Perioperative opioids and colorectal cancer recurrence: a systematic review of the literature

Pain Management
Oscar Diaz-CambroneroJ P Cata

Abstract

To summarize the literature on the long-term impact of perioperative opioids in colorectal cancer. Combined results from two searching strategies in PubMed/MEDLINE (1950-2018), based on a PICO approach; P: Opioid influence on cancer-related long-term outcome in patient undergoing colorectal surgery; I: Opioid drugs administered in the perioperative period; C: Correlation between dose and/or type of opioid with long-term oncologic outcome; O: Disease-free survival and/or overall survival (OS). Thirteen articles fulfilled the predetermined inclusion criteria. Due to the heterogeneity of the different studies, a quantitative meta-analysis to sum the evidence was deemed unfeasible. Our review indicates that there is no conclusive evidence to avoid the use of opioids with the goal of reducing the risk of recurrence in colorectal cancer.

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Citations

Nov 27, 2019·Dermatologic Therapy·Alessio FacciolàGiuseppe Nunnari
Feb 6, 2020·International Anesthesiology Clinics·Maria F RamirezJuan P Cata
Sep 13, 2020·BMJ Supportive & Palliative Care·Jason W Boland, Michael I Bennett
Dec 19, 2018·Current Anesthesiology Reports·Elizabeth F RiethAnoushka M Afonso
Jun 23, 2020·Perioperative Medicine·Sushan GuptaVijaya Gottumukkala
Nov 14, 2020·Biochimica Et Biophysica Acta. Reviews on Cancer·Mikołaj ŚwierczyńskiMarta Zielińska
Feb 2, 2021·Langenbeck's Archives of Surgery·Jadie PlückerMarkus A Weigand
Jan 23, 2021·Neuroscience Letters·Maria F RamirezJuan P Cata
Aug 4, 2021·Current Oncology Reports·Hao ZhangChanghong Miao

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Methods Mentioned

BETA
PCA

Clinical Trials Mentioned

NCT01318161
NCT00684229
NCT02314871

Software Mentioned

PRISMA

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