4.8 Article

Opioid versus opioid-free analgesia after surgical discharge: a systematic review and meta-analysis of randomised trials

Related references

Note: Only part of the references are listed.
Article Surgery

Patient Factors Associated With Opioid Consumption in the Month Following Major Surgery

Daniel B. Larach et al.

Summary: This study identified characteristics associated with greater opioid use in the first month after surgery among opioid-naive patients undergoing major surgery. Future studies should focus on the use of non-opioid medications and behavioral therapies for these higher risk patients in the perioperative period.

ANNALS OF SURGERY (2021)

Article Surgery

Are narcotic pain medications necessary after discharge following thyroidectomy and parathyroidectomy?

Justin T. Brady et al.

Summary: The study aimed to compare postoperative pain management in patients undergoing thyroidectomy and parathyroidectomy with either an opioid-sparing regimen or an opioid-containing regimen. The results showed that the opioid-sparing regimen provided equivalent analgesia for most patients after surgery.

SURGERY (2021)

Article Dentistry, Oral Surgery & Medicine

Comparison between isolated and associated with codeine acetaminophen in pain control of acute apical abscess: a randomized clinical trial

Paula Barcellos da Silva et al.

Summary: The study aimed to compare the efficacy of acetaminophen alone or in combination with codeine for pain control in acute apical abscess cases. Both medications were found to be effective in pain control for acute apical abscess cases, with significant pain score reduction over time.

CLINICAL ORAL INVESTIGATIONS (2021)

Article Anesthesiology

Patient and Procedural Determinants of Postoperative Pain Trajectories

Terrie Vasilopoulos et al.

Summary: The study identified five distinct postoperative pain trajectories, with many patients experiencing moderate-to-high pain. Factors influencing the high pain trajectory included younger age, female gender, higher anxiety, and more pain behaviors.

ANESTHESIOLOGY (2021)

Article Surgery

Prospective Randomized Trial Comparing Opioids versus Nonsteroidal Antiinflammatory Drugs for Postoperative Analgesia in Outpatient Rhinoplasty

Anna Frants et al.

Summary: Using ibuprofen as postoperative pain treatment is a safe and effective alternative for patients undergoing rhinoplasty, and may provide better pain control in some patients.

PLASTIC AND RECONSTRUCTIVE SURGERY (2021)

Article Orthopedics

Multimodal Nonopioid Pain Protocol Provides Equivalent Pain Versus Opioid Control Following Meniscus Surgery: A Prospective Randomized Controlled Trial

Toufic R. Jildeh et al.

Summary: This study compared the effectiveness of a nonopioid pain regimen with a traditional opioid pain control in postoperative pain management following primary meniscectomy or meniscal repair. The nonopioid regimen was found to provide equivalent pain control and patient outcomes compared to the opioid regimen, with similar side effect profiles.

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY (2021)

Review Anesthesiology

Research approaches for evaluating opioid sparing in clinical trials of acute and chronic pain treatments: Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials recommendations

Jennifer S. Gewandter et al.

Summary: Randomized clinical trials have shown the efficacy of opioid analgesics in pain management, but they also come with significant risks. Efforts to reduce their use are ongoing, with IMMPACT providing recommendations for opioid-sparing clinical trial design. These recommendations aim to guide the design, conduct, analysis, and interpretation of future trials.
Review Medicine, General & Internal

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA statement was designed to help systematic reviewers transparently report the purpose, methods, and findings of their reviews. The updated PRISMA 2020 statement includes new reporting guidance, a 27-item checklist, an abstract checklist, and revised flow diagrams for reviews.

BMJ-BRITISH MEDICAL JOURNAL (2021)

Review Medicine, General & Internal

In the Arms of Morpheus without Morphia; Mitigating the United States Opioid Epidemic by Decreasing the Surgical Use of Opioids

Karen Boretsky et al.

Summary: The opioid epidemic in the United States is a significant public health issue, with exposure of opioid-naive patients during the perioperative period being a major source of continued opioid use. Overreliance on opioids for pain management and excessive prescribing contribute to the problem, necessitating a shift towards alternative pain management approaches to reduce opioid dependence.

JOURNAL OF CLINICAL MEDICINE (2021)

Article Anesthesiology

Surgery and opioids: evidence-based expert consensus guidelines on the perioperative use of opioids in the United Kingdom

Devjit Srivastava et al.

Summary: The expert consensus guideline emphasizes on the standardized management of opioid use during surgery, focusing on preoperative assessment and continuous monitoring of potential risks for long-term opioid use.

