Pain medicine

Association of Genetic Variants with Postsurgical Pain: A Systematic Review and Meta-analyses

AnesthesiologyPublished Systematic review and meta-analysis

Authors' conclusion

Despite much published data, only two alleles have a small association with postsurgical pain.

Study context

Population
Adult surgical patients; studies of genetic variants and postsurgical pain (PubMed, Embase, Cochrane CENTRAL, 2000–2022)163 studies
Outcome
Association of genetic variants with acute (0 to 48 h) or chronic (≥3 months) postsurgical pain (pain score or analgesic/opioid consumption)

Pooled result

As reported in the abstract

Association of genetic variants with postsurgical pain

OPRM1 rs1799971, acute postsurgical opioid use: SMD

0.25

95% CI 0.16 to 0.35; cohort size 8,227

OPRM1 rs1799971, acute postsurgical pain score: SMD

0.20

95% CI 0.09 to 0.31; cohort size 4,619

COMT rs4680, chronic postsurgical pain score: SMD

0.26

95% CI 0.08 to 0.44; cohort size 1,726

Original publication

Association of Genetic Variants with Postsurgical Pain: A Systematic Review and Meta-analyses. Anesthesiology. Published 29 September 2023. doi:10.1097/aln.0000000000004677

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