Evidence map›Paper›PMID 32808102›Full record

ReviewCurrent rheumatology reports2020

Opioid Use and Total Joint Replacement.

Cade Shadbolt, Chris Schilling, Maria C Inacio, J Haxby Abbott, Yana Pryymachenko, Ross Wilson, Peter F M Choong, Michelle M Dowsey

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current rheumatology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Review
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

8 authors.

Cade ShadboltDepartment of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0937-2412
Chris SchillingDepartment of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-1747-7249
Maria C InacioRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.ORCID 0000-0001-8261-2665
J Haxby AbbottCentre for Musculoskeletal Outcomes Research, University of Otago, Dunedin, New Zealand.
Yana PryymachenkoCentre for Musculoskeletal Outcomes Research, University of Otago, Dunedin, New Zealand.
Ross WilsonCentre for Musculoskeletal Outcomes Research, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-8505-8081
Peter F M ChoongDepartment of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-3522-7374
Michelle M DowseyDepartment of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia. mmdowsey@unimelb.edu.au.ORCID 0000-0002-9708-5308

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewWe provide an overview of recent research into the relationship between preoperative opioid use and total joint replacement outcomes. RECENT

findingsRecent findings indicate that total joint replacement patients with a history of preoperative opioid use experience higher rates of infection, revision, short-term complications, and prolonged postoperative opioid use, along with fewer improvements in pain and function following surgery. These risks are particularly pronounced among chronic opioid users. While the baseline risk profiles of these patients may contribute to higher rates of adverse outcomes, it is also plausible that certain outcomes are directly impacted by opioid use through mechanisms such as opioid-induced hyperalgesia and immunosuppression. There is little available data on the efficacy of interventions that aim to mitigate these risks. Well-designed clinical trials are needed to evaluate the efficacy of targeted perioperative interventions that aim to improve outcomes for this high-risk surgical population. Where such trials are not feasible, additional high-quality observational studies are necessary to further our understanding of the mechanisms underlying the relationships between opioid use and specific adverse outcomes.

Indexed as

Analgesics, OpioidArthroplasty, ReplacementHumansJoint DiseasesOpioid-Related DisordersPerioperative CarePractice Patterns, Physicians'Preoperative PeriodRisk FactorsUnited StatesAnalgesics, OpioidComplicationsNarcoticsOpioidsSurgerySurgical outcomesTotal joint replacement

Identifiers

What OpenQuestion holds

Textmetadata
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.