Opioids and personalized analgesia in the perioperative setting: A protocol for five systematic reviews

Author:

Karlsen Anders Peder Højer1ORCID,Sunde Pernille Bjersand1ORCID,Olsen Markus Harboe234ORCID,Laigaard Jens5ORCID,Folkersen Caroline12,Tran Trang Xuan Minh1ORCID,Rasmussen Ida Houtved12,Kjartansdóttir Selma16ORCID,Saito Atena7ORCID,Andersen Michael Asger6ORCID,Maagaard Mathias2ORCID,Papadomanolakis‐Pakis Nicholas8ORCID,Dalhoff Kim69ORCID,Nikolajsen Lone8ORCID,Lunn Troels Haxholdt18,Meyhoff Christian Sylvest19ORCID,Jakobsen Janus Christian310ORCID,Mathiesen Ole29ORCID

Affiliation:

1. Department of Anaesthesia and Intensive Care Copenhagen University Hospital – Bispebjerg and Frederiksberg Copenhagen Denmark

2. Centre for Anaesthesiological Research, Department of Anaesthesiology Zealand University Hospital Roskilde Denmark

3. Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region Copenhagen University Hospital – Rigshospitalet Copenhagen Denmark

4. Department of Neuroanaesthesiology, Neuroscience Centre Copenhagen University Hospital – Rigshospitalet Copenhagen Denmark

5. Department of Orthopedic surgery Bispebjerg and Frederiksberg Hospital Copenhagen Denmark

6. Department of Clinical Pharmacology Copenhagen University Hospital – Bispebjerg and Frederiksberg Copenhagen Denmark

7. Pontifical Catholic University of Campinas Sao Paulo Brazil

8. Department of Anaesthesia and Intensive Care Aarhus University Hospital Aarhus Denmark

9. Department of Clinical Medicine University of Copenhagen Copenhagen Denmark

10. Department of Regional Health Research, The Faculty of Health Sciences University of Southern Denmark Odense Denmark

Abstract

AbstractBackgroundTreatment with opioids is a mainstay in perioperative pain management. While the leading treatment paradigm has been procedure‐specific pain management, efforts regarding personalized pain treatment are increasing. The OPI•AID project aims to develop personalized algorithms for perioperative pain management, taking demographic, surgical, and anaesthesiologic factors into account. We will undertake five parallel reviews to illuminate current evidence on different aspects of individual responses to perioperative opioid treatment.MethodsInclusion of adult populations in English‐written studies. Review‐specific searches are developed for the following databases: CENTRAL, MEDLINE, Embase, clinicaltrials.gov, and clinicaltrial.eu. Two authors will independently screen citations, extract data, and assess the risks of bias in each review (QUIPS, PROBAST and RoB2, as relevant).ConclusionThese reviews will evaluate various aspects of perioperative opioid treatment, including individualized treatment strategies, selection of specific opioids, and individual patient responses. These will guide future development of a personalized perioperative opioid treatment algorithm (OPI•AID) that will be validated and tested clinically against standard of care.

Publisher

Wiley

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