Cochrane · systematic review · CD003348
Patient controlled opioid analgesia versus non‐patient controlled opioid analgesia for postoperative pain
McNicol, ED, Ferguson, MC, Hudcova, J · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Pain, Palliative and Supportive CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 30%Low 5 · 50%Moderate 2 · 20%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
VAS pain scores (0 to 100): PCA versus non‐patient controlled opioid analgesia for postoperative pain
Population: patients with postoperative pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain scores 0 to 24 hVisual analog scaleScale from: 0 to 100 VAS pain scores (0 to 100): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 23 studies · 1516 participants | Moderate |
Pain scores 25 to 48 hVisual analog scaleScale from: 0 to 100 VAS pain scores (0 to 100): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 13 studies · 609 participants | Low Downgraded: inconsistency |
Pain scores 49 to 72 hVisual analog scaleScale from: 0 to 100 VAS pain scores (0 to 100): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 3 studies · 231 participants | Very low Downgraded: inconsistency |
Pain scores 0 to 48 hVisual analog scaleScale from: 0 to 100 VAS pain scores (0 to 100): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 7 studies · 372 participants | Low |
Consumption of intravenous morphine equivalents (mg): PCA versus non‐patient controlled opioid analgesia for postoperative pain
Population: patients with postoperative pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Consumption of morphine equivalents 0 to 24 hmg Consumption of intravenous morphine equivalents (mg): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 25 studies · 1586 participants | Low Downgraded: inconsistency |
Consumption of morphine equivalents 25 to 48 hmg Consumption of intravenous morphine equivalents (mg): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 9 studies · 449 participants | Moderate |
Consumption of morphine equivalents 0 to 48 hmg Consumption of intravenous morphine equivalents (mg): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 8 studies · 334 participants | Very low Downgraded: inconsistency |
Consumption of morphine equivalents 0 to 72 hmg Consumption of intravenous morphine equivalents (mg): PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 4 studies · 244 participants | Very low Downgraded: inconsistency |
Patient satisfaction: PCA versus non‐patient controlled opioid analgesia for postoperative pain
Population: patients with postoperative pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Satisfaction on a continuous scale Patient satisfaction: PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 7 studies · 427 participants | Low Downgraded: inconsistency |
Number of patients in arm satisfied with therapy Patient satisfaction: PCA vs non‐patient controlled opioid analgesia | no estimate extracted | 11 studies · 547 participants | Low Downgraded: inconsistency |