Authors | Year | Country | Included study design | No. of studies (total no. of participants) | Search period | Intervention | Primary outcome measures | Quality evaluation method |
---|---|---|---|---|---|---|---|---|
Albrecht et al. [27] | 2019 | Switzerland | RCTs | 27 (1,630) | Up to 30 June 2019 | High-dose vs low-dose intraoperative opioids | Pain score at rest at 24 postoperative hours | GRADE |
Arwi & Schug [23] | 2020 | Australia | NRSIs | 28 (661,441) | Up to 1 December 2018 | Opioids prescribed at discharge after inpatient care | The potential for harm of discharge opioids including excessive prescribing of discharge opioids, improper storage and disposal of opioids | Newcastle–Ottawa Quality Assessment Scale |
Baamer et al. [21] | 2022 | UK | RCTs and NRSIs | 31 (12,498) | Up to August 2020 | Unidimensional and functional assessment tools used for postoperative patients | Measurement error, cross-cultural validity, reliability, responsiveness, and hypothesis testing for construct validity | Modified version of the Newcastle–Ottawa Quality Assessment Scale; and COSMIN criteria for methodological quality |
Bicket et al. [16] | 2017 | USA | RCTs and NRSIs | 6 (810) | Up to 20 July 2016 | Opioids prescribed for acute postoperative pain | The number of patients reporting any unused opioids | Newcastle–Ottawa Quality Assessment Scale |
Feinberg et al. [24] | 2018 | Canada | NRSIs | 11 (3,562) | Up to 17 December 2016 | Opioids prescribed for acute postoperative pain | The quantity of opioid medication used post-discharge | None |
Horn et al. [17] | 2020 | USA | RCTs and NRSIs | 43 (Not reported) | Not reported | Preoperative psychoeducational methods | The quality of preoperative psychoeducation and its effects on the outcome of surgery | Oxford levels of evidence |
Lamplot et al. [18] | 2021 | USA | RCTs and NRSIs | 16 (3,077) | Up to 2 October 2019 | Opioids prescribed for acute postoperative pain | Rates of disposal of unused opioids and the reported disposal mechanisms for unused opioids | SIGN checklists for cohort studies and RCTs |
Lawal et al. [19] | 2020 | USA | NRSIs | 33 (1,922,743) | Up to 30 June 2019 | Postoperative opioid use | Risk factors associated with prolonged opioid use after surgery | Newcastle–Ottawa Quality Assessment Scale |
Martinez et al. [25] | 2017 | France | RCTs | 135 (13,287) | Up to August 2015 | Non-opioid analgesics and tramadol prescribed for acute postoperative pain | Morphine consumption, pain, incidence of nausea, vomiting at 24Â h and severe adverse effects | Cochrane Risk of Bias tool |
Powell et al. [22] | 2016 | UK | RCTs | 105 (10,302) | Up to May 2014 | Psychological preparation in adults undergoing elective surgery under general anaesthetic | Postoperative outcomes including pain, behavioural recovery, length of stay and negative affect | Cochrane Risk of Bias tool |
Sobol-Kwapinska et al. [26] | 2016 | Poland | Not reported | 53 (10,749) | January 1960 – 30 November 2015 | Preoperative psychological factors | Acute postoperative pain and analgesic consumption | Quality in Prognostic Studies tool |
Wetzel et al. [20] | 2018 | USA | RCTs and NRIs | 8 (2,272) | January 2000 – March 2018 | Behavioural intervention associated with postoperative prescribing | Postoperative opioid prescribing | Quality Assessment Tool for Quantitative Studies |