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Canadian Journal of Pain
Revue canadienne de la douleur
Volume 4, 2020 - Issue 1
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Research Article

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

Hance A. Clarkea Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;b Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;c Department of Anaesthesia, University of Toronto, Toronto, Ontario, Canada;d University of Toronto Centre for the Study of Pain, University of Toronto, Toronto, Ontario, CanadaCorrespondence[email protected]
,
Varuna Manooa Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;b Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada
,
Emily A. Pearsalle Department of Surgery, University of Toronto, Toronto, Ontario, Canada
,
Akash Goelb Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;c Department of Anaesthesia, University of Toronto, Toronto, Ontario, Canada
,
Adina Feinberge Department of Surgery, University of Toronto, Toronto, Ontario, Canada
,
Aliza Weinribb Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada
,
Jenny C. Chiuf Department of Pharmacy, North York General Hospital, Toronto, Ontario, Canada
,
Bansi Shahb Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada
,
Salima S. J. Ladaka Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;b Transitional Pain Service, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada;g Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
,
Sarah Warde Department of Surgery, University of Toronto, Toronto, Ontario, Canada;h Department of Surgery, St. Michaels Hospital, Toronto, Ontario, Canada
,
Sanjho Srikandarajahi Department of Anaesthesia, North York General Hospital, Toronto, Ontario, Canada
,
Savtaj S. Brare Department of Surgery, University of Toronto, Toronto, Ontario, Canada;j Department of Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada
&
Robin S. McLeode Department of Surgery, University of Toronto, Toronto, Ontario, Canada
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Pages 67-85 | Received 22 Aug 2019, Accepted 30 Jan 2020, Published online: 08 Mar 2020

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Rasheeda Darville-Beneby, Anna M. Lomanowska, Hai Chuan Yu, Parker Jobin, Brittany N. Rosenbloom, Gretchen Gabriel, Helena Daudt, Michael Negraeff, Tania Di Renna, Maria Hudspith & Hance Clarke. (2023) The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review. Canadian Journal of Pain 7:2.
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Katarina Kojic & Hance Clarke. (2021) Important considerations with respect to reducing the transition from acute to persistent postoperative pain. Expert Opinion on Pharmacotherapy 22:7, pages 779-782.
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Articles from other publishers (16)

