Evidence map›Paper›PMID 30639132›Full record

ArticleAmerican journal of surgery2019

Association between postoperative opioid use and outpatient surgical adverse events.

Elise A Dasinger, Westyn Branch-Elliman, Steven D Pizer, Hassen Abdulkerim, Amy K Rosen, Martin P Charns, Mary T Hawn, Kamal M F Itani, Hillary J Mull

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Controversies in enhanced recovery after cardiac surgery.Perioperative medicine (London, England) · 2022
    Article
  2. 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

9 authors at 5 institutions in 1 country.

Elise A DasingerVA Quality Scholars Program, Birmingham VA Medical Center, Birmingham, AL, United States. Electronic address: Elise.Dasinger@va.gov.
Westyn Branch-EllimanCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States; Department of Medicine, VA Boston Healthcare System, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Steven D PizerPartnered Evidence-based Policy Resource Center (PEPReC), Department of Veterans Affairs, Boston, MA, United States; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, United States.
Hassen AbdulkerimCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States.
Amy K RosenCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States; Department of Surgery, Boston University School of Medicine, Boston, MA, United States.
Martin P CharnsCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, United States.
Mary T HawnPalo Alto VA Medical Center, Palo Alto, CA, United States; Stanford University School of Medicine, Stanford, CA, United States.
Kamal M F ItaniHarvard Medical School, Boston, MA, United States; Department of Surgery, Boston University School of Medicine, Boston, MA, United States; Department of Surgery, VA Boston Healthcare System, Boston, MA, United States.
Hillary J MullCenter for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States; Department of Surgery, Boston University School of Medicine, Boston, MA, United States.
Boston University · USBirmingham VA Medical Center · USHarvard University · USPalo Alto University · USVA Boston Healthcare System · US

Funding

K12 Cardiopulmonary Implementation Science Scholars ProgramK12HL138049 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., LINDENAUER, PETER KYLE · 2017 to 2021
$2.7M
NHLBI NIH HHS K12 HL138049
6 · The paper itself

Abstract

backgroundOpioid-related adverse drug events are common following inpatient surgical procedures. Little is known about opioid prescribing after outpatient surgical procedures and if opioid use is associated with short term risks of outpatient surgical adverse events (AEs).

methodsVA Corporate Data Warehouse was used to identify opioid use within 48 h for FY2012-14 chart-reviewed cases from a larger VA study of AEs in outpatient surgeries. We estimated a multilevel logistic regression model to determine the effect of opioid exposure on risk of AEs between 2 and 30 days postoperatively.

resultsOf the 1730 outpatient surgical cases, 628 (36%) had postoperative opioid use and 12% had an AE. Opioid use following outpatient surgery was not significantly associated with higher surgical AE rates after controlling for relevant covariates (OR = 1.1 95% CI 0.79-1.54). Only procedure RVUs were associated with higher odds of postoperative AEs.

conclusionsPostoperative opioid use following outpatient surgery is not a significant driver of postoperative AEs.

Indexed as

AgedAmbulatory Surgical ProceduresAnalgesics, OpioidFemaleHumansMaleMiddle AgedPostoperative PainPractice Patterns, Physicians'Retrospective StudiesRisk FactorsUnited StatesUnited States Department of Veterans AffairsAnalgesics, OpioidAdverse eventsAmbulatory surgeryOpioidsPatient safetyQuality improvementVeterans

Identifiers

PMID30639132
PMCPMC6664793
OpenAlexW2908014831

What OpenQuestion holds

Textmetadata
LicenceTDM
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.