Evidence map›Paper›PMID 38822448›Full record

ArticlePerioperative medicine (London, England)2024

How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia.

Giovanni E Ferreira, Asad E Patanwala, Hannah Turton, Aili V Langford, Ian A Harris, Chris G Maher, Andrew J McLachlan, Paul Glare, Chung-Wei Christine Lin

Abstract read
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In one paragraph

Article in Perioperative medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. [Research progress on treatment of unstable intertrochanteric fractures in elderly patients with bone cement type femoral head replacement].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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.

Giovanni E FerreiraSydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. giovanni.ferreira@sydney.edu.au.
Asad E PatanwalaPharmacy Department, Royal Prince Alfred Hospital, Sydney, Australia.
Hannah TurtonPharmacy Department, Royal Prince Alfred Hospital, Sydney, Australia.
Aili V LangfordCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia.
Ian A HarrisWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Sydney, Australia.
Chris G MaherSydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Andrew J McLachlanSydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Paul GlareNorthern Clinical School, Faculty of Medicine & Health, University of Sydney, Sydney, Australia.
Chung-Wei Christine LinSydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Funding

National Health and Medical Research Council APP11094283National Health and Medical Research Council APP2009808National Health and Medical Research Council APP2025289National Health and Medical Research Council,Australia APP1193939
6 · The paper itself

Abstract

backgroundMultimodal analgesia regimens are recommended for the postoperative period after hip and knee replacement surgeries. However, there are no data on practice patterns for analgesic use in the immediate postoperative period after hip and knee replacements in Australia.

objectivesTo describe analgesic prescribing patterns in the inpatient postoperative phase for patients undergoing hip and knee replacement.

methodsRetrospective study of electronic medical record data from two major hospitals in Sydney, Australia. We identified analgesic medication prescriptions for all patients aged 18 years and older who underwent hip or knee replacement surgery in 2019. We extracted data on pain medications prescribed while in the ward up until discharge. These were grouped into distinct categories based on the Anatomical Therapeutic Chemical classification. We described the frequency (%) of pain medications used by category and computed the average oral morphine equivalent daily dose (OMEDD) during hospitalisation.

resultsWe identified 1282 surgeries in 1225 patients. Patients had a mean (SD) age of 69 (11.8) years; most (57.1%) were female. Over 99% of patients were prescribed opioid analgesics and paracetamol during their hospital stay. Most patients (61.4%) were managed with paracetamol and opioids only. The most common prescribed opioid was oxycodone (87.3% of patients). Only 19% of patients were prescribed nonsteroidal anti-inflammatories (NSAIDs). The median (IQR) average daily OMEDD was 50.2 mg (30.3-77.9).

conclusionWe identified high use of opioids analgesics as the main strategies for pain control after hip and knee replacement in hospital. Other analgesics were much less frequently used, such as NSAIDs, and always in combination with opioids and paracetamol.

Indexed as

Joint replacementOpioidsOsteoarthritis

Identifiers

PMID38822448
PMCPMC11143609

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