[Optimization of perioperative pain management: a role for a Transitional Pain Service]

There is a concern about the increasing use of opioids for non-cancer-related pain. Persistent pain after surgery may contribute to the prevalence of increasing (long-term) opioid use. Identification of patients at increased risk of acute and chronic postsurgical pain and long-term opioid use is suboptimal. This results in a lack of early prevention and optimal treatment of acute and subacute pain in this group. Furthermore, responsibility for postoperative pain after discharge takes places fragmented by both the general practitioner and surgeon. The implementation of a Transitional Pain Service (TPS) appears to be a worthwhile investment to limit the transition from acute to chronic postoperative pain and long-term opioid use after surgery. By using a good risk assessment tool and systematic screening of all surgical patients, the TPS can early identify high-risk patients. These patients can be optimally supported during the perioperative phase with relatively simple personalized interventions.