Evidence map›Paper›PMID 38681953›Full record

ArticleAJOG global reports2024

Exploring the relationship between language, postoperative pain, and opioid use.

Rachel A Levy, Allison H Kay, Nancy Hills, Lee-May Chen, Jocelyn S Chapman

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PubMed Full text at PMC Publisher
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Article in AJOG global reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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. Review
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

5 authors.

Rachel A LevyDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California (Dr Levy), San Francisco, CA.
Allison H KayDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California (Drs Kay, Chen, and Chapman), San Francisco, CA.
Nancy HillsClinical and Translational Sciences Institute, University of California (Dr Hills), San Francisco, CA.
Lee-May ChenDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California (Drs Kay, Chen, and Chapman), San Francisco, CA.
Jocelyn S ChapmanDivision of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California (Drs Kay, Chen, and Chapman), San Francisco, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRacial and ethnic disparities in pain management are well documented. Differences in pain assessment and management by language have not been studied in the postoperative setting in gynecologic surgery.

objectiveThis study aimed to investigate the association between language and immediate postoperative pain management by comparing pain assessments and perioperative opioid use in non-English speakers and English speakers. STUDY

designThis was a retrospective cohort study comparing perioperative outcomes between non-English-speaking patients and English-speaking patients who had undergone a gynecologic oncology open surgery between July 2012 and December 2020. The primary language was extracted from the electronic medical record. Opioid use is expressed in oral morphine equivalents. Proportions are compared using chi-square tests, and mean values are compared using 2-sample

resultsBetween 2012 and 2020, 1203 gynecologic oncology patients underwent open surgery, of whom 181 (15.1%) were non-English speakers and 1018 (84.9%) were English speakers. There was no difference between the 2 cohorts concerning body mass index, surgical risk score, or preoperative opioid use. Compared with the English-speaking group, the non-English-speaking group was younger (57 vs 54 years old, respectively;

conclusionPatients who do not speak English may be at risk of undertreated pain in the immediate postoperative setting. Language barrier, frequency of pain assessments, and provider bias may perpetuate disparity in pain management. Based on this study's findings, we advocate for the use of regular verbal pain assessments with language-concordant staff or medical interpreters for all postoperative patients.

Indexed as

biasdisparityequitygynecologic oncologyinterpreterlanguage barrierlaparotomypainperioperative

Identifiers

PMID38681953
PMCPMC11046298

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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.