Evidence map›Paper›PMID 34744378›Full record

ArticleJournal of orthopaedics

Postoperative outcomes of total knee arthroplasty across varying levels of multimodal pain management protocol adherence.

Anna E Harrison, Jason D B Kozarek, Justin Yeh, James H MacDonald, Juan G Ruiz-Pelaez, Noël C Barengo, Justin J Turcotte, Paul J King

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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 at 2 institutions in 1 country.

Anna E HarrisonFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Jason D B KozarekFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Justin YehFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
James H MacDonaldLuminis Health Anne Arundel Medical Center, Annapolis, MD, USA.
Juan G Ruiz-PelaezFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Noël C BarengoFlorida International University, Herbert Wertheim College of Medicine, Miami, FL, USA.
Justin J TurcotteLuminis Health Anne Arundel Medical Center, Annapolis, MD, USA.
Paul J KingLuminis Health Anne Arundel Medical Center, Annapolis, MD, USA.
Florida International University · USAnne Arundel Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined the effect of varying multimodal pain management (MMPM) combinations on oral morphine milligram equivalents (OMME) and length of stay (LOS) after total knee arthroplasty (TKA). Five groups were compared based on the combination of multimodal analgesics ranging from no MMPM to full MMPM with acetaminophen, gabapentinoids, and celecoxib. After risk adjustment, MMPM was associated with decreased odds of LOS ≥2 days and OMME ≥75th percentile. MMPM protocols are effective at reducing LOS and postoperative narcotic requirements post-TKA. Patients appear to derive similar benefit from receiving all three medications, as well as various combinations of these drugs.

Indexed as

MultimodalNarcoticOpioidPain managementTotal knee arthroplasty

Identifiers

PMID34744378
PMCPMC8554102
OpenAlexW3205463707

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.