Evidence map›Paper›PMID 40502985›Full record

ArticleBJA open2025

Intraoperative methadone for postoperative pain in adult patients undergoing tonsillectomy-a randomised controlled trial.

Michael Bøndergaard, Peter Gaarsdal Uhrbrand, Tutku Karaca, Marianne Rhode, Thomas Kjærgaard, Rene Thunberg Svendsen, Tejs Ehlers Klug, Lone Nikolajsen, Kristian Dahl Friesgaard

Registry-linked trialAbstract read
In one paragraph

Article in BJA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05445856 (Intraoperative Methadone for Postoperative Pain in Patients Undergoing Tonsillectomy - a Randomized Controlled Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05445856 phase4unknown statusnot on this map

Intraoperative Methadone for Postoperative Pain in Patients Undergoing Tonsillectomy - a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of AarhusRan2022 to 2024Enrolled130ConditionsPostoperative PainArmsMethadone, Fentanyl
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Michael BøndergaardDepartment of Anaesthesiology and Intensive Care, Randers Regional Hospital, Randers, Denmark.
Peter Gaarsdal UhrbrandDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Tutku KaracaDepartment of Anaesthesiology and Intensive Care, Randers Regional Hospital, Randers, Denmark.
Marianne RhodeDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Thomas KjærgaardDepartment of Otorhinolaryngology, Head & Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
Rene Thunberg SvendsenDepartment of Otorhinolaryngology, Head & Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
Tejs Ehlers KlugDepartment of Otorhinolaryngology, Head & Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
Lone NikolajsenDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Kristian Dahl FriesgaardDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tonsillectomy is a common procedure often associated with severe postoperative pain. This study hypothesised that methadone would provide superior postoperative pain relief and reduced opioid consumption compared with fentanyl. Methods: A total of 120 adult patients undergoing elective bilateral tonsillectomy were randomly allocated to receive either methadone (0.2 mg kg Results: Cumulative 5-day opioid consumption was lower in the methadone group (30 mg, inter-quartile range [IQR] 10-50 mg) Conclusion: Methadone reduced opioid consumption and pain intensity but increased PONV. Identifying risk factors for both severe postoperative pain and PONV may help guide patient selection for methadone use. Clinical trial registration: NCT05445856, EudraCT ID 2022-002496-11.

Indexed as

acute postoperative painmethadonepain managementpostoperativetonsillectomy

Identifiers

PMID40502985
PMCPMC12152498

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Registered trials

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.