Evidence map›Paper›PMID 32142814›Full record

ReviewThe Annals of thoracic surgery2020

Pain and Opioid Use After Thoracic Surgery: Where We Are and Where We Need To Go.

Lisa M Brown, Anna Kratz, Susan Verba, Daniel Tancredi, Daniel J Clauw, Tina Palmieri, David Williams

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in The Annals of thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05276258 (A Randomized Controlled Trial of cryoSPHERE), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.9field-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.

NCT05276258 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Controlled Trial of cryoSPHERE (CRYOS/CRYOS-L) Ablation of Intercostal Nerves for Post-Operative Pain Management in Opioid-Tolerant Patients Undergoing Robotic-Assisted Thoracoscopic Surgery

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2023 to 2025Enrolled75ConditionsPain, Pain, PostoperativeArmscryoSPHERE Ablation, Bupivacaine
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 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

7 authors at 3 institutions in 1 country.

Lisa M BrownSection of General Thoracic Surgery, UC Davis Health, Sacramento, California. Electronic address: lmbrown@ucdavis.edu.
Anna KratzDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.
Susan VerbaDepartment of Design, University of California, Davis, Davis, California; Center for Design in the Public Interest, University of California, Davis, Davis, California.
Daniel TancrediCenter for Healthcare Policy and Research, UC Davis Health, Sacramento, California; Department of Pediatrics, UC Davis Health, Sacramento, California.
Daniel J ClauwDepartment of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, Michigan.
Tina PalmieriBurn Surgery Division, Department of Surgery, UC Davis Health, Sacramento, California.
David WilliamsDepartment of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, Michigan.
University of California, Davis · USUniversity of Michigan–Ann Arbor · USUC Davis Health System · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

As many as one third of patients undergoing minimally invasive thoracic surgery and one half undergoing thoracotomy will have chronic pain, defined as pain lasting 2 to 3 months. There is limited information regarding predictors of chronic pain and even less is known about its impact on health-related quality of life, known as pain interference. Currently, there is a focus on decreased opioid prescribing after surgery. Interestingly, thoracic surgical patients are the least likely to be receiving opioids before surgery and have the highest rate of new persistent opioid use after surgery compared with other surgical cohorts. These studies of opioid use have identified important predictors of new persistent opioid use, but their findings are limited by failing to correlate opioid use with pain. The objectives of this invited review are to present the findings of pertinent studies of chronic pain and opioid use after thoracic surgery, "where we are," and to discuss gaps in our knowledge of these topics and opportunities for research to fill those gaps, "where we need to go."

Indexed as

Thoracic Surgical ProceduresAnalgesics, OpioidChronic PainDrug PrescriptionsDrug UtilizationHumansOpioid-Related DisordersPatient Education as TopicPostoperative ComplicationsPractice Guidelines as TopicPractice Patterns, Physicians'Quality of LifeAnalgesics, Opioid

Identifiers

PMID32142814
PMCPMC11383791
OpenAlexW3010580516

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.