Evidence map›Paper›PMID 32939317›Full record

ArticleJournal of drug assessment2020

Bioavailability of oxycodone by mouth in coronary artery bypass surgery patients - a randomized trial.

Antti Valtola, James D Morse, Pawel Florkiewicz, Heidi Hautajärvi, Pasi Lahtinen, Tadeusz Musialowicz, Brian J Anderson, Veli-Pekka Ranta, Hannu Kokki

Open access · hybridAbstract read
In one paragraph

Article in Journal of drug assessment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

9 authors at 4 institutions in 3 countries.

Antti ValtolaHeart Centre, Kuopio University Hospital, Kuopio, Finland.
James D MorseDepartment of Pharmacology and Clinical Pharmacology, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-7500-0062
Pawel FlorkiewiczDepartment of Anesthesia and Intensive Care Medicine, Kuopio University Hospital, Kuopio, Finland.
Heidi HautajärviAdmescope Ltd, Oulu, Finland.
Pasi LahtinenDepartment of Anesthesia and Intensive Care Medicine, Kuopio University Hospital, Kuopio, Finland.
Tadeusz MusialowiczDepartment of Anesthesia and Intensive Care Medicine, Kuopio University Hospital, Kuopio, Finland.
Brian J AndersonDepartment of Anesthesia, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-2826-3019
Veli-Pekka RantaSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Hannu KokkiSchool of Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-5922-7195
Kuopio University Hospital · FIUniversity of Auckland · NZUniversity of Eastern Finland · FIMachida Endoscope (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePain after coronary artery by-pass (CAB) surgery is severe. Analgesic administration by mouth is unreliable until after gastrointestinal function has recovered. We evaluated the bioavailability of oxycodone co-administered with naloxone by mouth in patients after CAB surgery using either a conventional extracorporeal circulation (CECC) or off-pump surgery (OPCAB).

methodsTwenty-four patients, 50-73 years, 12 with CECC and 12 with OPCAB, were administered a 10/5 mg oxycodone-naloxone controlled-release tablet by mouth on the preoperative day and for the first seven postoperative days (PODs) thereafter. Blood samples were collected up to 24 h after the preoperative administration, and then randomly either on POD1 and POD3 or on POD2 and POD4. The oxycodone concentration in plasma was analyzed using liquid chromatography-mass spectrometry.

resultsOn POD1 oxycodone absorption was markedly delayed in five of six patients after CECC and in all six patients after OPCAB surgery; median of t

conclusionsBioavailability of oxycodone by mouth was similar after CAB surgery

Indexed as

area under the curvecoronary artery bypassoff-pumpOxycodonepharmacokineticspostoperative

Identifiers

PMID32939317
PMCPMC7470105
OpenAlexW3043218329

What OpenQuestion holds

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LicenceCC BY-NC
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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.