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©The Author(s) 2025.
World J Orthop. Apr 18, 2025; 16(4): 104452
Published online Apr 18, 2025. doi: 10.5312/wjo.v16.i4.104452
Published online Apr 18, 2025. doi: 10.5312/wjo.v16.i4.104452
Table 1 Description of included studies
Studies | Cases | Mean age (year) | Female gender (%) | Type | Anesthesia | Surgical approach | Intervention group | Control group | Follow-up |
Barrington et al[15], 2019 | 56475/134216 | 66/67 | 61.4/63.3 | Retrospective study | Unclear | TKA | 1000 mg of intravenous acetaminophen | 1000 mg of oral acetaminophen | Unclear |
O'Neal et al[8], 2017 | 57/58 | 68/67 | 44/55 | RCT | Spinal anesthesia | TKA | 1000 mg of intravenous acetaminophen | 1000 mg of oral acetaminophen | 1 month |
Suarez et al[11], 2018 | 52/52 | 66.6/67.3 | 28/26 | RCT | Spinal anesthesia | TKA | 4000 mg of intravenous acetaminophen | 4000 mg of oral acetaminophen | 6 weeks |
Hickman et al[10], 2018 | 245/241 | 67/67 | 57.1/61.4 | RCT | General or spinal anesthesia | TKA | 1000 mg of intravenous acetaminophen | 2500 mg of oral acetaminophen | 8 weeks |
Yu et al[12], 2020 | 318/527 | 66/65 | 70/73 | Retrospective study | Spinal anesthesia | TKA | 1000 mg of intravenous acetaminophen | 1000 mg of oral acetaminophen | Unclear |
Politi et al[13], 2017 | 63/57 | 66/69 | 45/40 | RCT | General anesthesia | THA and TKA | 1000 mg of intravenous acetaminophen | 1000 mg of oral acetaminophen | 2 months |
Westrich et al[14], 2019 | 77/77 | 63/65 | 64/55 | RCT | Spinal anesthesia | THA | 1000 mg of intravenous acetaminophen | 1000 mg of oral acetaminophen | Unclear |
Table 2 The Methodological Index for Non-Randomized Studies scale
Quality assessment for non-RCT | Barrington | Yu |
A clearly stated aim | 2 | 2 |
Inclusion of consecutive patients | 2 | 2 |
Prospective of data collection | 2 | 2 |
Endpoints appropriate to the aim of the study | 2 | 2 |
Unbiased assessment of the study endpoint | 1 | 1 |
A follow-up period appropriate to the aims of study | 1 | 1 |
Less than 5% loss to follow-up | 0 | 0 |
Prospective calculation of the sample size | 2 | 2 |
An adequate control group | 2 | 2 |
Contemporary groups | 2 | 2 |
Baseline equivalence of groups | 2 | 2 |
Adequate statistical analyses | 2 | 2 |
Total score | 20 | 20 |
- Citation: Lu B, Tian AX, Fan ZR, Zhao XW, Jin HZ, Ma JX, Ma XL. Effectiveness of oral vs intravenous acetaminophen on pain management following total joint arthroplasty: A systematic review and meta-analysis. World J Orthop 2025; 16(4): 104452
- URL: https://www.wjgnet.com/2218-5836/full/v16/i4/104452.htm
- DOI: https://dx.doi.org/10.5312/wjo.v16.i4.104452