Pain medicine

Intraoperative pharmacologic opioid minimisation strategies and patient-centred outcomes after surgery: a scoping review

Br J AnaesthPublished Scoping review

Authors' conclusion

We identified three potentially promising pharmacologic intraoperative opioid minimisation strategies that should be further assessed through systematic reviews and multicentre trials.

Study context

Population
Adult surgical patients in trials of intraoperative opioid minimisation strategies reporting ≥1 patient-centred outcome
Participants
67,060 patients · 457 trials
Comparison
Intraoperative pharmacologic opioid minimisation strategies
Outcome
Patient-centred effectiveness of opioid minimisation strategies
Methodological detailsMEDLINE, Embase, CENTRAL, Web of Science, CINAHL searched from inception to February 2023, 24,842 citations screened; 2803 trials assessed intraoperative opioid minimisation
  • MEDLINE, Embase, CENTRAL, Web of Science, CINAHL searched from inception to February 2023
  • 24,842 citations screened; 2803 trials assessed intraoperative opioid minimisation

Main finding

As reported in the abstract

Trials with a patient-centred primary outcome

107

Patient wellbeing the most frequently used domain (trials)

55

Further findings

Trials not reporting a protocol or registration number

Almost half of trials
253

Original publication

Intraoperative pharmacologic opioid minimisation strategies and patient-centred outcomes after surgery: a scoping review. Br J Anaesth. Published 8 February 2024. doi:10.1016/j.bja.2024.01.006

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