Transitional Pain Service: An Update

AbstractPurpose of ReviewChronic Postsurgical Pain (CPSP) and the risk for long-term opioid dependency are known complications following major surgery. The idea of  Transitional Pain Service (TPS) has been introduced as an interdisciplinary setting to manage pain in the perioperative continuum. We expand on the basic framework and principles of TPS and summarize the current evidence of the TPS and possible interventions to adress postoperative pain. Areas o f future work in TPS-related research are discussed.Recent FindingsSeveral studies support the effectiveness of TPS in reducing opioid consumption in the perioperative period and following discharge. Some studies also show an improvement in functional outcome with TPS with patients reporting lower pain severity and pain interference.SummaryThe TPS aims to halt the progress of acute postoperative pain to CPSP by providing longitudinal support with patient-centered care. While  some studies suggest a positive impact of TPS implementation in terms of reduction in postoperative opioid consumption and improvement of some functional outcomes, direct evidence in terms of reduction in the incidence of CPSP is still missing. The cost-effectiveness of TPS and the expansion of TP S through e-health services and digital applications also need to be evaluated.
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research