What is the clinical evidence from this study?

Study design: Other. Population: Chronic pain, preoperative opioid tolerance, or substance use disorder. Intervention: Modified Delphi consensus process. Primary outcome: Development of guiding principles for perioperative care.

What question did this study set out to answer?

Establish multidisciplinary guiding principles to standardize and optimize perioperative pain management for patients with chronic pain, preoperative opioid tolerance, or substance use disorder.

April 25, 2023Regional Anesthesia & Pain Medicine

Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder

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Why the study?

Significant knowledge gaps exist in perioperative pain management for patients with chronic pain, substance use disorder, or opioid tolerance, necessitating multidisciplinary care and stakeholder alignment across specialties.

Population

Consortium of 15 professional healthcare societies

Design

Year-long modified Delphi consensus process and summit

Authors

DDDavid DickersonNorthShore University HealthSystem EMEdward R. MarianoNorthwestern University JSJoseph W. SzokolNorthwestern University

Discussion

Member takes

Implication

Provides seven consensus guiding principles for complex perioperative pain patients; leaves open prospective validation before practice change.

Key Points

Establish multidisciplinary guiding principles to standardize and optimize perioperative pain management for patients with chronic pain, preoperative opioid tolerance, or substance use disorder.
Conducted a year-long modified Delphi consensus process and summit.
Convened a consortium representing 15 professional healthcare societies across multiple medical specialties and clinical care settings.
Produced seven multiorganizational guiding principles for the perioperative care of complex surgical patients.
Established a coordinated multidisciplinary framework intended to guide clinical pathways, bridge identified practice gaps, and direct future healthcare quality improvement initiatives.

Structured PICO

Population

Patients with a history of chronic pain, substance use disorder, and/or opioid tolerance undergoing surgical procedures

Intervention

Seven guiding principles for perioperative care developed via a modified Delphi consensus process by a consortium of 15 professional healthcare societies

Outcome

Development of guiding principles for perioperative care

A consortium of 15 professional healthcare societies developed seven guiding principles to optimize perioperative pain management in complex patients with chronic pain or substance use disorders.

Cite This Study

Dickerson et al. (2023) studied Chronic pain, preoperative opioid tolerance, or substance use disorder. Modified Delphi consensus process was evaluated on Development of guiding principles for perioperative care. A consortium of 15 professional healthcare societies produced seven guiding principles for the perioperative care of patients with chronic pain, substance use disorder, or opioid tolerance.

synapsesocial.com/papers/6a950549def62415d69e606a https://doi.org/10.1136/rapm-2023-104435

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Implication

Provides seven consensus guiding principles for complex perioperative pain patients; leaves open prospective validation before practice change.

Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider