Pain medicine

Surgical opioid-avoidance protocol: a postoperative pharmacological multimodal analgesic intervention in diverse patient populations

Reg Anesth Pain MedPublished Prospective cohort study

Authors' conclusion

The SOAP was as effective as the non-SOAP group in postoperative pain scores across a diverse patient population and associated with lower postoperative opioid consumption and discharge prescription opioids.

Study context

Population
Diverse, opioid-naive patients undergoing inpatient surgery across multiple surgical servicesgroups by surgery date
Participants
449 vs 382
Exposure
Surgical opioid-avoidance protocol vs pre-existing non-SOAP protocol
  • Surgical opioid-avoidance protocol (SOAP)n = 449
  • non-SOAPn = 382reference
Outcome
Postoperative pain scores
Methodological detailsnon-inferiority, multiple surgical services
  • Non-inferiority
  • Multiple surgical services

Main finding

As reported in the abstract

  • Postoperative pain scores with SOAP non-inferior to non-SOAP
  • SOAP vs non-SOAP: 95% CI −0.58 to 0.10
  • Non-inferiority margin=−1

Observational data: associations, not effects.

Further findings

Postoperative opioid consumption

P < 0.01

Discharge prescription opioids

P < 0.01

Original publication

Surgical opioid-avoidance protocol: a postoperative pharmacological multimodal analgesic intervention in diverse patient populations. Reg Anesth Pain Med. Published 6 April 2023. doi:10.1136/rapm-2022-103864

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