Evidence map›Paper›PMID 33674240›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2021

Older Women and Opioid Analgesia after Breast Cancer Surgery.

Karen E Alsbrook, Caroline K Harpel, Paul W Scott, Annie D Hayden, Colleen J Dunwoody, Susan W Wesmiller

Open access · greenAbstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Lifetime Pain Management Experiences of Female Breast Cancer Survivors Aged 65+ Years.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025
    Article
  2. Postdischarge Nausea and Vomiting and Co-occurring Symptoms in Women Following Breast Cancer Surgery.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2023
    Observational
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.

Karen E AlsbrookUniversity of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, Pennsylvania. Electronic address: kea64@pitt.edu.
Caroline K HarpelUniversity of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, Pennsylvania.
Paul W ScottUniversity of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, Pennsylvania; University of Pittsburgh School of Nursing, Department of Health and Community Systems, Pittsburgh, Pennsylvania.
Annie D HaydenWest Penn Hospital, Pittsburgh, Pennsylvania.
Colleen J DunwoodyUniversity of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, Pennsylvania.
Susan W WesmillerUniversity of Pittsburgh School of Nursing, Department of Health Promotion and Development, Pittsburgh, Pennsylvania.
University of Pittsburgh · USWestern Pennsylvania Hospital · US

Funding

Technology Research in Chronic & Critical IllnessT32NR008857 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Young Ji Lee · 2005 to 2026
$4.0M
Genomic Underpinnings for Breast Cancer Treatments Induced Nausea and VomitingR01NR016695 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WESMILLER, SUSAN WATTERS · 2018 to 2021
$1.4M
NINR NIH HHS R01 NR016695NINR NIH HHS T32 NR008857
6 · The paper itself

Abstract

purposeTo explore which factors influence opioid analgesia use in older women during the 48-hour period after hospital discharge following initial breast cancer surgery.

designThis cross-sectional, descriptive study involved a cohort (n = 57) of older women recruited for a larger study of breast cancer patients.

methodsWe gathered patient-reported data pertinent to perioperative and post-discharge pain control. Data were analyzed using linear regression to explore those characteristics that had the greatest influence on the amount of post-discharge opioid analgesia required.

resultsAfter hospital discharge, 29 older women (51%) with breast cancer avoided opioid analgesia for various reasons. The number of prescribed opioid tablets each woman self-administered determined the total dosage of analgesia required 48 hours post-discharge.

conclusionsThe majority of this sample of older women with early-stage breast cancer experienced adequate pain relief after surgery and required little or no postoperative or postdischarge opioid analgesia. Optimization of the pain control experience for older women with breast cancer requires thorough pain assessment from diagnosis through survivorship through the end of life. This can be achieved by equipping women in this population to advocate for their pain control needs in real time. Future studies that elucidate preferences, beliefs, and current pain control practices before, during, and after breast cancer surgery will improve safety and efficacy of pain control for this fast-growing population.

Indexed as

AnalgesiaBreast NeoplasmsAftercareAgedAnalgesics, OpioidCross-Sectional StudiesFemaleHumansPatient DischargePostoperative PainAnalgesics, Opioid

Identifiers

PMID33674240
PMCPMC8195813
OpenAlexW3134740651

What OpenQuestion holds

Textmetadata
LicenceTDM
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.