Evidence map›Paper›PMID 40493638›Full record

ArticlePloS one2025

Factors associated with chronic opioid use after minimally invasive lung resections.

Isabel Emmerick, Hayley Reddington, Tanmay N Patil, Alexander Neamtu, Jiddu Guart, Rebecca Foley, Allison Crawford, Karl Uy, Mark W Maxfield, Yury Rabotnikov and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. 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

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. 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

12 authors.

Isabel EmmerickUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.ORCID 0000-0002-0383-2465
Hayley ReddingtonUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.ORCID 0009-0000-1330-2030
Tanmay N PatilUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.ORCID 0009-0005-5564-5548
Alexander NeamtuUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Jiddu GuartUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Rebecca FoleyUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Allison CrawfordUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Karl UyUniversity of Massachusetts Chan Medical School, Department of Anesthesia, Worcester, Massachusetts, United States of America.
Mark W MaxfieldUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Yury RabotnikovUniversity of Massachusetts Chan Medical School, Department of Anesthesia, Worcester, Massachusetts, United States of America.
William PhillipsUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.
Feiran LouUniversity of Massachusetts Chan Medical School, Department of Surgery, Worcester, Massachusetts, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals undergoing lung resections experience persistent postoperative pain and are at high risk of chronic postoperative opioid use. This study aims to identify factors associated with chronic opioid use after minimally invasive lung resections (MILR). STUDY

designThis is a retrospective cohort study of individuals who underwent MILR from March 2019 to May 2022 at a single academic institution. The primary outcome was chronic opioid usage, defined as use at least 30 days after surgery. Postoperative pain was managed with a standardized multi-modal pain-control regimen utilizing opioids only as needed. Prescription patterns and dispensing data of opioids at 30-, 60-, and 90-days postoperatively informed usage. Univariate analysis and multivariable logistic regressions (MVLR) were performed.

results376 patients were included, 38.6% male, 88.8% white, and a mean age of 64.6 years. A total of 248 (66%) underwent anatomical lung resections. 16.5% used opioids at 30 days, 10.1% at 60 days, and 8.5% at 90 days. In the multivariable model, morphine milligram equivalents (MMEs) of opioids on the day before discharge showed a statistically significant association with chronic opioid usage. Age, sex, length of stay, and surgery type were not associated. A 10-unit increase in MMEs increased odds of use at 30-days by 21% (OR 1.21, 95%CI 1.11-1.32, p < 0.001), 20% at 60-days (OR 1.20, 95%CI 1.09 1.32, p < 0.001) and 18% at 90-days (OR 1.18, 95%CI 1.06-1.30, p = 0.002).

conclusionHigher pre-discharge MMEs are associated with an increased likelihood of chronic opioid usage. Future studies should focus on whether preemptive early outpatient intercostal nerve blocks or cryoablations can decrease chronic narcotic usage in high-risk patients.

Indexed as

Analgesics, OpioidMinimally Invasive Surgical ProceduresOpioid-Related DisordersPneumonectomyPostoperative PainAgedFemaleHumansMaleMiddle AgedRetrospective StudiesAnalgesics, Opioid

Identifiers

PMID40493638
PMCPMC12151345

What OpenQuestion holds

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Registered trials

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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.