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Incidence of iatrogenic opioid dependence or abuse in patients with pain who were exposed to opioid analgesic therapy: a systematic review and meta-analysis 

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Presentation on theme: "Incidence of iatrogenic opioid dependence or abuse in patients with pain who were exposed to opioid analgesic therapy: a systematic review and meta-analysis "— Presentation transcript:

1 Incidence of iatrogenic opioid dependence or abuse in patients with pain who were exposed to opioid analgesic therapy: a systematic review and meta-analysis  C. Higgins, B.H. Smith, K. Matthews  British Journal of Anaesthesia  Volume 120, Issue 6, Pages (June 2018) DOI: /j.bja Copyright © 2018 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Eligibility screening procedures and the total number of articles included in the review, shown on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) four-phase flow diagram. British Journal of Anaesthesia  , DOI: ( /j.bja ) Copyright © 2018 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Meta-analysis (random effects model) of overall study findings of the incidence of iatrogenic opioid dependence or abuse. Studies are reported by ascending year of publication. Note: It is recognised that incidence cannot decrease below zero; however, the company providing the CMA software (Biostat Inc., Englewood, NJ, USA) confirmed that it is not possible to generate a scale that is not symmetrical around zero. CI, confidence interval. British Journal of Anaesthesia  , DOI: ( /j.bja ) Copyright © 2018 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Sensitivity analysis of the incidence of iatrogenic opioid dependence or abuse by DSM-IV and ICD-9 diagnostic criteria for identifying dependence or abuse. CI, confidence interval. British Journal of Anaesthesia  , DOI: ( /j.bja ) Copyright © 2018 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Sensitivity analysis of the incidence of iatrogenic opioid dependence or abuse by strength of prescription opioid analgesics. CI, confidence interval. British Journal of Anaesthesia  , DOI: ( /j.bja ) Copyright © 2018 British Journal of Anaesthesia Terms and Conditions

6 Fig 5 Sensitivity analysis of the incidence of iatrogenic opioid dependence or abuse by length of exposure to opioid analgesics. CI, confidence interval. British Journal of Anaesthesia  , DOI: ( /j.bja ) Copyright © 2018 British Journal of Anaesthesia Terms and Conditions


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