BRITISH JOURNAL OF ANAESTHESIA (2021)

Article Orthopedics

Multimodal nonopioid pain protocol provides equivalent pain control versus opioids following arthroscopic shoulder labral surgery: a prospective randomized controlled trial

Toufic R. Jildeh et al.

Summary: The study found that using a multimodal nonopioid pain regimen provides equivalent pain control, adverse reaction profile, and patient satisfaction compared to a standard opioid-based regimen following arthroscopic shoulder labral surgery.

JOURNAL OF SHOULDER AND ELBOW SURGERY (2021)

Article Dentistry, Oral Surgery & Medicine

IBUPROFEN AFTER IMPACTED LOWER THIRD MOLAR EXTRACTION: A RANDOMIZED CONTROLLED CLINICAL TRIAL

Cristina Vallecillo et al.

Summary: The multimodal therapy of tramadol-dexketoprofen was more effective in managing moderate-severe pain after impacted third molar surgery compared to monotherapy with ibuprofen. However, the improvement in pain relief must be balanced against the increased risk of adverse effects when considering this multimodal approach.

JOURNAL OF EVIDENCE-BASED DENTAL PRACTICE (2021)

Article Dentistry, Oral Surgery & Medicine

COMPARATIVE ANALGESIC EFFECTS OF SINGLE-DOSE PREOPERATIVE ADMINISTRATION OF PARACETAMOL (ACETAMINOPHEN) 500 MG PLUS CODEINE 30 MG AND IBUPROFEN 400 MG ON PAIN AFTER THIRD MOLAR SURGERY

Gerardo La Monaca et al.

Summary: The study aimed to compare the analgesic effects of different medications for postoperative pain relief after mandibular third molar surgery. Results showed that the paracetamol-codeine group had significantly lower pain intensity over the postoperative 3 days compared to the ibuprofen and placebo groups, with a lower need for rescue therapy.

JOURNAL OF EVIDENCE-BASED DENTAL PRACTICE (2021)

Editorial Material Surgery

Anchoring to Zero Exposure Opioid-free Minimally Invasive Surgery

Benjamin Davies et al.

ANNALS OF SURGERY (2020)

Article Obstetrics & Gynecology

Nonopioid versus opioid analgesia after hospital discharge following cesarean delivery: a randomized equivalence trial

Jenifer Dinis et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2020)

Article Medicine, General & Internal

Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery A Systematic Review and Meta-analysis

Oluwadolapo D. Lawal et al.

JAMA NETWORK OPEN (2020)

Article Surgery

Eliminating Opioids from Breast Conserving Surgery: Perioperative Pain Management Pathway

Ravinder Kang et al.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2020)

Article Clinical Neurology

Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

Hance A. Clarke et al.

CANADIAN JOURNAL OF PAIN-REVUE CANADIENNE DE LA DOULEUR (2020)

Article Medicine, General & Internal

Inappropriate opioid prescription after surgery

Mark D. Neuman et al.

LANCET (2019)

Review Anesthesiology

Preventing opioid prescription after major surgery: a scoping review of opioid-free analgesia

Julio F. Fiore et al.

BRITISH JOURNAL OF ANAESTHESIA (2019)

Article Obstetrics & Gynecology

Opioid use after laparoscopic hysterectomy: prescriptions, patient use, and a predictive calculator

Marron Wong et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2019)

Article Medicine, General & Internal

Opioid Prescribing After Surgery in the United States, Canada, and Sweden

Karim S. Ladha et al.

JAMA NETWORK OPEN (2019)

Article Neurosciences

Current methods and challenges for acute pain clinical trials

Ian Gilron et al.

PAIN REPORTS (2019)

Article Medicine, General & Internal

Comparison of Opioid Prescribing by Dentists in the United States and England

Katie J. Suda et al.

JAMA NETWORK OPEN (2019)

Editorial Material Medicine, General & Internal

Tramadol: Africa's opioid crisis

Laura Salm-Reifferscheidt

LANCET (2018)

Letter Medicine, General & Internal

Persistent Opioid Use After Wisdom Tooth Extraction

Calista M. Harbaugh et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2018)

Letter Medicine, General & Internal

Trends in the Use of Knee Arthroscopy in Adults

David H. Howard

JAMA INTERNAL MEDICINE (2018)

Article Dentistry, Oral Surgery & Medicine

Cohort study of pain symptoms and management following impacted mandibular third molar extraction

A. Motonobu et al.

ORAL DISEASES (2017)

Article Orthopedics

Pain Relief After Operative Treatment of an Extremity Fracture A Noninferiority Randomized Controlled Trial

Gijs T. T. Helmerhorst et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2017)

Article Dentistry, Oral Surgery & Medicine

Evaluation of caffeine versus codeine for pain and swelling management after implant surgeries: A triple blind clinical trial

Sahand Samieirad et al.

