Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

This Consensus Statement provides recommendations on the prescription of pain medication at discharge from hospital for opioid-naïve adult patients who undergo elective surgery. It encourages health care providers (surgeons, anesthesiologists, nurses/nurse practitioners, pain teams, pharmacists, all...

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Bibliographic Details
Main Authors: Hance A. Clarke (Author), Varuna Manoo (Author), Emily A. Pearsall (Author), Akash Goel (Author), Adina Feinberg (Author), Aliza Weinrib (Author), Jenny C. Chiu (Author), Bansi Shah (Author), Salima S. J. Ladak (Author), Sarah Ward (Author), Sanjho Srikandarajah (Author), Savtaj S. Brar (Author), Robin S. McLeod (Author)
Format: Book
Published: Taylor & Francis Group, 2020-01-01T00:00:00Z.
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001 doaj_d24b0e17b47a434886e885bc2877b0a8
042 |a dc 
100 1 0 |a Hance A. Clarke  |e author 
700 1 0 |a Varuna Manoo  |e author 
700 1 0 |a Emily A. Pearsall  |e author 
700 1 0 |a Akash Goel  |e author 
700 1 0 |a Adina Feinberg  |e author 
700 1 0 |a Aliza Weinrib  |e author 
700 1 0 |a Jenny C. Chiu  |e author 
700 1 0 |a Bansi Shah  |e author 
700 1 0 |a Salima S. J. Ladak  |e author 
700 1 0 |a Sarah Ward  |e author 
700 1 0 |a Sanjho Srikandarajah  |e author 
700 1 0 |a Savtaj S. Brar  |e author 
700 1 0 |a Robin S. McLeod  |e author 
245 0 0 |a Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery 
260 |b Taylor & Francis Group,   |c 2020-01-01T00:00:00Z. 
500 |a 2474-0527 
500 |a 10.1080/24740527.2020.1724775 
520 |a This Consensus Statement provides recommendations on the prescription of pain medication at discharge from hospital for opioid-naïve adult patients who undergo elective surgery. It encourages health care providers (surgeons, anesthesiologists, nurses/nurse practitioners, pain teams, pharmacists, allied health professionals, and trainees) to (1) use nonopioid therapies and reduce the prescription of opioids so that fewer opioid pills are available for diversion and (2) educate patients and their families/caregivers about pain management options after surgery to optimize quality of care for postoperative pain. These recommendations apply to opioid-naïve adult patients who undergo elective surgery. This consensus statement is intended for use by health care providers involved in the management and care of surgical patients. A modified Delphi process was used to reach consensus on the recommendations. First, the authors conducted a scoping review of the literature to determine current best practices and existing guidelines. From the available literature and expertise of the authors, a draft list of recommendations was created. Second, the authors asked key stakeholders to review and provide feedback on several drafts of the document and attend an in-person consensus meeting. The modified Delphi stakeholder group included surgeons, anesthesiologists, residents, fellows, nurses, pharmacists, and patients. After multiple iterations, the document was deemed complete. The recommendations are not graded because they are mostly based on consensus rather than evidence. 
546 |a EN 
546 |a FR 
690 |a postoperative pain management 
690 |a postsurgical opioid prescribing 
690 |a clinical practice guideline 
690 |a best practices in surgery 
690 |a harm reduction 
690 |a Medicine (General) 
690 |a R5-920 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Canadian Journal of Pain, Vol 4, Iss 1, Pp 67-85 (2020) 
787 0 |n http://dx.doi.org/10.1080/24740527.2020.1724775 
787 0 |n https://doaj.org/toc/2474-0527 
856 4 1 |u https://doaj.org/article/d24b0e17b47a434886e885bc2877b0a8  |z Connect to this object online.