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Adverse Effects of Opioid Analgesics in Osteoarthritis Treatment: A Global Meta-Analysis, 2000-2022

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Journal China CDC Wkly
Date 2024 Jun 27
PMID 38933042
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Abstract

Osteoarthritis (OA) treatment commonly depends on nonsteroidal anti-inflammatory drugs and opioid medications. Nevertheless, the clinical use of opioids is controversial due to their adverse effects and addiction potential. This study, drawing on 24 randomized controlled trials (RCTs) with a total of 9,586 patients, thoroughly explored the various side effects associated with opioid use in OA treatment. The results provide additional insight into the non-addictive risks of opioids and may assist clinicians in their judicious use, potentially fostering the advancement of safer treatment options. By reducing the risks of misuse and addiction, public health and safety can be enhanced.

References
1.
Gorfinkel L, Voon P, Wood E, Klimas J . Diagnosing opioid addiction in people with chronic pain. BMJ. 2018; 362:k3949. DOI: 10.1136/bmj.k3949. View

2.
Kolasinski S, Neogi T, Hochberg M, Oatis C, Guyatt G, Block J . 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Rheumatol. 2020; 72(2):220-233. PMC: 10518852. DOI: 10.1002/art.41142. View

3.
Krebs E, Gravely A, Nugent S, Jensen A, DeRonne B, Goldsmith E . Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018; 319(9):872-882. PMC: 5885909. DOI: 10.1001/jama.2018.0899. View

4.
da Costa B, Pereira T, Saadat P, Rudnicki M, Iskander S, Bodmer N . Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis: network meta-analysis. BMJ. 2021; 375:n2321. PMC: 8506236. DOI: 10.1136/bmj.n2321. View

5.
Schnitzer T, Robinson R, Viktrup L, Cappelleri J, Bushmakin A, Tive L . Opioids for Osteoarthritis: Cross-Sectional Survey of Patient Perspectives and Satisfaction. J Clin Med. 2023; 12(7). PMC: 10095440. DOI: 10.3390/jcm12072733. View