Pain medicine

The effect of Neurokinin-1 receptor antagonists on postoperative pain: A meta-analysis of randomized controlled trials

J Clin AnesthPublished Systematic review and meta-analysis of randomised controlled trials

Pooled resultResult — go to the resultMD −0.62 95 % CI −0.91 to −0.32

Authors' conclusion

Preoperative single-administration of NK-1 antagonists reduces postoperative pain.

Study context

Population
Surgical patients (hospitals)
Participants
1,959 patients · 13 randomized controlled trials (RCTs)
Comparison
Preoperative NK-1 antagonists vs placebo or standard care
Outcome
Pain (0-10 numeric scale)
Follow-up
2 h after surgery

Pooled result

As reported in the abstract

MD

−0.62

95 % CI −0.91 to −0.32

P < 0.001

NK-1 antagonists vs Placebo or standard care
MD −0.62 (95 % CI −0.91 to −0.32); P < 0.001

Further pooled results

OutcomeMD (95 % CI)P value
Postoperative pain · 24 hn = 9 studies; I2 = 86 %−0.65 (−1.22 to −0.09)P = 0.02

Postoperative pain · 48 h

Not reduced 48 h after surgery

Morphine equivalent consumption

Similar in the two groups

Original publication

The effect of Neurokinin-1 receptor antagonists on postoperative pain: A meta-analysis of randomized controlled trials. J Clin Anesth. Published 8 February 2025. doi:10.1016/j.jclinane.2025.111772

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