Pain medicine

Multimorbidity and analgesic-related harms: a systematic review

Br J AnaesthPublished Systematic review

Authors' conclusion

There is evidence of harms associated with opioids in adults with multimorbidity, including overdose and increased mortality. There is a lack of evidence on gabapentinoids.

Study context

Population
Adults with multimorbidity (two or more long-term medical conditions) exposed to analgesics
Participants
2,671,958 adults · 27 studies
Comparison
Opioids, nonsteroidal anti-inflammatory drugs (NSAIDs) and gabapentinoids: analgesic-related harms in adults with multimorbidity
Outcome
Risk of adverse outcomes from opioids, NSAIDs and gabapentinoids
Methodological detailsnarrative synthesis, Newcastle-Ottawa risk of bias assessment
  • Narrative synthesis
  • Newcastle-Ottawa risk of bias assessment

Pooled result

As reported in the abstract

Analgesic-related adverse outcomes
GroupValueStudies reporting adverse outcomes
Opioids12/16 events12/16
NSAIDs6/11 events6/11

Value

Opioids12/16 events
NSAIDs6/11 events

Studies reporting adverse outcomes

Opioids12/16
NSAIDs6/11

Original publication

Multimorbidity and analgesic-related harms: a systematic review. Br J Anaesth. Published 20 March 2025. doi:10.1016/j.bja.2025.02.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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