Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement

Jay K. Ferrell; Maisie L. Shindo; Brendan C. Stack; Peter Angelos; Gary Bloom; Amy Y. Chen; Louise Davies; Jonathan C. Irish; Teresa Kroeker; Susan D. McCammon; Charles Meltzer; Lisa A. Orloff; Aru Panwar; Jennifer J. Shin; Catherine F. Sinclair; Michael C. Singer; Tiffany V. Wang; Gregory W. Randolph

doi:10.1002/hed.26774

Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement

Jay K. Ferrell, Maisie L. Shindo, Brendan C. Stack, Peter Angelos, Gary Bloom, Amy Y. Chen, Louise Davies, Jonathan C. Irish, Teresa Kroeker, Susan D. McCammon, Charles Meltzer, Lisa A. Orloff, Aru Panwar, Jennifer J. Shin, Catherine F. Sinclair, Michael C. Singer, Tiffany V. Wang, Gregory W. Randolph

Otolaryngology

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Background: This American Head and Neck Society (AHNS) consensus statement focuses on evidence-based comprehensive pain management practices for thyroid and parathyroid surgery. Overutilization of opioids for postoperative pain management is a major contributing factor to the opioid addiction epidemic however evidence-based guidelines for pain management after routine head and neck endocrine procedures are lacking. Methods: An expert panel was convened from the membership of the AHNS, its Endocrine Surgical Section, and ThyCa. An extensive literature review was performed, and recommendations addressing several pain management subtopics were constructed based on best available evidence. A modified Delphi survey was then utilized to evaluate group consensus of these statements. Conclusions: This expert consensus provides evidence-based recommendations for effective postoperative pain management following head and neck endocrine procedures with a focus on limiting unnecessary use of opioid analgesics.

Original language	English (US)
Pages (from-to)	2281-2294
Number of pages	14
Journal	Head and Neck
Volume	43
Issue number	8
DOIs	https://doi.org/10.1002/hed.26774
State	Published - Aug 2021

Keywords

head and neck endocrine surgery
multimodality pain management
opioid addiction
parathyroidectomy
patient education
postoperative pain management
thyroidectomy

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.26774

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Ferrell, J. K., Shindo, M. L., Stack, B. C., Angelos, P., Bloom, G., Chen, A. Y., Davies, L., Irish, J. C., Kroeker, T., McCammon, S. D., Meltzer, C., Orloff, L. A., Panwar, A., Shin, J. J., Sinclair, C. F., Singer, M. C., Wang, T. V., & Randolph, G. W. (2021). Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement. Head and Neck, 43(8), 2281-2294. https://doi.org/10.1002/hed.26774

Ferrell, JK, Shindo, ML, Stack, BC, Angelos, P, Bloom, G, Chen, AY, Davies, L, Irish, JC, Kroeker, T, McCammon, SD, Meltzer, C, Orloff, LA, Panwar, A, Shin, JJ, Sinclair, CF, Singer, MC, Wang, TV & Randolph, GW 2021, 'Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement', Head and Neck, vol. 43, no. 8, pp. 2281-2294. https://doi.org/10.1002/hed.26774

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title = "Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement",

abstract = "Background: This American Head and Neck Society (AHNS) consensus statement focuses on evidence-based comprehensive pain management practices for thyroid and parathyroid surgery. Overutilization of opioids for postoperative pain management is a major contributing factor to the opioid addiction epidemic however evidence-based guidelines for pain management after routine head and neck endocrine procedures are lacking. Methods: An expert panel was convened from the membership of the AHNS, its Endocrine Surgical Section, and ThyCa. An extensive literature review was performed, and recommendations addressing several pain management subtopics were constructed based on best available evidence. A modified Delphi survey was then utilized to evaluate group consensus of these statements. Conclusions: This expert consensus provides evidence-based recommendations for effective postoperative pain management following head and neck endocrine procedures with a focus on limiting unnecessary use of opioid analgesics.",

keywords = "head and neck endocrine surgery, multimodality pain management, opioid addiction, parathyroidectomy, patient education, postoperative pain management, thyroidectomy",

author = "Ferrell, {Jay K.} and Shindo, {Maisie L.} and Stack, {Brendan C.} and Peter Angelos and Gary Bloom and Chen, {Amy Y.} and Louise Davies and Irish, {Jonathan C.} and Teresa Kroeker and McCammon, {Susan D.} and Charles Meltzer and Orloff, {Lisa A.} and Aru Panwar and Shin, {Jennifer J.} and Sinclair, {Catherine F.} and Singer, {Michael C.} and Wang, {Tiffany V.} and Randolph, {Gregory W.}",

note = "Publisher Copyright: {\textcopyright} 2021 Wiley Periodicals LLC.",

year = "2021",

month = aug,

doi = "10.1002/hed.26774",

language = "English (US)",

volume = "43",

pages = "2281--2294",

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AU - Shindo, Maisie L.

AU - Stack, Brendan C.

AU - Angelos, Peter

AU - Bloom, Gary

AU - Chen, Amy Y.

AU - Davies, Louise

AU - Irish, Jonathan C.

AU - Kroeker, Teresa

AU - McCammon, Susan D.

AU - Meltzer, Charles

AU - Orloff, Lisa A.

AU - Panwar, Aru

AU - Shin, Jennifer J.

AU - Sinclair, Catherine F.

AU - Singer, Michael C.

AU - Wang, Tiffany V.

AU - Randolph, Gregory W.

PY - 2021/8

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N2 - Background: This American Head and Neck Society (AHNS) consensus statement focuses on evidence-based comprehensive pain management practices for thyroid and parathyroid surgery. Overutilization of opioids for postoperative pain management is a major contributing factor to the opioid addiction epidemic however evidence-based guidelines for pain management after routine head and neck endocrine procedures are lacking. Methods: An expert panel was convened from the membership of the AHNS, its Endocrine Surgical Section, and ThyCa. An extensive literature review was performed, and recommendations addressing several pain management subtopics were constructed based on best available evidence. A modified Delphi survey was then utilized to evaluate group consensus of these statements. Conclusions: This expert consensus provides evidence-based recommendations for effective postoperative pain management following head and neck endocrine procedures with a focus on limiting unnecessary use of opioid analgesics.

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Perioperative pain management and opioid-reduction in head and neck endocrine surgery: An American Head and Neck Society Endocrine Surgery Section consensus statement

Abstract

Keywords

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