Case and commentary : Should "pain clearance" be routine for elective surgery?

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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.




Dunham, A. M., & Humbyrd, C. J. (2020, August 1). Case and commentary : Should “pain clearance” be routine for elective surgery? AMA Journal of Ethics. American Medical Association.

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