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY (2017)

Review Surgery

Enhanced Recovery After Surgery A Review

Olle Ljungqvist et al.

JAMA SURGERY (2017)

Article Public, Environmental & Occupational Health

A synthesis of oral morphine equivalents (OME) for opioid utilisation studies

Suzanne Nielsen et al.

PHARMACOEPIDEMIOLOGY AND DRUG SAFETY (2016)

Article Anesthesiology

Minimal Clinically Important Difference for Three Quality of Recovery Scales

Paul S. Myles et al.

ANESTHESIOLOGY (2016)

Article Public, Environmental & Occupational Health

Trends in Opioid Analgesic-Prescribing Rates by Specialty, US, 2007-2012

Benjamin Levy et al.

AMERICAN JOURNAL OF PREVENTIVE MEDICINE (2015)

Article Anesthesiology

Effect of postoperative analgesia on acute and persistent postherniotomy pain: a randomized study

Dario Bugada et al.

JOURNAL OF CLINICAL ANESTHESIA (2015)

Article

Controlled-Release Oxycodone Versus Naproxen at Home After Ambulatory Surgery: A Randomized Controlled Trial

Björn Stessel et al.

CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL (2014)

Review Mathematical & Computational Biology

Pooling health-related quality of life outcomes in meta-analysis-a tutorial and review of methods for enhancing interpretability

Kristian Thorlund et al.

RESEARCH SYNTHESIS METHODS (2011)

Article Medicine, General & Internal

Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2011)

Article Psychology, Educational

Weighting by Inverse Variance or by Sample Size in Random-Effects Meta-Analysis

Fulgencio Marin-Martinez et al.

EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT (2010)

Article Critical Care Medicine

Differences in Prescription of Narcotic Pain Medication After Operative Treatment of Hip and Ankle Fractures in the United States and the Netherlands

Anneluuk L. C. Lindenhovious et al.

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE (2009)

Article Anesthesiology

Assessment of pain

H. Breivik et al.

BRITISH JOURNAL OF ANAESTHESIA (2008)

Article Medicine, General & Internal

An estimation of the global volume of surgery: a modelling strategy based on available data

Thomas G. Weiser et al.

LANCET (2008)

Editorial Material Medicine, General & Internal

GRADE:: an emerging consensus on rating quality of evidence and strength of recommendations

Gordon H. Guyatt et al.

BRITISH MEDICAL JOURNAL (2008)

Article Public, Environmental & Occupational Health

Impact of allocation concealment on conclusions drawn from meta-analyses of randomized trials

J. Pildal et al.

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY (2007)

Article Health Care Sciences & Services

Inclusion of zero total event trials in meta-analyses maintains analytic consistency and incorporates all available data

Jan O. Friedrich et al.

BMC MEDICAL RESEARCH METHODOLOGY (2007)

Article Dentistry, Oral Surgery & Medicine

The advantages of minimally invasive dentistry

GJ Christensen

JOURNAL OF THE AMERICAN DENTAL ASSOCIATION (2005)

Article Anesthesiology

Patient preferences for anesthesia outcomes associated with Cesarean delivery

B Carvalho et al.

ANESTHESIA AND ANALGESIA (2005)

Article Anesthesiology

Patient preferences for acute pain treatment

TJ Gan et al.

BRITISH JOURNAL OF ANAESTHESIA (2004)

Article Mathematical & Computational Biology

What to add to nothing? Use and avoidance of continuity corrections in meta-analysis of sparse data

MJ Sweeting et al.

STATISTICS IN MEDICINE (2004)

Article Medicine, General & Internal

Measuring inconsistency in meta-analyses

JPT Higgins et al.

BMJ-BRITISH MEDICAL JOURNAL (2003)

Article Medicine, General & Internal

Statistics Notes - Interaction revisited: the difference between two estimates

DG Altman et al.

BMJ-BRITISH MEDICAL JOURNAL (2003)

Article Dentistry, Oral Surgery & Medicine

Evaluation of ketorolac (Toradol)® with varying amounts of codeine for postoperative extraction pain control

JA Garibaldi et al.

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2002)

Article Surgery

The POSSUM system of surgical audit

GP Copeland

ARCHIVES OF SURGERY (2002)

Article Anesthesiology

Chronic pain after surgery

WA Macrae

BRITISH JOURNAL OF ANAESTHESIA (2001)

Article Anesthesiology

Oral ibuprofen versus paracetamol plus codeine for analgesia after ambulatory surgery

JC Ræder et al.

ANESTHESIA AND ANALGESIA (2001)