Evidence map›Paper›PMID 27445634›Full record

Observational studyPain research & management2016

The Implications of Tobacco Smoking on Acute Postoperative Pain: A Prospective Observational Study.

Han-Liang Chiang, Yuan-Yi Chia, Huey-Shyan Lin, Chen-Hsiu Chen

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Pain research & management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. The effect of smoking on postoperative pain and nausea, and vomiting.Perioperative medicine (London, England) · 2025
    Article
  6. Article
  7. Observational
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Review
  17. Review
  18. Article
  19. Associations of Smoking With Delirium and Opioid Use in Older Adults With Traumatic Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Observational
  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

4 authors at 3 institutions in 1 country.

Han-Liang ChiangDepartment of Anesthesiology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan; School of Medicine, National Defense Medicine Center, Taipei 114, Taiwan.
Yuan-Yi ChiaDepartment of Anesthesiology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan; School of Medicine, National Defense Medicine Center, Taipei 114, Taiwan.
Huey-Shyan LinSchool of Nursing, Fooyin University, Kaohsiung 831, Taiwan.
Chen-Hsiu ChenDepartment of Anesthesiology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan; School of Medicine, National Yang-Ming University, Taipei 112, Taiwan.
National Defense Medical Center · TWFooyin University · TWNational Taipei University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. The clinical importance of cigarette smoking on acute postoperative pain perception is not fully understood. Methods. To determine whether smokers who underwent major surgery need more postoperative opiate than do nonsmokers. We prospectively enrolled 407 male and 441 female participants who underwent in-hospital surgery. Current-smokers were compared with nonsmokers and past-smokers about opiate use during the first 72 h after surgery. Results. A greater proportion of males had more smoking history than females. The average age of male current-smokers is smaller than both nonsmokers and past-smokers. The surgical type (upper abdomen, lower abdomen, extremities, spine, and others) and duration of surgery have no differences between current-smokers, past-smokers, and nonsmokers. Statistically, the male current-smokers required more opiate analgesics during the first 72 h following surgery compared with the male nonsmokers and past-smokers; furthermore, the male current-smokers reported higher pain intensity when moving and at rest on day 1 after surgery. Conclusions. In this study, the male current-smokers required more morphine in the first 72 h after surgery than did the nonsmokers and past-smokers. Furthermore, smoking was more prevalent among the males than the females. Health care providers must be aware of the potential for increased narcotic requirements in male current-smokers.

Indexed as

Acute PainAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedPostoperative PainSmoking

Identifiers

PMID27445634
PMCPMC4904603
OpenAlexW2333482229

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.