Clinical Practice Statement| Volume 157, ISSUE 3, P563-569, June 2020

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Managing opioid use in the acute surgical setting: A society of gynecologic oncology clinical practice statement

Published:February 24, 2020DOI:


      • The current opioid crisis is relevant to gynecologic oncology patients in the acute surgical setting.
      • Surgical pain management planning should include preoperative risk factor identification and postoperative pain education.
      • More effective pain relief can be achieved when multimodal analgesia is used.
      • Restrictive opioid prescribing guidelines should be used postoperatively whenever possible.


      Gynecologic oncologists have the unique opportunity of caring for patients in a broad range of surgical and medical settings. With increasing awareness of the opioid epidemic and the various factors that contribute to chronic opioid use, gynecologic oncologists must also better understand how to best address acute postoperative pain without unknowingly placing patients at risk for opioid misuse. This article examines the use of opioids in the acute surgical setting and provides clinical guidelines and various strategies to reduce opioid misuse.


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