Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders

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Purpose of Review

This review summarizes selected recent evidence on issues important for preoperative pain evaluation.

Recent Findings

Opioids, though a mainstay of postoperative pain management, are associated with both short and increasingly recognized long-term risks, including persistent opioid use. Risk factors for high levels of acute postoperative pain as well as chronic postsurgical pain may overlap, including psychological factors such as depression, anxiety, and catastrophizing. Tools to predict those at risk for poor postoperative pain outcomes are being studied.


Preoperative pain and psychological factors can affect postoperative pain outcomes. More work is needed in the future to develop practical interventions in the preoperative period to address these factors.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Correspondence to Jeanna Blitz.

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Lisa V. Doan and Jeanna Blitz declare that they have no conflict of interest.

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Doan, L.V., Blitz, J. Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders. Curr Anesthesiol Rep (2020).

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  • Opioids
  • Catastrophizing
  • Anxiety
  • Postoperative pain