Evidence map›Paper›PMID 35599083›Full record

ArticleInternational journal of oral and maxillofacial surgery2022

Contrasting opioid use for pain management in microvascular head and neck reconstruction: an international study.

A M Weyh, R Pucci, E Busby, L Kansal, R Joy, A Bunnell, V Valentini, D Dyalram, A Pattatheyill, M Figari and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of oral and maxillofacial surgery, 2022. 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
0.4field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 4 countries.

A M WeyhDepartment of Oral and Maxillofacial Surgery, University of Florida Jacksonville, Jacksonville, FL, USA. Electronic address: ashleigh.weyh@jax.ufl.edu.
R PucciDepartment of Maxillofacial Surgery, Sapienza University of Rome, Rome, Italy. Electronic address: resi.pucci@gmail.com.
E BusbyDepartment of Oral and Maxillofacial Surgery, University of Florida Jacksonville, Jacksonville, FL, USA. Electronic address: evan.busby@jax.ufl.edu.
L KansalDepartment of Head and Neck Surgery, Tata Medical Center, Kolkata, India. Electronic address: latikakansal@gmail.com.
R JoyDepartment of Oral and Maxillofacial Surgery, University of Maryland, Baltimore, MD, USA. Electronic address: rjoy@umaryland.edu.
A BunnellDepartment of Oral and Maxillofacial Surgery, University of Florida Jacksonville, Jacksonville, FL, USA. Electronic address: anthony.bunnell@jax.ufl.edu.
V ValentiniDepartment of Maxillofacial Surgery, Sapienza University of Rome, Rome, Italy. Electronic address: valentino.valentini@uniroma1.it.
D DyalramDepartment of Oral and Maxillofacial Surgery, University of Maryland, Baltimore, MD, USA. Electronic address: ddyalram@umaryland.edu.
A PattatheyillDepartment of Head and Neck Surgery, Tata Medical Center, Kolkata, India. Electronic address: arunpattu@gmail.com.
M FigariDepartment of Head and Neck Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: marcelo.figari@hospitalitaliano.org.ar.
L BoccalatteDepartment of Head and Neck Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: luis.boccalatte@hospitalitaliano.org.ar.
J LarrañagaDepartment of Head and Neck Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: juan.larranaga@hospitalitaliano.org.ar.
A CassoniDepartment of Maxillofacial Surgery, Sapienza University of Rome, Rome, Italy. Electronic address: andrea.cassoni@uniroma1.it.
R FernandesDepartment of Oral and Maxillofacial Surgery, University of Florida Jacksonville, Jacksonville, FL, USA. Electronic address: Rui.fernandes@jax.ufl.edu.
Jacksonville University · USHospital Italiano de Buenos Aires · ARSapienza University of Rome · ITTata Medical Center · INUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Opioids are often the mainstay of postoperative pain management, despite strong evidence of their ill effects and potential for long-term addiction. The goal of this study was to quantify opioid use and contrast pain management strategies of multiple international institutions performing fibula free flap reconstruction. A retrospective multicenter cohort study was designed, including five international centers. For inclusion, the patients had to have undergone a primary fibula free flap reconstruction of the mandible. A total of 185 patients were included. The median opioid use across all centers at 72 hours was 133 oral morphine equivalents. The highest utilization was in the USA (P < 0.001), which was approximately six times that of Italy, four times that of Argentina, and twice that of India, despite all centers performing a similar procedure. Based on this study there are clear differences in prescribing practices and ideologies among surgeons from different countries.

Indexed as

Free Tissue FlapsHead and Neck NeoplasmsPlastic Surgery ProceduresAnalgesics, OpioidCohort StudiesHumansPain ManagementRetrospective StudiesAnalgesics, OpioidAnalgesiaFree tissue flapsHead and neck cancerMicrosurgeryOpioidsPain managementReconstructive surgical procedures

Identifiers

PMID35599083
OpenAlexW4280600270

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.