title: Patients with chronic pain.
abstract: Preoperative evaluation of patients with chronic pain is important because it may lead to multidisciplinary preoperative treatment of patients' pain and a multimodal analgesia plan for effective pain control. Preoperative multidisciplinary management of chronic pain and comorbid conditions, such as depression, anxiety, deconditioning, and opioid tolerance, can improve patient satisfaction and surgical recovery. Multimodal analgesia using pharmacologic and nonpharmacologic strategies shifts the burden of analgesia away from simply increasing opioid dosing. In more complicated chronic pain patients, multidisciplinary treatment, including pain psychology, physical therapy, judicious medication management, and minimally invasive interventions by pain specialists, can improve patients' satisfaction and surgical outcome.
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, 3303 Southwest Bond Avenue, Portland, OR 97239, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Salama-Hanna
authors.forename: Grace
authors.initials: G
authors.lastname: Chen
mesh_terms: D000698:Analgesia / Q000379:methods*; D000701:Analgesics, Opioid / Q000627:therapeutic use; D002047:Buprenorphine / Q000627:therapeutic use; D059350:Chronic Pain / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D006801:Humans; D009293:Opioid-Related Disorders / Q000175:diagnosis; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D059035:Perioperative Period; D011300:Preoperative Care / Q000379:methods*
chemical_list: D000701:Analgesics, Opioid; D002047:Buprenorphine
keywords: Buprenorphine; Multidisciplinary pain treatment; Multimodal analgesia; Opioid tolerance; Postoperative pain; Preoperative evaluation; Preoperative opioid abuse