Pain medicine

Racial and ethnic differences in acute post-operative pain management: Systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis

Authors' conclusion

There are racial and ethnic differences in the treatment of acute pain, especially in receipt of regional anesthesia.

Study context

Population
Surgical patients treated for acute postoperative pain
Comparison
Racial and ethnic minority groups vs White patients
Outcome
Receipt of RA for postoperative pain
Methodological detailsrandom-effect meta-analysis
  • Random-effect meta-analysis

Pooled result

As reported in the abstract

Receipt of RA
Each group vs whiteOdds ratio (95 % CI)
Non-White18 % less likely
0.82(0.76–0.9)
Black
0.93(0.91–0.95)
Asian
0.84(0.81–0.87)
Other
0.78(0.71–0.86)
Hispanic20 % less likely
0.8(0.72–0.87)

Further pooled results

Opioid administration

3 studies found some differences associated with race and ethnicity; formal meta-analysis not possible due to heterogeneity of follow-up and timepoint comparison

Original publication

Racial and ethnic differences in acute post-operative pain management: Systematic review and meta-analysis. J Clin Anesth. Published 5 May 2025. doi:10.1016/j.jclinane.2025.111858

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