Exploring incidence and risk factors for persistent postoperative opioid use in adult surgical patients: a systematic review protocol

Harry Griffiths*, Bridie Kent, Daniel Martin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Objective: The objective of this review is to determine the incidence of persistent postsurgical use of opioids in adult patients and the associated risk factors. Introduction: Surgery has been identified as an independent risk factor for unwarranted chronic opioid use, contributing to opioid-related harm in the community. Persistent opioid use after surgery is associated with morbidity and mortality from opioid-related adverse events, indicating a significant yet mitigable public health concern. There is substantial variation in the reported incidence and risk factors for postoperative opioid use, which require evaluation for future evidence-based risk-reduction strategies. Inclusion criteria: This review will include studies investigating the persistent use of opioids after 90 postoperative days in adult (≥18 y) patients undergoing surgery of any type, including patients with cancer pain. Selected evidence must report on opioid use prior to surgery. Analytical and descriptive observational studies, and experimental and quasi-experimental studies, published in the previous decade will be eligible for inclusion. Methods: The proposed study methods follow the JBI methodology for systematic reviews of prevalence and incidence. A systematic search will be conducted in PubMed, Embase, CINAHL, Cochrane Central, and Web of Science, and a search of gray literature will include Google Scholar and ClinicalTrials.gov. Study selection, critical appraisal, and data extraction will be performed by 2 independent reviewers aided by the relevant JBI systematic review tools. We aim to produce a narrative synthesis of results and conduct a meta-analysis where feasible, in addition to subgroup analyses of suitable populations. The results are intended to promote safe, evidence-based postoperative opioid prescribing when considering risk factors for persistent postoperative opioid use. Systematic review registration number: PROSPERO CRD42022320691
Original languageEnglish
Pages (from-to)805-811
Number of pages0
JournalJBI evidence synthesis
Volume21
Issue number4
Early online date24 Nov 2022
DOIs
Publication statusPublished - 1 Apr 2023

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