Evidence map›Paper›PMID 33446183›Full record

SynthesisJournal of orthopaedic surgery and research2021

Cannabinoids and orthopedic surgery: a systematic review of therapeutic studies.

Bradley J Vivace, Allyson N Sanders, Steven D Glassman, Leah Y Carreon, Joseph L Laratta, Jeffrey L Gum

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Evidence synthesis of medical cannabis research: current challenges and opportunities.European archives of psychiatry and clinical neuroscience · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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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

6 authors at 2 institutions in 1 country.

Bradley J VivaceUniversity of Louisville School of Medicine, 500 South Preston Street, Louisville, KY, USA. bjviva01@louisville.edu.ORCID http://orcid.org/0000-0003-4451-9106
Allyson N SandersUniversity of Louisville School of Medicine, 500 South Preston Street, Louisville, KY, USA.
Steven D GlassmanNorton Leatherman Spine Center, 210 E Gray Street, Suite 900, Louisville, KY, USA.
Leah Y CarreonNorton Leatherman Spine Center, 210 E Gray Street, Suite 900, Louisville, KY, USA.
Joseph L LarattaNorton Leatherman Spine Center, 210 E Gray Street, Suite 900, Louisville, KY, USA.
Jeffrey L GumNorton Leatherman Spine Center, 210 E Gray Street, Suite 900, Louisville, KY, USA.
Norton Healthcare · USUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent work has shed light on the potential benefits of cannabinoids for multimodal pain control following orthopedic procedures. The objective of this review was to summarize the available evidence of analgesic and opioid-sparing effects cannabinoids have in orthopedic surgery and identify adverse events associated with their use.

methodsA systematic review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines including PubMed, EMBASE, MEDLINE, PsycINFO, and Google Scholar was performed to include all primary, therapeutic studies published on the use of cannabis, and cannabis-derived products in orthopedic surgery.

resultsThe literature review returned 4292 citations. Thirteen publications were found to meet inclusion criteria. Four randomized controlled trials were evaluated while the remaining studies were of quasi-experimental design.

conclusionResearch on cannabinoids in orthopedic surgery is mostly of a quasi-experimental nature and is mainly derived from studies where orthopedics was not the primary focus. The overall results demonstrate potential usefulness of cannabinoids as adjunctive analgesics and in mitigating opioid use. However, the current evidence is far from convincing. There is a need to produce rigorous evidence with well-designed randomized controlled trials specific to orthopedic surgery to further establish these effects.

Indexed as

Orthopedic ProceduresAnalgesicsAnalgesics, OpioidCannabinoidsCombined Modality TherapyFemaleHumansMalePain ManagementPostoperative PainRandomized Controlled Trials as TopicAnalgesicsAnalgesics, OpioidCannabinoidsAnalgesiaArthroplastyCannabinoidsMultimodal pain controlOpioidsOrthopedic surgery

Identifiers

PMID33446183
PMCPMC7809869
OpenAlexW3121247414

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.