{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:25:00Z","timestamp":1776212700998,"version":"3.50.1"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Opioids represent an important analgesic option for physicians managing acute pain in surgical patients. Opioid management is not without its drawbacks, however, and current trends suggest that opioids might be overused in the United States. An expert panel was convened to conduct a clinical appraisal regarding the use of opioids in the perioperative setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The clinical appraisal consisted of the review, presentation, and assessment of current published evidence as it relates to the statement \u201cOpioids are not overused in the United States, even though opioid adjunct therapy achieves greater pain control with less risk.\u201d The authors\u2019 evaluation of this statement was also compared with the results of a national survey of surgeons and anesthesiologists in the United States.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We report the presented literature and proceedings of the panel discussion. The national survey revealed a wide range of opinions regarding opioid overuse in the United States. Current published evidence provides support for the efficacy of opioid therapy in surgical patients; however, it is not sufficient to conclude unequivocally that opioids are\u2014or are not\u2014overused in the management of acute surgical pain in the United States.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Opioids remain a key component of multimodal perioperative analgesia, and strategic opioid use based on clinical considerations and patient-specific needs represents an opportunity to support improved postoperative outcomes and satisfaction. Future studies should focus on identifying optimal procedure-specific and patient-centered approaches to multimodal perioperative analgesia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnx191","type":"journal-article","created":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T15:14:06Z","timestamp":1502291646000},"page":"1710-1719","source":"Crossref","is-referenced-by-count":6,"title":["Current Perspective on the Use of Opioids in Perioperative Medicine: An Evidence-Based Literature Review, National Survey of 70,000 Physicians, and Multidisciplinary Clinical Appraisal"],"prefix":"10.1093","volume":"19","author":[{"given":"Jonathan S","family":"Jahr","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine, UCLA Medical Center, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio D","family":"Bergese","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and Neurological Surgery, The Ohio State University, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ketan R","family":"Sheth","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Cambridge Health Alliance, Cambridge, Massachusetts"},{"name":"Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas M","family":"Bernthal","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, David Geffen School of Medicine at UCLA, Ronald Reagan UCLA Medical Center, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hung S","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Surgery, UC Davis Medical Center, Davis, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicoleta","family":"Stoicea","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and Neurological Surgery, The 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