CPM-09 - Joining the Fight: Transitional Pain Services for Postsurgical Pain

Pain occurring immediately after and up to 7 days after surgery. Chronic (Persistent) postsurgical pain (CPSP) Pain lasting more than 3-6 months after surgery. It estimated 10-50% of individuals following common surgeries .Chronic postsurgical pain (CPSP) places a significant burden on patients daily life and the healthcare system. It is often misidentified and poorly managed in the post discharge period. Total joint arthroplasty, thoracotomy, amputations have be shown to have high prevalence of chronic postsurgical pain. The median incidence for chronic postsurgical pain is 20-30% on average but has been reported as high as 85%. Dr. Hance Clarke and colleagues are considered the founding transitional pain service in Toronto Canada. In an article published in 2016 in Pain Management their study demonstrated the ongoing issues that CPSP presents, and highlighted the need and importance of a Transitional Pain Service to identify at-risk patients and optimize pain management for them before, during and after discharge from surgery. This educational content will discuss the evidence and relevance of acute and persistent postsurgical pain and the multidisciplinary care needed to improve patient outcomes.