ReviewAnesthesiology2022
Opioids and Public Health: The Prescription Opioid Ecosystem and Need for Improved Management.
Review in Anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05482919 (The Adolescent Surgery Experience), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled 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.
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.
The Adolescent Surgery Experience: A Mixed Methods Analysis
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Effectiveness of dexmedetomidine on patient-centred outcomes in surgical patients: a systematic review and Bayesian meta-analysis.British journal of anaesthesia · 2024Pooled it
- Intraoperative Methadone in Next-day Discharge Outpatient Surgery: A Randomized, Double-blinded, Dose-finding Pilot Study.Anesthesiology · 2023Trial
- Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing after Surgery (PRIOR): A Cluster Randomized Multiple Crossover Trial.Anesthesiology · 2023Trial
- The OPIAID Zone Tool (Version 0.5) as a Composite Outcome for Postoperative Pain Management Quality.Acta anaesthesiologica Scandinavica · 2026Observational
- Efficacy of popliteal plexus block for opioid sparing and pain management after lower extremity surgery: a meta-analysis.The Korean journal of pain · 2026Article
- Single-dose intraoperative methadone and QTc interval: a prospective observational cohort investigation.British journal of anaesthesia · 2026Observational
- Benefits of enhanced recovery after surgery in robotic nephrectomy.World journal of urology · 2025Article
- Perioperative Management of the Patient Receiving Maintenance Hemodialysis.Anesthesiology · 2025Article
- Quality indicators for opioid stewardship interventions in hospital inpatient and emergency departments: a systematic review.Pain reports · 2025Review
- What's old is new again: opioid and benzodiazepine actions on ventilation, a reminder of the importance of knowing one's drugs.British journal of anaesthesia · 2025Article
- Intraoperative opioid administrations, rescue doses in the post-anaesthesia care unit and clinician-perceived factors for dose adjustments in adults: A Danish nationwide survey.Acta anaesthesiologica Scandinavica · 2025Article
- Knowledge, experiences, and practices on safe opioid use in patients recently discharged from hospitals in Western Nepal: a qualitative study.Frontiers in pharmacology · 2025Article
- Pain management in acute musculoskeletal injury: Effect of opioidWorld journal of orthopedics · 2024Article
- Use of Muscle Relaxants for Acute Postoperative Pain: A Practical Review.Plastic and reconstructive surgery. Global open · 2024Review
- Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study.BMC musculoskeletal disorders · 2024Article
- Intraoperative pharmacologic opioid minimisation strategies and patient-centred outcomes after surgery: a scoping review.British journal of anaesthesia · 2024Article
- Opioid use in cancer patients compared with noncancer pain patients in a veteran population.JNCI cancer spectrum · 2024Article
- Oxycodone: A Current Perspective on Its Pharmacology, Abuse, and Pharmacotherapeutic Developments.Pharmacological reviews · 2023Review
- Opioid stewardship.BJA education · 2023Review
- Rational Multimodal Analgesia for Perioperative Pain Management.Current pain and headache reports · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
While U.S. opioid prescribing has decreased 38% in the past decade, opioid deaths have increased 300%. This opioid paradox is poorly recognized. Current approaches to opioid management are not working, and new approaches are needed. This article reviews the outcomes and shortcomings of recent U.S. opioid policies and strategies that focus primarily or exclusively on reducing or eliminating opioid prescribing. It introduces concepts of a prescription opioid ecosystem and opioid pool, and it discusses how the pool can be influenced by supply-side, demand-side, and opioid returns factors. It illuminates pressing policy needs for an opioid ecosystem that enables proper opioid stewardship, identifies associated responsibilities, and emphasizes the necessity of making opioid returns as easy and common as opioid prescribing, in order to minimize the size of the opioid pool available for potential diversion, misuse, overdose, and death. Approaches are applicable to opioid prescribing in general, and to opioid prescribing after surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.