Evidence map›Paper›PMID 31004317›Full record

ReviewPain and therapy2019

Intravenous Oxycodone Versus Other Intravenous Strong Opioids for Acute Postoperative Pain Control: A Systematic Review of Randomized Controlled Trials.

Milton Raff, Anissa Belbachir, Salah El-Tallawy, Kok Yuen Ho, Eric Nagtalon, Amar Salti, Jeong-Hwa Seo, Aida Rosita Tantri, Hongwei Wang, Tianlong Wang and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Pain and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
7.4field-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

40 citing papers in PubMed, 57 citations in OpenAlex.

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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

13 authors at 10 institutions in 9 countries.

Milton RaffPain Clinic, Christiaan Barnard Memorial Hospital, Cape Town, South Africa. raffs@iafrica.com.ORCID http://orcid.org/0000-0002-1194-2656
Anissa BelbachirFaculté de médecine, Université Paris-Descartes, Pôle d'anesthésie-réanimation, Hôpital Cochin, Paris, France.
Salah El-TallawyDepartment of Anesthesia and Pain Management, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Kok Yuen HoThe Pain Clinic, Mount Alvernia Medical Centre, Singapore, Singapore.
Eric NagtalonDepartment of Anesthesia, University of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Amar SaltiAnesthesiology Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Jeong-Hwa SeoDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Aida Rosita TantriDepartment of Anesthesiology and Intensive Care, Universitas Indonesia, Dr. Ciptomangunkusumo National General Hospital, Jakarta, Indonesia.
Hongwei WangDepartment of Anesthesiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
Tianlong WangDepartment of Anesthesiology, Xuanwu Hospital of Capital Medical University, Beijing, China.
Kristal Cielo BuemioMundipharma Singapore Holding Pte. Ltd., Singapore, Singapore.
Consuelo GutierrezMundipharma Singapore Holding Pte. Ltd., Singapore, Singapore.
Yacine HadjiatMundipharma Singapore Holding Pte. Ltd., Singapore, Singapore.
Capital Medical University · CNCity of Cape Town · ZAKing Saud University · SAMount Elizabeth Hospital · SGSeoul National University Hospital · KRShaikh Khalifa Medical City · AETongde Hospital of Zhejiang Province · CNUniversité Paris Cité · FRUniversity of Indonesia · IDUniversity of the East Ramon Magsaysay Memorial Medical Center · PH

Funding

Mundipharma Singapore Holding Pte Ltd -
6 · The paper itself

Abstract

introductionOptimal pain management is crucial to the postoperative recovery process. We aimed to evaluate the efficacy and safety of intravenous oxycodone with intravenous fentanyl, morphine, sufentanil, pethidine, and hydromorphone for acute postoperative pain.

methodsA systematic literature search of PubMed, Cochrane Library, and EMBASE databases was performed for randomized controlled trials published from 2008 through 2017 (inclusive) that evaluated the acute postoperative analgesic efficacy of intravenous oxycodone against fentanyl, morphine, sufentanil, pethidine, and hydromorphone in adult patients (age ≥ 18 years). Outcomes examined included analgesic consumption, pain intensity levels, side effects, and patient satisfaction.

resultsEleven studies were included in the review; six compared oxycodone with fentanyl, two compared oxycodone with morphine, and three compared oxycodone with sufentanil. There were no eligible studies comparing oxycodone with pethidine or hydromorphone. Overall, analgesic consumption was lower with oxycodone than with fentanyl or sufentanil. Oxycodone exhibited better analgesic efficacy than fentanyl and sufentanil, and comparable analgesic efficacy to morphine. In terms of safety, there was a tendency towards more side effects with oxycodone than with fentanyl, but the incidence of side effects with oxycodone was comparable to morphine and sufentanil. Where patient satisfaction was evaluated, higher satisfaction levels were observed with oxycodone than with sufentanil and comparable satisfaction was noted when comparing oxycodone with fentanyl. Patient satisfaction was not evaluated in the studies comparing oxycodone with morphine.

conclusionsOur findings suggest that intravenous oxycodone provides better analgesic efficacy than fentanyl and sufentanil, and comparable efficacy to morphine with less adverse events such as sedation. No studies comparing intravenous oxycodone with pethidine or hydromorphone were identified in this review. Better alignment of study methodologies for future research in this area is recommended to provide the best evidence base for a meta-analysis.

fundingMundipharma Singapore Holding Pte Ltd, Singapore.

Indexed as

Acute postoperative painFentanylHydromorphoneMorphineOxycodonePethidineSufentanil

Identifiers

PMID31004317
PMCPMC6514019
OpenAlexW2938697108

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.