Pain medicine

Perioperative Analgesic Interventions for Reduction of Persistent Postsurgical Pain After Total Hip and Knee Arthroplasty: A Systematic Review and Meta-analysis

Anesth AnalgPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultMean difference −4.9 mm 95% CI −6.5 to −3.4

Authors' conclusion

We found no perioperative analgesic interventions that reduced pain 3 to 24 months after total hip or knee arthroplasty for osteoarthritis.

Study context

Population
Patients with osteoarthritis undergoing total hip or knee arthroplasty49 trials · 68 intervention arms
Comparison
Perioperative analgesic interventions vs control
Outcome
Pain score, at rest and during movement separately
Follow-up
3 to 24 months after surgery
Methodological detailstrial sequential analysis, worst-best and best-worst case analyses, Cochrane Risk of Bias 2
  • Trial sequential analysis
  • Worst-best and best-worst case analyses
  • Cochrane Risk of Bias 2

Pooled result

As reported in the abstract

3 to 24 months

Mean difference

−4.9 mm

95% CI −6.5 to −3.4

Duloxetine vs Placebo
mean difference −4.9 mm (95% CI −6.5 to −3.4)

Original publication

Perioperative Analgesic Interventions for Reduction of Persistent Postsurgical Pain After Total Hip and Knee Arthroplasty: A Systematic Review and Meta-analysis. Anesth Analg. Published 17 October 2024. doi:10.1213/ane.0000000000007246

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.