Evidence map›Paper›PMID 36952303›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2023

Examining the impact of postoperative opioid use on length of hospital stay following radical cystectomy.

Sandra Seo Young Kim, Wyatt MacNevin, Stewart Whalen, Ricardo A Rendon, David G Bell, Jon Duplisea, Greg Bailly, Ashley Cox, Ross J Mason

Abstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Sandra Seo Young KimDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Wyatt MacNevinDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Stewart WhalenDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Ricardo A RendonDepartment Urology, Dalhousie University, Halifax, NS, Canada.
David G BellDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Jon DupliseaDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Greg BaillyDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Ashley CoxDepartment Urology, Dalhousie University, Halifax, NS, Canada.
Ross J MasonDepartment Urology, Dalhousie University, Halifax, NS, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadical cystectomy (RC) is associated with high rates of morbidity, prolonged hospital stay, and increased opioid use for postoperative pain management; however, the relationship between postoperative opioid use and length of stay (LOS ) remains uncharacterized. This study serves to investigate the association between postoperative opioid use and length of hospital stay after RC. The relationship between patient and surgical factors on LOS was also characterized.

methodsWe retrospectively reviewed all patients between 2009 and 2019 who underwent RC at our institution. Patient and perioperative variables were analyzed to determine the relationship between postoperative opioid use and LOS using multivariable linear regression analysis.

resultsWe identified 240 patients for study inclusion with a median age of 70.0 years. Median LOS was 10.0 days, with median daily mg morphine equivalent use of 57.5 for patients. Daily mg morphine equivalent use was significantly associated with an increased LOS, as were previous pelvic radiation, postoperative ileus, and higher Clavien-Dindo grade complication during admission (all p<0.05). Median LOS increased by one day for each increase of 13.2 daily mg morphine equivalents received.

conclusionsIncreased daily opioid use was associated with increased length of hospital stay after RC. Non-opioid-based pain management approaches may be effective in reducing LOS after RC.

Identifiers

PMID36952303
PMCPMC10263282

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