Transitional Pain Service: An Update.

Klimke, Ruben; Ott, Alexander; Romero, Carolina S; Berendes, Andrea; Urman, Richard D; Luedi, Markus M; Ashok, Vighnesh (2024). Transitional Pain Service: An Update. Current pain and headache reports, 28(6), pp. 457-464. Springer 10.1007/s11916-024-01239-1

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PURPOSE OF REVIEW

Chronic Postsurgical Pain (CPSP) and the risk for long-term opioid dependency are known complications following major surgery. The idea of Transitional Pain Service (TPS) has been introduced as an interdisciplinary setting to manage pain in the perioperative continuum. We expand on the basic framework and principles of TPS and summarize the current evidence of the TPS and possible interventions to adress postoperative pain. Areas of future work in TPS-related research are discussed.

RECENT FINDINGS

Several studies support the effectiveness of TPS in reducing opioid consumption in the perioperative period and following discharge. Some studies also show an improvement in functional outcome with TPS with patients reporting lower pain severity and pain interference. The TPS aims to halt the progress of acute postoperative pain to CPSP by providing longitudinal support with patient-centered care. While some studies suggest a positive impact of TPS implementation in terms of reduction in postoperative opioid consumption and improvement of some functional outcomes, direct evidence in terms of reduction in the incidence of CPSP is still missing. The cost-effectiveness of TPS and the expansion of TPS through e-health services and digital applications also need to be evaluated.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Lüdi, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1534-3081

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

28 Mar 2024 09:00

Last Modified:

07 Jun 2024 00:13

Publisher DOI:

10.1007/s11916-024-01239-1

PubMed ID:

38530574

Uncontrolled Keywords:

Chronic pain Opioids Perioperative pain Postsurgical pian Transitional pain service

BORIS DOI:

10.48350/194912

URI:

https://boris.unibe.ch/id/eprint/194912

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