BACKGROUND: The COVID-19 pandemic has led caregivers to modify patient healthcare, with a high impact on patients with chronic pain .
AIMS: To map recommendations for the management of chronic pain patients during the COVID-19 pandemic and propose a workflow for the management of these patients .
DESIGN: This was a scoping review .
METHODS: The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library, and LILACS . The studies were examined by two independent reviewers . The disagreements between reviewers were resolved through discussion or with a third reviewer .
RESULTS: We presented the results in the form of a table, a workflow, and a narrative summary . The search resulted in 13 studies selected for full reading, including one consensus, five guidance documents, two expert panels, one joint statement, two educational flyers, and two free comments . We considered new technologies, including telemedicine . Each pain service needs to establish a screening model, classifying patients according to corresponding severity . Particular attention should be given to patients who use opioids and are at risk of misusing them . Nonpharmacological approaches and pain education should be maintained, considering the use of telehealth .
CONCLUSIONS: Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model . The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).