Evidence map›Paper›PMID 36680313›Full record

Trial reportJDR clinical and translational research2024

The Opioid Analgesic Reduction Study (OARS) Pilot: A Double-Blind Randomized Multicenter Trial.

C A Feldman, J Fredericks-Younger, P J Desjardins, H Malmstrom, M Miloro, G Warburton, B Ward, V Ziccardi, D H Fine, P Greenberg and 3 more

Open access · greenAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in JDR clinical and translational research, 2024. 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
0.6field-weighted citation impact, top 33% 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, 2 citations in OpenAlex.

  1. Trial
  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

13 authors at 4 institutions in 1 country.

C A FeldmanSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.ORCID 0000-0001-8004-4473
J Fredericks-YoungerSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.
P J DesjardinsSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.
H MalmstromEastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
M MiloroCollege of Dentistry, University of Illinois, IL, USA.
G WarburtonSchool of Dentistry, University of Maryland, MD, USA.
B WardSchool of Dentistry, University of Michigan, MI, USA.
V ZiccardiSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.
D H FineSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.
P GreenbergSchool of Public Health, Rutgers University, Newark, NJ, USA.
T AndrewsSchool of Public Health, Rutgers University, Newark, NJ, USA.
P B MathesonSchool of Dental Medicine, Rutgers University, Newark, NJ, USA.
S-E LuSchool of Public Health, Rutgers University, Newark, NJ, USA.
Rutgers, The State University of New Jersey · USEastman Chemical Company (United States) · USUniversity of Illinois Urbana-Champaign · USUniversity of Michigan · US

Funding

Opiod Analgesic Reduction Study (OARS): Managing Acute Post-Operative Surgical PainUH3DE028860 · NIDCR · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI FELDMAN, CECILE · 2020 to 2023
$10.7M
Opiod Analgesic Reduction Study (OARS): Managing Acute Post-Operative Surgical PainUG3DE028860 · NIDCR · RBHS-SCHOOL OF DENTAL MEDICINE · PI FELDMAN, CECILE · 2019 to 2019
$629k
NIDCR NIH HHS UG3 DE028860NIDCR NIH HHS UH3 DE028860
6 · The paper itself

Abstract

backgroundWith addiction rates and opioid deaths increasing, health care providers are obligated to help stem the opioid crisis. As limited studies examine the comparative effectiveness of fixed-dose combination nonopioid analgesia to opioid-containing analgesia, a comparative effectiveness study was planned and refined by conducting a pilot study.

methodsThe Opioid Analgesic Reduction Study (OARS) pilot, a stratified, randomized, multisite, double-blind clinical trial, was designed to test technology and procedures to be used in the full OARS trial. Participants engaged in the full protocol, enabling the collection of OARS outcome data. Eligible participants reporting to 1 of 5 sites for partial or full bony impacted mandibular third molar extraction were stratified by biologic sex and randomized to 1 of 2 treatment groups, OPIOID or NONOPIOID. OPIOID participants were provided 20 doses of hydrocodone 5 mg/acetaminophen 300 mg. NONOPIOID participants were provided 20 doses of ibuprofen 400 mg/acetaminophen 500 mg. OARS outcomes data, including pain experience, adverse effects, sleep quality, pain interference, overall satisfaction, and remaining opioid tablets available for diversion, were collected via surveys, electronic medication bottles, eDiary, and activity/sleep monitor.

resultsFifty-three participants were randomized with 50 completing the OARS pilot protocol. Across all outcome pain domains, in all but 1 time period, NONOPIOID was better in managing pain than OPIOID ( DISCUSSION: Results suggest patients requiring impacted mandibular third molar extraction would benefit from fixed-dose combination nonopioid analgesia. KNOWLEDGE TRANSFER STATEMENT: Study results suggest fixed-dose nonopioid combination ibuprofen 400 mg/acetaminophen 500 mg is superior to opioid-containing analgesic (hydrocodone 5 mg/acetaminophen 500 mg). This knowledge should inform surgeons and patients in the selection of postsurgical analgesia.

Indexed as

Analgesics, Non-NarcoticAnalgesics, OpioidAcetaminophenDouble-Blind MethodDrug CombinationsHumansHydrocodoneIbuprofenPainPilot ProjectsAcetaminophenAnalgesics, Non-NarcoticAnalgesics, OpioidDrug CombinationsHydrocodoneIbuprofenacetaminophenclinical trialhydrocodoneibuprofenoral and maxillofacial surgerypain

Identifiers

PMID36680313
PMCPMC10850879
OpenAlexW4317681058

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.