Table 1. Characteristics of Included Studiesa.
Source | Country | Study type, level of evidence | Funding | Surgery | Preemptive, intraoperative, and postoperative treatment, mg/d per os | Postoperative parenteral opioid consumption | Total patient No. | Age, mean (SD) or mean (range), y |
---|---|---|---|---|---|---|---|---|
Pandey et al,26 2004 | India | RCT, I | No | Lumbar discectomy | Placebo | Fentanyl | 56 | 39.1 (11.6) |
Gabapentin 300, NA, NA | 38.5 (7.7) | |||||||
Turan et al,27 2004 | Turkey | RCT, I | No | Lumbar discectomy or spinal fusion | Placebo | Morphine | 50 | 45 (8) |
Gabapentin 1200, NA, NA | 48 (9) | |||||||
Pandey et al,28 2005 | India | RCT, I | No | Lumbar discectomy | Placebo | Fentanyl | 100 | 39.6 (11.5) |
Gabapentin 300, NA, NA | 39.9 (11.1) | |||||||
Gabapentin 600, NA, NA | 40.7 (12) | |||||||
Gabapentin 900, NA, NA | 43.5 (11.1) | |||||||
Gabapentin 1200, NA, NA | 42.3 (12.8) | |||||||
Radhakrishnan et al,29 2005 | India | RCT, I | No | Lumbar discectomy and laminectomy | Placebo | Morphine | 60 | 41.67 (12.06) |
Gabapentin 800, NA, NA | 39.63 (10.87) | |||||||
Burke et al,30 2010 | Ireland | RCT, I | Yes | Lumbar discectomy | Placebo | Morphine | 38 | 41 (12.4) |
Pregabalin 300, NA, 150 | 37 (7.8) | |||||||
Hegarty et al,31 2011 | Ireland | RCT, I | Yes | Lumbar discectomy | Placebo | Morphine | 32 | 41 (8.1) |
Pregabalin 300, NA, NA | 38.8 (7.9) | |||||||
Khan et al,32 2011 | Iran | RCT, I | No | Lumbar laminectomy | Placebo | Morphine | 175 | 41.0 (10.5) |
Gabapentin 600, NA, NA | 43.6 (10.8) | |||||||
Gabapentin NA, NA, 600b | 43.5 (8.7) | |||||||
Gabapentin 900, NA, NA | 41.9 (10.7) | |||||||
Gabapentin NA, NA, 900b | 41.1 (10.2) | |||||||
Gabapentin 1200, NA, NA | 40.4 (10.3) | |||||||
Gabapentin NA, NA, 1200b | 41.0 (10.2) | |||||||
Kim et al,33 2011 | South Korea | RCT, I | No | Lumbar spinal fusion | Placebo | Morphine | 84 | 38 (33-48)c |
Pregabalin 75, NA, NA | ||||||||
Pregabalin 150, NA, NA | ||||||||
Spreng et al,34 2011 | Norway | RCT, I | No | Lumbar discectomy | Placebo | Morphine | 46 | 42.9 (7.6) |
Pregabalin 150, NA, NA | 44.1 (10.8) | |||||||
Ozgencil et al,35 2011 | Turkey | RCT, I | No | Lumbar discectomy and laminectomy | Placebo | Morphine | 90 | 48.6 (6.5) |
Gabapentin 1200, NA, 1200 | 50.6 (9.1) | |||||||
Pregabalin 300, NA, 300 | 51.9 (7.1) | |||||||
Gianesello et al,36 2012 | Italy | RCT, I | No | Lumbar laminectomy and spinal fusion | Placebo | Morphine | 60 | 66.2 (10.8) |
Pregabalin 300, NA, 300 | 63.5 (9.9) | |||||||
Choi et al,37 2013 | South Korea | RCT, I | No | Lumbar laminectomy or spinal fusion | Placebo | Fentanyl | 108 | 54 (21-69) |
Pregabalin 300, NA, NA | 53 (25-70) | |||||||
Pregabalin 300, NA, NA plus dexamethasone 16 mg, NA, NAb | 52 (20-69) | |||||||
Kumar et al,38 2013 | India | RCT, I | No | Lumbar laminectomy | Placebo | Fentanyl | 75 | 45.64 (11.1) |
Pregabalin 150, NA, NA | 45.36 (11.04) | |||||||
Tramadol 100, NA, NAb | 41.8 (12.43) | |||||||
Khurana et al,39 2014 | India | RCT, I | No | Lumbar discectomy | Placebo | NA | 90 | 47.1 (10.7) |
Gabapentin 300, NA, 900 | 49 (10.4) | |||||||
Pregabalin 75, NA, 225 | 46.9 (10.1) | |||||||
Zarei et al,40 2016 | Iran | RCT, I | No | Lumbar discectomy | Placebo | Morphine | 105 | 44 (9) |
Pregabalin 300, NA, 300 | 40 (10) | |||||||
Pregabalin 300, NA, 300b | 45 (12) | |||||||
Vasigh et al,41 2016 | Iran | RCT, I | Yes | Lumbar laminectomy | Placebo | Morphine | 114 | 50.2 (7.2) |
Gabapentin 600, NA, 300 | 49.5 (5.9) | |||||||
Gabapentin 300, NA, 300 plus Celecoxib 200, 200b | 49.3 (6) | |||||||
