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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 3/2024

20-12-2023 | Opioids | Hot Topics in Pain and Headache (N Rosen, Section Editor)

Transitional Pain Service: Optimizing Complex Surgical Patients

Authors: Sophia Dunworth, Atilio Barbeito, Harika Nagavelli, Diana Higgins, Shibu Edward, Melvania Williams, Srinivas Pyati

Published in: Current Pain and Headache Reports | Issue 3/2024

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Abstract

Purpose of Review

The care of patients with complex postsurgical pain can be challenging and burdensome for the healthcare system. Transitional pain service (TPS) is a relatively new concept and has not been widely adopted in the USA. This article explores the benefits and barriers of transitional pain services and describes the development of a TPS at our institution.

Recent Findings

Evidence from a few institutions that have adopted TPS has shown decreased postsurgical opioid consumption for patients on chronic opioids and decreased incidence of chronic postsurgical opioid use for opioid-naïve patients. The development of a transitional pain service may improve outcomes for these complex patients by providing longitudinal and multidisciplinary perioperative pain care.

Summary

In this article, we describe the implementation of a TPS at a tertiary medical center. Our TPS model involves a multidisciplinary team of anesthesiologists, pain psychologists, surgeons, and advanced practice providers. We provide longitudinal care, including preoperative education and optimization; perioperative multimodal analgesic care; and longitudinal follow-up for 90 days post-procedure. With our TPS service, we aim to reduce long-term opioid use and improve functional outcomes for our patients.
Appendix
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Metadata
Title
Transitional Pain Service: Optimizing Complex Surgical Patients
Authors
Sophia Dunworth
Atilio Barbeito
Harika Nagavelli
Diana Higgins
Shibu Edward
Melvania Williams
Srinivas Pyati
Publication date
20-12-2023
Publisher
Springer US
Keywords
Opioids
Opioids
Published in
Current Pain and Headache Reports / Issue 3/2024
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-023-01204-4

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