Evidence map›Paper›PMID 34753878›Full record

ArticleJournal of cataract and refractive surgery2022

Persistent opioid use in cataract surgery pain management and the role of nonopioid alternatives.

Richard S Davidson, Kendall Donaldson, Maggie Jeffries, Sumitra Khandelwal, Michael Raizman, Yasaira Rodriguez Torres, Terry Kim

Abstract read
In one paragraph

Article in Journal of cataract and refractive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

7 authors.

Richard S DavidsonFrom the University of Colorado Eye Center, Denver, Colorado (Davidson); the Bascom Palmer Eye Institute, Plantation, Florida (Donaldson); the Houston Eye Associates, Houston, Texas (Jeffries); the Eye Center of Texas, Houston, Texas (Jeffries); the Baylor College of Medicine, Cullen Eye Institute, Houston, Texas (Khandelwal); the Tufts University School of Medicine, New England Eye Center, Boston, Massachusetts (Raizman); the Kresge Eye Institute, Detroit, Michigan (Rodriguez Torres); the Elmquist Eye Group, Fort Myers, Florida (Rodriguez Torres); the Duke Eye Center, Duke University, Durham, North Carolina (Kim).ORCID 0000-0002-8357-2666
Kendall DonaldsonORCID 0000-0002-1361-6264
Sumitra Khandelwal
Michael Raizman
Yasaira Rodriguez Torres
Terry Kim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cataracts are a leading cause of preventable blindness globally. Although care varies between developing and industrialized countries, surgery is the single effective approach to treating cataracts. From the earliest documented primitive cataract removals to today's advanced techniques, cataract surgery has evolved dramatically. As surgical techniques have developed, so have approaches to surgical pain management. With current cataract surgical procedures and advanced technology, anesthesia and intraoperative pain management have shifted to topical/intracameral anesthetics, with or without low-dose systemic analgesia and anxiolysis. Despite this, pain and discomfort persist in some patients and are underappreciated in modern cataract surgery. Although pain management has progressed, opioids remain a mainstay intraoperatively and, to a lesser extent, postoperatively. This article discusses the evolution of pain management in cataract surgery, particularly the use of opioids and the associated risks as well as how ophthalmology can have a positive impact on the opioid crisis.

Indexed as

CataractOphthalmologyAnalgesics, OpioidAnesthesia, LocalAnesthetics, LocalHumansPainPain ManagementPostoperative PainAnalgesics, OpioidAnesthetics, Local

Identifiers

PMID34753878
PMCPMC9119400

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.