Janny X.C. Ke, Maya de Vos, Katarina Kojic, Mark Hwang, Jason Park, Heather Stuart, Jill Osborn, Alana Flexman, Lindsay Blake & Daniel I. McIsaac. (2023) Healthcare delivery gaps in pain management within the first 3 months after discharge from inpatient noncardiac surgeries: a scoping review. British Journal of Anaesthesia 131:5, pages 925-936.
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Sandra A. van den Heuvel, Regina L. van Boekel, Felicia J. Cox, Fabrice Ferré, Vincent Minville, Ulrike M. Stamer, Kris C. Vissers & Esther M. Pogatzki-Zahn. (2023) Perioperative pain management models in four European countries. European Journal of Anaesthesiology.
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A.K. Simpson, N. Levy & E.R. Mariano. (2023) Opioid stewardship. BJA Education 23:10, pages 389-397.
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Rodney Allanigue Gabriel, Sierra Simpson, William Zhong, Brittany Nicole Burton, Soraya Mehdipour & Engy Tadros Said. (2023) A Neural Network Model Using Pain Score Patterns to Predict the Need for Outpatient Opioid Refills Following Ambulatory Surgery: Algorithm Development and Validation. JMIR Perioperative Medicine 6, pages e40455.
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C. Côté, M. Bérubé, L. Moore, F. Lauzier, L. Tremblay, E. Belzile, M-O Martel, G. Pagé, Y. Beaulieu, A. M. Pinard, K. Perreault, C. Sirois, S. Grzelak & A. F. Turgeon. (2022) Strategies aimed at preventing long-term opioid use in trauma and orthopaedic surgery: a scoping review. BMC Musculoskeletal Disorders 23:1.
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Olga Bougie, Jessica Blom, Grace Zhou, Ally Murji & Jackie Thurston. (2022) Use and misuse of opioid after gynecologic surgery. Best Practice & Research Clinical Obstetrics & Gynaecology 85, pages 23-34.
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Jane Quinlan, Nicholas Levy, Dileep N. Lobo & Pamela E. Macintyre. (2022) No place for routine use of modified-release opioids in postoperative pain management. British Journal of Anaesthesia 129:3, pages 290-293.
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Ainsley M. Sutherland & Hance A. Clarke. (2022) The role of anesthesiologists in reducing opioid harmLe rôle des anesthésiologistes dans la réduction des préjudices liés aux opioïdes. Canadian Journal of Anesthesia/Journal canadien d'anesthésie 69:8, pages 917-922.
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Naiyi Sun, Benjamin E. Steinberg, David Faraoni & Lisa Isaac. (2021) Variability in discharge opioid prescribing practices for children: a historical cohort studyVariabilité des pratiques de prescription d’opioïdes au congé des enfants : une étude de cohorte historique. Canadian Journal of Anesthesia/Journal canadien d'anesthésie 69:8, pages 1025-1032.
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D.C. Cheung, L.J. Martin, N.K. Jivraj, H. Clarke, T. Gomes, D.N. Wijeysundera, C. Diong, M. Nayan, O. Saarela, S.M.H. Alibhai, M. Komisarenko, N.E. Fleshner, G.S. Kulkarni & A. Finelli. (2022) Opioid Use After Nephrectomy for Kidney Cancer in Ontario: A Population-Based Study. Urology 164, pages 118-123.
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Courtney M. Lattimore, William J. Kane, Bethany M. Sarosiek, Christy M. Coleman, Florence E. Turrentine, Katherine T. Forkin, Todd W. Bauer, Reid B. Adams & Victor M. Zaydfudim. (2022) Efficacy of opioid spinal analgesia for postoperative pain management after pancreatoduodenectomy. HPB.
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Julio F FioreJrJr, Charbel El-Kefraoui, Marc-Aurele Chay, Philip Nguyen-Powanda, Uyen Do, Ghadeer Olleik, Fateme Rajabiyazdi, Araz Kouyoumdjian, Alexa Derksen, Tara Landry, Alexandre Amar-Zifkin, Amy Bergeron, Agnihotram V Ramanakumar, Marc Martel, Lawrence Lee, Gabriele Baldini & Liane S Feldman. (2022) Opioid versus opioid-free analgesia after surgical discharge: a systematic review and meta-analysis of randomised trials. The Lancet 399:10343, pages 2280-2293.
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Mélanie Bérubé, Sébastien Dupuis, Stéphane Leduc, Isabel Roy, Valérie Turcotte, Caroline Côté, Sonia Grzelak, Sarah Clairoux, Stéphane Panic & François Lauzier. (2022) Tapering Opioid Prescription Program for High-Risk Trauma Patients: A Pilot Randomized Controlled Trial. Pain Management Nursing 23:2, pages 142-150.
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Pamela E Macintyre. (2021) The opioid epidemic from the acute care hospital front line. Anaesthesia and Intensive Care 50:1-2, pages 29-43.
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P. Daliya, A. Adiamah, F. Roslan, E. Theophilidou, R. D. Knaggs, N. Levy & D. N. Lobo. (2021) Opioid prescription at postoperative discharge: a retrospective observational cohort study. Anaesthesia 76:10, pages 1367-1376.
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N. Levy, J. Quinlan, K. El‐Boghdadly, W. J. Fawcett, V. Agarwal, R. B. Bastable, F. J. Cox, H. D. de Boer, S. C. Dowdy, K. Hattingh, R. D. Knaggs, E. R. Mariano, P. Pelosi, M. J. Scott, D. N. Lobo & P. E. Macintyre. (2020) An international multidisciplinary consensus statement on the prevention of opioid‐related harm in adult surgical patients. Anaesthesia 76:4, pages 520-536.
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