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Table 5.

GRADE evidence profile.

Quality Assessment
Overall quality of evidence for outcome Importance of outcome
Number of studies Design Limitations Inconsistency Indirectness Imprecision Other considerations
Postoperative Opioid Use
6 2 randomized controlled trials, 3 case series; 1 retrospective chart review Some ROB concern for 1 RCT because no statistical analysis was run due to the small sample size; some ROB concern for the case series due to lacking information regarding participant enrollment and indirect control groups; no serious concerns for chart review No serious inconsistencies Some concern because the populations studied differed: RCTs vs. case series vs. retrospective chart review; measure was comparable across study Small sample size (n) in 4/6 studies None Low Critical
Other postoperative analgesic use
1 Randomized controlled trial Some ROB concerned because no statistical analysis was run due to small sample size No serious inconsistencies No serious indirectness concerns Small sample size (n) None Low Important
Pain scores
6 2 randomized controlled trials, 3 case series; 1 retrospective chart review Some ROB concern for 1 RCT because no statistical analysis was run due to the small sample size; some ROB concern for the case series due to lacking information regarding participant enrollment and indirect control groups; no serious concerns for chart review No serious inconsistencies Some concern because the populations studied differed: RCTs vs. case series vs. retrospective chart review; measure was comparable across study Small sample size (n) in 4/6 studies None Low Critical
Clinical outcomes
4 1 randomized controlled trial, 2 case series, 1 retrospective chart review No serious ROB concern for RCT; some ROB concern for the case series due to lacking information regarding participant enrollment and indirect control groups; no serious ROB concern for chart review No serious inconsistencies Some concern because the populations studied differed: RCTs vs. case series vs. retrospective chart review; measure was comparable across study Small sample size (n) in 2/4 studies None Low Critical
Functional Outcomes
5 2 randomized controlled trials, 3 case series; 1 retrospective chart review Some ROB concern for 1 RCT because no statistical analysis was run due to the small sample size; some ROB concern for the case series due to lacking information regarding participant enrollment and indirect control groups No serious inconsistencies Some concern because the populations studied differed: RCTs vs. case series; measure was comparable across study Small sample size (n) in 4/5 studies None Low Critical

*Possible answers for overall quality of evidence for outcome: high, moderate, low, very low.

*Possible answers for importance of outcome: critical, important, not important.

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