Evidence map›Paper›PMID 22718527›Full record

ArticleBiological research for nursing2013

The associations between OPRM 1 and COMT genotypes and postoperative pain, opioid use, and opioid-induced sedation.

Richard A Henker, Allison Lewis, Feng Dai, William R Lariviere, Li Meng, Gary S Gruen, Susan M Sereika, Hans Pape, Ivan S Tarkin, Indira Gowda and 1 more

Open access · greenAbstract read
In one paragraph

Article in Biological research for nursing, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Do Diabetes and Genetic Polymorphisms in theJournal of clinical medicine · 2025
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  6. Pharmacogenetics: Using science to reduce racial bias in pain management?Journal of the American Geriatrics Society · 2023
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  7. Article
  8. Polymorphisms inGenes · 2022
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  9. The Pharmacogenetics of Opiates and Its Impact on Delirium in Mechanically Ventilated Adults: A Pilot Study.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2022
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Genetics of perioperative pain management.Current opinion in anaesthesiology · 2018
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Association of single nucleotide polymorphisms of ABCB1, OPRM1 and COMT with pain perception in cancer patients.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2015
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Richard A HenkerDepartment of Acute/Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA 15261, USA. rhe001@pitt.edu
Allison Lewis
Feng Dai
William R Lariviere
Li Meng
Gary S Gruen
Susan M Sereika
Hans Pape
Ivan S Tarkin
Indira Gowda
Yvette P Conley
University of Pittsburgh · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh Medical Center · USYale University · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
GENETICS OF NEUROPATHIC & INFLAMMATORY HYPERSENSITIVITYR01DA021198 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LARIVIERE, WILLIAM ROGER · 2007 to 2011
$1.7M
NCATS NIH HHS UL1 TR000005NCRR NIH HHS UL1 RR024153NIDA NIH HHS R01 DA021198
6 · The paper itself

Abstract

Previous studies have associated mu-opioid receptor (OPRM1) genotype with pain and analgesia responses in postoperative and patient populations. This study investigates the role of catechol-O-methyltransferase (COMT) and OPRM1 genotypes in acute postoperative pain scores, opioid use, and opioid-induced sedation after surgical procedures for orthopedic trauma in an otherwise healthy patient population. Verbal pain/sedation scores, opioid use, and physiologic responses in the immediate postoperative period were examined for association with genetic variants in Caucasians genotyped for OPRM1 single nucleotide polymorphisms (SNPs) A118G and C17T and COMT SNPs. The OPRM1 A118G genotype was associated with patients' postoperative Numerical Pain scale (NPS) ratings at 15 min in the postanesthesia care unit (PACU) (p = .01) and patients' sedation scores at 15 min in the PACU (p = .02). COMT genotype (rs4818) was associated with opioid consumption in the first 45 min in the PACU (p = .04). NPS ratings at 45 min were also higher in the group of patients with A/A genotype of rs4680 than in patients with the other two genotypes at this SNP (p = .03). Our haplotype trend analysis identified a COMT haplotype "GCGG" significantly associated with NPS at 15 min (p = .0013), amount of opioids consumed in the first 45 min (p = .0024), and heart rate at 45 min in the PACU (p = .017). The results indicate that genetic variations in COMT contribute to the acute postoperative pain and analgesia responses and physiologic responses in this group of otherwise healthy postoperative orthopedic trauma patients.

Indexed as

Analgesics, OpioidCatechol O-MethyltransferaseGenotypeHumansHypnotics and SedativesPain MeasurementPolymorphism, Single NucleotidePostoperative PainReceptors, Opioid, muAnalgesics, OpioidCatechol O-MethyltransferaseHypnotics and SedativesOPRM1 protein, humanReceptors, Opioid, muCOMTopioid useOPRM1painsedation

Identifiers

PMID22718527
PMCPMC3815675
OpenAlexW1992411006

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.