Evidence map›Paper›PMID 32133370›Full record

ReviewFrontiers in surgery2020

The Surgeon's Role in the Opioid Crisis: A Narrative Review and Call to Action.

Cade Shadbolt, J Haxby Abbott, Ximena Camacho, Philip Clarke, L Stefan Lohmander, Tim Spelman, Eric C Sun, Jonas B Thorlund, Yuting Zhang, Michelle M Dowsey and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Persistent post-operative opioid use following hip arthroscopy is common and is associated with pre-operative opioid use and age.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  9. Article
  10. Article
  11. 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 5 institutions in 6 countries.

Cade ShadboltDepartment of Surgery, St. Vincent's Hospital, The University of Melbourne, Melbourne, VIC, Australia.
J Haxby AbbottCentre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Ximena CamachoMelbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, Australia.
Philip ClarkeCentre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, Australia.
L Stefan LohmanderDepartment of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.
Tim SpelmanDepartment of Surgery, St. Vincent's Hospital, The University of Melbourne, Melbourne, VIC, Australia.
Eric C SunDepartment of Anaesthesiology, Perioperative and Pain Medicine and Department of Health Research and Policy, Stanford University, Stanford, CA, United States.
Jonas B ThorlundDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Yuting ZhangMelbourne Institute of Applied Economic and Social Research, Faculty of Business and Economics, University of Melbourne, Carlton, VIC, Australia.
Michelle M DowseyDepartment of Surgery, St. Vincent's Hospital, The University of Melbourne, Melbourne, VIC, Australia.
Peter F M ChoongDepartment of Surgery, St. Vincent's Hospital, The University of Melbourne, Melbourne, VIC, Australia.
University of Melbourne · AULund University · SEStanford University · USUniversity of Otago · NZUniversity of Southern Denmark · DK

Funding

The Epidemiology and Economics of Chronic Back PainK08DA042314 · NIDA · STANFORD UNIVERSITY · PI SUN, ERIC · 2017 to 2022
$975k
NIDA NIH HHS K08 DA042314
6 · The paper itself

Abstract

Over the past two decades, there has been a sharp rise in the use of prescription opioids. In several countries, most notably the United States, opioid-related harm has been deemed a public health crisis. As surgeons are among the most prolific prescribers of opioids, growing attention is now being paid to the role that opioids play in surgical care. While opioids may sometimes be necessary to provide patients with adequate relief from acute pain after major surgery, the impact of opioids on the quality and safety of surgical care calls for greater scrutiny. This narrative review summarizes the available evidence on rates of persistent postsurgical opioid use and highlights the need to target known risk factors for persistent postoperative use before patients present for surgery. We draw attention to the mounting evidence that preoperative opioid exposure places patients at risk of persistent postoperative use, while also contributing to an increased risk of several other adverse clinical outcomes. By discussing the prevalence of excess opioid prescribing following surgery and highlighting significant variations in prescribing practices between countries, we note that there is a pressing need to optimize postoperative prescribing practices. Guided by the available evidence, we call for specific actions to be taken to address important research gaps and alleviate the harms associated with opioid use among surgical patients.

Indexed as

opioidspostoperative opioid useprescribing practicesrisk factorssurgery

Identifiers

PMID32133370
PMCPMC7041404
OpenAlexW3009023947

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.