ArticleRegional anesthesia and pain medicine2020
Opioid use among veterans undergoing major joint surgery managed by a multidisciplinary transitional pain service.
Article in Regional anesthesia and pain medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 56 citations in OpenAlex.
- A Multidisciplinary Approach to Reduce Prolonged Postoperative Opioid Use in High-risk Patients.Journal of general internal medicine · 2026Article
- Impact of preoperative opioid exposure on cost of care and workplace productivity loss after elective surgery.Regional anesthesia and pain medicine · 2026Article
- A nurse-led transitional pain service: opioid tapering and early postoperative screening for neuropathic pain characteristics - an observational cohort study.Scandinavian journal of pain · 2026Observational
- Transitional Pain Services and Clinics: A Scoping Review of Recent Literature.Journal of pain research · 2026Review
- Review
- Chronic postsurgical pain and transitional pain services: a narrative review highlighting European perspectives.Regional anesthesia and pain medicine · 2025Review
- Ten years of transitional pain service research and practice: where are we and where do we go from here?Regional anesthesia and pain medicine · 2025Review
- Review
- [Structure and process evaluation of complex interventions in pain therapy : Description of a methodological approach using the example of POET-Pain].Schmerz (Berlin, Germany) · 2025Review
- Bridging the pain gap after cancer surgery - Evaluating the feasibility of transitional pain service to prevent persistent postsurgical pain - A systematic review and meta-analysis.Indian journal of anaesthesia · 2024Article
- Developing Evidence to Support Policy: Protocol for the StrAtegic PoLicy EvIdence-Based Evaluation CeNTer (SALIENT).JMIR research protocols · 2024Article
- Transitional Pain Service: An Update.Current pain and headache reports · 2024Review
- Transitional Pain Service: Optimizing Complex Surgical Patients.Current pain and headache reports · 2024Review
- Patient Experiences and Clinical Outcomes in a Multidisciplinary Perioperative Transitional Pain Service.Journal of personalized medicine · 2023Article
- Effect of Multidisciplinary Transitional Pain Service on Health Care Use and Costs Following Orthopedic Surgery.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023Article
- Post-total joint arthroplasty opioid prescribing practices vary widely and are not associated with opioid refill: an observational cohort study.Archives of orthopaedic and trauma surgery · 2023Observational
- Feasibility of a multidisciplinary Transitional Pain Service in spine surgery patients to minimise opioid use and improve perioperative outcomes: a quality improvement study.BMJ open quality · 2023Article
- Practical strategies for the prevention and management of chronic postsurgical pain.The Korean journal of pain · 2023Review
- Evaluation of Health Care Providers Satisfaction with the Implementation of a Transitional Pain Service.Journal of clinical medicine · 2023Article
- Postoperative opioid prescribing, use and pain trends following general surgery procedures: a retrospective cohort study among veterans comparing non-opioid versus chronic opioid users.Regional anesthesia and pain medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundChronic postsurgical pain and opioid use is a problem among patients undergoing many types of surgical procedures. A multidisciplinary approach to perioperative pain management known as a transitional pain service (TPS) may lower these risks.
methodsThis retrospective cohort study was conducted at the Salt Lake City VA Medical Center to compare patients undergoing elective primary or revision total knee, hip, or shoulder replacement or rotator cuff repair in the year before (2017) and after (2018) implementation of a TPS. The primary outcome is the proportion of patients taking opioids 90 days after surgery. Secondary outcomes include new chronic opioid use (COU) after surgery as well as the proportion of previous chronic opioid users who stopped or decreased opioid use after surgery.
resultsAt 90 days after surgery, patients enrolled in TPS were significantly less likely to be taking opioids (13.4% TPS vs 27.3% pre-TPS; p=0.002). This relationship remained statistically significant in a multivariable logistic regression analysis, where the TPS group had 69% lower odds of postoperative COU compared with the preintervention group (OR: 0.31; 95% CI: 0.14 to 0.66; p=0.03). Opioid-naive patients enrolled in TPS were less likely to have new COU after surgery (0.7% TPS vs 8.4% pre-TPS; p=0.004). Further, patients enrolled in TPS with existing COU prior to surgery were more likely to reduce or completely stop opioid use after surgery (67.5% TPS vs 45.3% pre-TPS; p=0.037) as compared with pre-TPS.
conclusionsThese data suggest that a TPS is an effective strategy for preventing new COU and reducing overall opioid use following orthopedic joint procedures in a Veterans Affairs hospital.
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Registered trials
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