Evidence map›Paper›PMID 34006976›Full record

ArticleScientific reports2021

Relation between preoperative benzodiazepines and opioids on outcomes after total joint arthroplasty.

Lisa V Doan, Kristoffer Padjen, Deborah Ok, Adam Gover, Jawad Rashid, Bijan Osmani, Shirley Avraham, Jing Wang, Samir Kendale

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Lisa V DoanDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA. lisa.doan@nyulangone.org.
Kristoffer PadjenDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Deborah OkDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Adam GoverDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Jawad RashidDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Bijan OsmaniDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Shirley AvrahamDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Jing WangDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
Samir KendaleDepartment of Anesthesiology, Perioperative Care and Pain Medicine, New York University Grossman School of Medicine, 550 1st Ave., New York, NY, 10016, USA.
New York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To examine the association of preoperative opioids and/or benzodiazepines on postoperative outcomes in total knee and hip arthroplasty, we retrospectively compared postoperative outcomes in those prescribed preoperative opioids and/or benzodiazepines versus those who were not who underwent elective total knee and hip arthroplasty at a single urban academic institution. Multivariable logistic regression was performed for readmission rate, respiratory failure, infection, and adverse cardiac events. Multivariable zero-truncated negative binomial regression was used for length of stay. After exclusions, there were 4307 adult patients in the study population, 2009 of whom underwent total knee arthroplasty and 2298 of whom underwent total hip arthroplasty. After adjusting for potential confounders, preoperative benzodiazepine use was associated with increased odds of readmission (p < 0.01). Preoperative benzodiazepines were not associated with increased odds of respiratory failure nor increased length of stay. Preoperative opioids were not associated with increased odds of the examined outcomes. There were insufficient numbers of infection and cardiac events for analysis. In this study population, preoperative benzodiazepines were associated with increased odds of readmission. Preoperative opioids were not associated with increased odds of the examined outcomes. Studies are needed to further examine risks associated with preoperative benzodiazepine use.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeAgedAnalgesics, OpioidBenzodiazepinesFemaleHumansMaleMiddle AgedPatient ReadmissionPostoperative PainPreoperative CareRetrospective StudiesTreatment OutcomeAnalgesics, OpioidBenzodiazepines

Identifiers

PMID34006976
PMCPMC8131602
OpenAlexW3160825573

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.