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The report emphasized the challenges of caring for these populations and the need for multidisciplinary care and a comprehensive approach. Such care requires stakeholder alignment across multiple specialties and care settings. With the intention of codifying this alignment into a reliable and efficient processes, a consortium of 15 professional healthcare societies was convened in a year-long modified Delphi consensus process and summit. This process produced seven guiding principles for the perioperative care of patients with chronic pain, substance use disorder, and\/or preoperative opioid tolerance. These principles provide a framework and direction for future improvement in the optimization and care of \u2018complex\u2019 patients as they undergo surgical procedures.<\/jats:p>","DOI":"10.1136\/rapm-2023-104435","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T12:01:06Z","timestamp":1682424066000},"page":"716-724","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder"],"prefix":"10.1136","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8869-497X","authenticated-orcid":false,"given":"David M","family":"Dickerson","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Medicine, NorthShore University HealthSystem, Evanston, Illinois, 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