An Innovative Perioperative Pain Program for Chronic Opioid Users: An Academic Medical Center’s Response to the Opioid Crisis

Research output: Contribution to journalArticle

Abstract

Increased utilization of prescription opioids for pain management has led to a nationwide public health crisis with alarming rates of addiction and opioid-related deaths. In the surgical setting, opioid prescriptions have been implicated as a contributing factor to the opioid epidemic. The authors developed an innovative model to address aspects of pain management and opioid utilization during preoperative evaluation, acute surgical hospitalization, and postoperative follow-up for chronic opioid users. This program involves multidisciplinary teams that include acute and chronic pain specialists, psychiatrists, integrative medicine specialists, and physical medicine and rehabilitation services. It also features a novel infrastructure for triage and pain management education and treatment. Individualized patient plans are devised that can include preoperative opioid weaning, regional anesthesia that minimizes opioid use, and multimodal techniques for surgical pain treatment. Multidisciplinary programs such as this have the potential to both improve perioperative pain control and prevent escalation of opioid use among chronic opioid users.

Original languageEnglish (US)
JournalAmerican Journal of Medical Quality
DOIs
StateAccepted/In press - May 1 2018

Fingerprint

Chronic Pain
Opioid Analgesics
Pain Management
Prescriptions
Integrative Medicine
Pain
Physical and Rehabilitation Medicine
Conduction Anesthesia
Triage
Acute Pain
Weaning
Psychiatry
Hospitalization
Public Health
Education
Therapeutics

Keywords

  • addiction
  • multimodal
  • opioid epidemic
  • pain management education
  • perioperative

ASJC Scopus subject areas

  • Health Policy

Cite this

@article{35b74ee897fb4ed88f0a60031efd7ab0,
title = "An Innovative Perioperative Pain Program for Chronic Opioid Users: An Academic Medical Center’s Response to the Opioid Crisis",
abstract = "Increased utilization of prescription opioids for pain management has led to a nationwide public health crisis with alarming rates of addiction and opioid-related deaths. In the surgical setting, opioid prescriptions have been implicated as a contributing factor to the opioid epidemic. The authors developed an innovative model to address aspects of pain management and opioid utilization during preoperative evaluation, acute surgical hospitalization, and postoperative follow-up for chronic opioid users. This program involves multidisciplinary teams that include acute and chronic pain specialists, psychiatrists, integrative medicine specialists, and physical medicine and rehabilitation services. It also features a novel infrastructure for triage and pain management education and treatment. Individualized patient plans are devised that can include preoperative opioid weaning, regional anesthesia that minimizes opioid use, and multimodal techniques for surgical pain treatment. Multidisciplinary programs such as this have the potential to both improve perioperative pain control and prevent escalation of opioid use among chronic opioid users.",
keywords = "addiction, multimodal, opioid epidemic, pain management education, perioperative",
author = "Marie Hanna and Traci Speed and Ronen Shechter and Grant, {Michael C.} and Rosanne Sheinberg and Elizabeth Goldberg and Claudia Campbell and Nicholas Theodore and Colleen Koch and Kayode Williams",
year = "2018",
month = "5",
day = "1",
doi = "10.1177/1062860618777298",
language = "English (US)",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - An Innovative Perioperative Pain Program for Chronic Opioid Users

T2 - An Academic Medical Center’s Response to the Opioid Crisis

AU - Hanna, Marie

AU - Speed, Traci

AU - Shechter, Ronen

AU - Grant, Michael C.

AU - Sheinberg, Rosanne

AU - Goldberg, Elizabeth

AU - Campbell, Claudia

AU - Theodore, Nicholas

AU - Koch, Colleen

AU - Williams, Kayode

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Increased utilization of prescription opioids for pain management has led to a nationwide public health crisis with alarming rates of addiction and opioid-related deaths. In the surgical setting, opioid prescriptions have been implicated as a contributing factor to the opioid epidemic. The authors developed an innovative model to address aspects of pain management and opioid utilization during preoperative evaluation, acute surgical hospitalization, and postoperative follow-up for chronic opioid users. This program involves multidisciplinary teams that include acute and chronic pain specialists, psychiatrists, integrative medicine specialists, and physical medicine and rehabilitation services. It also features a novel infrastructure for triage and pain management education and treatment. Individualized patient plans are devised that can include preoperative opioid weaning, regional anesthesia that minimizes opioid use, and multimodal techniques for surgical pain treatment. Multidisciplinary programs such as this have the potential to both improve perioperative pain control and prevent escalation of opioid use among chronic opioid users.

AB - Increased utilization of prescription opioids for pain management has led to a nationwide public health crisis with alarming rates of addiction and opioid-related deaths. In the surgical setting, opioid prescriptions have been implicated as a contributing factor to the opioid epidemic. The authors developed an innovative model to address aspects of pain management and opioid utilization during preoperative evaluation, acute surgical hospitalization, and postoperative follow-up for chronic opioid users. This program involves multidisciplinary teams that include acute and chronic pain specialists, psychiatrists, integrative medicine specialists, and physical medicine and rehabilitation services. It also features a novel infrastructure for triage and pain management education and treatment. Individualized patient plans are devised that can include preoperative opioid weaning, regional anesthesia that minimizes opioid use, and multimodal techniques for surgical pain treatment. Multidisciplinary programs such as this have the potential to both improve perioperative pain control and prevent escalation of opioid use among chronic opioid users.

KW - addiction

KW - multimodal

KW - opioid epidemic

KW - pain management education

KW - perioperative

UR - http://www.scopus.com/inward/record.url?scp=85047388550&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047388550&partnerID=8YFLogxK

U2 - 10.1177/1062860618777298

DO - 10.1177/1062860618777298

M3 - Article

C2 - 29790369

AN - SCOPUS:85047388550

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

SN - 1062-8606

ER -