Qadeer et al,42 2017 | Pakistan | RCT, I | No | Lumbar discectomy | Pregabalin 150, NA, NA | Morphine | 78 | 39 (12) |
Gabapentin 400, NA, NA | 42 (8.9) | |||||||
Yadav et al,43 2018 | India | RCT, I | No | Lumbar discectomy and laminectomy | Placebo | Fentanyl | 60 | 41.6 (11.5) |
Pregabalin 150, NA, NA | 43.8 (11.2 | |||||||
Pregabalin 300, NA, NA | 40.8 (11.0) | |||||||
Urban et al,44 2018 | USA | RCT, I | Yes | Lumbar spinal fusion | Placebo | Hydromorphone plus morphine per os | 86 | 56 (13) |
Pregabalin 150, NA, 150 | 57 (13) | |||||||
Altiparmak et al,45 2018 | Turkey | RCT, I | No | Lumbar discectomy or laminectomy or spinal fusion | Placebo | Morphine | 94 | 54 (11) |
Pregabalin 75, NA, 150 | 54 (11) | |||||||
Duloxetine 60, NAb | 53 (11) | |||||||
Routray et al,46 2018 | India | RCT, I | No | Lumbar discectomy | Placebo | Tramadol | 75 | 39.76 (12.93) |
Pregabalin 300, NA, NA | 36.56 (9.82) | |||||||
Gabapentin 600, NA, NA | 35.36 (9.97) | |||||||
Raja et al,47 2019 | India | RCT, I | Yes | Lumbar spinal fusion | Placebo | Morphine | 97 | 51.6 (9.46) |
Pregabalin 75, NA, NA plus ketorolac 20, NA, NA | 49.7 (12.33) | |||||||
plus acetaminophen 1000, NA, NA | ||||||||
Momon et al,48 2019 | France | RCT, I | No | Lumbar discectomy or spinal fusion | Placebo | Oxycodone per os | 145 | 41.8 (11.8) |
Pregabalin 150, NA, NA | 41.1 (11.3) | |||||||
Dexamethasone 0.2/kg, NA, NAb | 39.4 (10.9) | |||||||
Pregabalin 150, NA, NA plus Dexamethasone 0.2/kg, NA, NAb | 41.5 (10.1) | |||||||
Bala et al,49 2019 | India | RCT, I | No | Thoracolumbar laminectomy | Placebo | Fentanyl | 75 | 39.76 (12.05) |
Pregabalin 150, NA, NA | 31.72 (10.33) | |||||||
Clonidine 150, NA, NAb | 34.08 (14.34) | |||||||
Kien et al,50 2019 | Vietnam | RCT, I | No | Lumbar discectomy or laminectomy or spinal fusion | Placebo | Morphine | 60 | 48.23 (11.88) |
Pregabalin 150, NA, NA plus Celecoxib 200, NA, NA | 44.93 (10.26) | |||||||
Zhang et al,51 2021 | China | RCT, I | Yes | Lumbar spinal fusion | Placebo | Tramadol plus flurbiprofen | 93 | 55.5) |
Pregabalin 150, NA, 150 plus Celecoxib 400, NA, 400 | 59 | |||||||
Ropivacaine 150b,d | 59.5 | |||||||
Baloch et al,24 2021 | Pakistan | RCT, I | No | Lumbar discectomy | Placebo | Opioide | 84 | NA (27- 61) |
Pregabalin 150, NA, 150 |
Abbreviations: NA, not applicable; RCT, randomized clinical trial.
This table presents the key characteristics of the studies included in the systematic review and network meta-analysis. The table includes information such as the author(s), publication year, country, study design with level of evidence, detailed spine surgery, interventions (dosages of gabapentin and pregabalin), sample size, and other relevant details. The table provides a comprehensive overview of the included studies, allowing readers to examine the study characteristics and evaluate the relevance and quality of the evidence. Levels of evidence are defined according to Halperin et al.23 According to the Oxford Centre for Evidence-Based Medicine, level I, systematic review of randomized RCTs, denotes individual RCTs; level II, systemic review of cohort studies, denotes individual cohort studies and outcomes research; level III, systematic review of case-control studies, denotes individual case-control studies; level IV, case series (with or without comparison); and level V, expert opinion.
Not included in further analysis.
Refers to interquartile range.
Refers to subcutaneous infiltration at the end of surgery.
The study did not mention which opioid.