TY - JOUR
T1 - Case and commentary
T2 - Should "pain clearance" be routine for elective surgery?
AU - Dunham, Alexandra M.
AU - Humbyrd, Casey Jo
N1 - Funding Information:
Acknowledgements This work was supported by institutional training grant T32 AR067708 from the National Institutes of Health (Dr Dunham).
Publisher Copyright:
© 2020 American Medical Association. All rights reserved.
PY - 2020/8
Y1 - 2020/8
N2 - For elective surgery, preoperative planning for patients with comorbidities tends to address risk stratification, cardiac clearance, and anticoagulation. This commentary suggests that chronic opioid use should be normalized as a comorbidity requiring "pain clearance" prior to elective surgery. Doing so would likely enhance team communication, optimize patient care, decrease stigma, and facilitate care transitioning and long-term planning.
AB - For elective surgery, preoperative planning for patients with comorbidities tends to address risk stratification, cardiac clearance, and anticoagulation. This commentary suggests that chronic opioid use should be normalized as a comorbidity requiring "pain clearance" prior to elective surgery. Doing so would likely enhance team communication, optimize patient care, decrease stigma, and facilitate care transitioning and long-term planning.
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U2 - 10.1001/amajethics.2020.664
DO - 10.1001/amajethics.2020.664
M3 - Review article
C2 - 32880353
AN - SCOPUS:85090261831
SN - 2376-6980
VL - 22
SP - 664
EP - 667
JO - AMA Journal of Ethics
JF - AMA Journal of Ethics
IS - 8
ER -