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Should "Pain Clearance" Be Routine for Elective Surgery?
Alexandra M Dunham1, Casey Jo Humbyrd2
1Orthopedic surgery resident at Johns Hopkins University in Baltimore, Maryland.
Abstract:
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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