Evidence map›Paper›PMID 36998552›Full record

ArticleOTO open

Opioid Sparing Multimodal Analgesia for Transoral Robotic Surgery: Improved Analgesia and Narcotic Use Reduction.

Carlos X Castellanos, Marcus Paoletti, Ruben Ulloa, Celeste Kim, Michelle Fong, Meredith Xepoleas, Uttam Sinha, Niels Kokot, Mark S Swanson

Open access · goldFull text read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. BMJ open · 2025
    Article
  3. Article
  4. 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

9 authors at 1 institution in 1 country.

Carlos X CastellanosCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.ORCID https://orcid.org/0000-0003-4013-9210
Marcus PaolettiCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Ruben UlloaCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Celeste KimCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Michelle FongCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Meredith XepoleasCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Uttam SinhaCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Niels KokotCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.
Mark S SwansonCaruso Department of Otolaryngology-Head & Neck Surgery Keck Medicine of University of Southern California Los Angeles California USA.ORCID https://orcid.org/0000-0002-6140-0935
University of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare postoperative pain scores and opioid consumption in patients after transoral robotic surgery (TORS). Study Design: Single institution retrospective cohort study. Setting: TORS was performed at a single academic tertiary care center. Methods: This study compared traditional opioid-based and opioid-sparing multimodal analgesia (MMA) regimens in patients with oropharyngeal and supraglottic malignancy after TORS. Data were obtained from the electronic health records from August 2016 to December 2021. The average postoperative pain scores and total opioid consumption in morphine milligram equivalents were calculated for postoperative days (PODs) 0 to 3. The secondary objectives were to quantify and characterize opioid prescriptions upon hospital discharge. Results: A total of 114 patients were identified for this study, 58 patients in the non-MMA cohort and 56 in the MMA cohort. Postoperative pain levels in the MMA cohort were statistically lower on POD 0 ( Conclusion: Implementation of our MMA pain protocol reduced pain levels and narcotic consumption in the immediate postoperative period.

Indexed as

multimodal analgesiaopioidpostoperative paintransoral robotic surgery

Identifiers

PMID36998552
PMCPMC10046737
OpenAlexW4324281713

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read48
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.