Alexander Huang1,2, Abid Azam1,2,3, Shira Segal1, Kevin Pivovarov1, Gali Katznelson1,2, Salima Sj Ladak1,2, Alex Mu1,2, Aliza Weinrib1,2,3, Joel Katz1,2,3,4, Hance Clarke1,2,4. 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.
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.
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