone at 3 months after surgery.

RESULTS:

51 patients reported a preoperative chronic pain condition, with 12 taking opioids preoperatively. 3 months after surgery 35% of patients reported having surgical site pain and 13.5% continued to use opioids for postsurgical pain relief. Postoperative opioid use was associated with interference with walking and work, and lower mood.

CONCLUSION:

Chronic postsurgical pain and ongoing opioid use are concerns that warrant the implementation of a Transitional Pain Service to modify the pain trajectories and enable effective opioid weaning following major surgery.

KEYWORDS:

chronic pain; chronic postsurgical pain; pain disability; persistent opioid use; postoperative pain; transitional pain service

PMID:
27381204
DOI:
10.2217/pmt-2016-0004
[Indexed for MEDLINE]
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