Outcome | Number of included studies | Cannabinoid mean (SD) or n/N | Control mean (SD) or n/N | Mean difference or OR (95% CI) | P value for statistical significance | P value for heterogeneity | I 2 test for heterogeneity | Quality of evidence (GRADE) |
Randomized trials* | ||||||||
Rest pain at 1 hour (PACU) (cm) | 7 | 3.14 (3.04) | 2.96 (3.06) | 0.17 (-0.60 to 0.94) | 0.67 | <0.00001 | 86% | ⊕⊕⊕⊝ |
Rest pain at 6 hours (cm) | 6 | 3.91 (2.83) | 3.84 (2.79) | 0.11 (-0.77 to 0.99) | 0.81 | <0.00001 | 89% | ⊕⊕⊕⊝ |
Rest pain at 12 hours (cm) | 3 | 3.62 (2.54) | 2.79 (2.49) | 0.83 (0.04 to 1.63) | 0.04 | 0.03 | 71% | ⊕⊕⊕⊝ |
Oral morphine consumption at 2 hours (PACU) (mg) | 3 | 18.36 (24.33) | 17.83 (18.46) | 1.12 (-4.71 to 6.94) | 0.71 | <0.0001 | 91% | ⊕⊕⊕⊝ |
Oral morphine consumption at 24–48 hours (mg)† | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Quality of recovery† | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Patient satisfaction (cm)† | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Opioid-related side effects† | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Cannabinoid-related side effects‡ | ||||||||
Blurred vision | 3 | 6/244 | 6/241 | 0.97 (0.31 to 3.04) | 0.95 | 0.70 | 0% | ⊕⊕⊕⊕ |
Change in mood | 3 | 9/232 | 6/204 | 1.51 (0.45 to 5.09) | 0.51 | 0.90 | 0% | ⊕⊕⊕⊕ |
Dizziness | 5 | 64/354 | 38/356 | 1.63 (0.33 to 8.15) | 0.55 | 0.0001 | 83% | ⊕⊕⊕⊝ |
Drowsiness | 4 | 71/284 | 63/257 | 1.61 (0.40 to 6.48) | 0.50 | 0.02 | 68% | ⊕⊕⊕⊝ |
Dry mouth | 3 | 49/232 | 49/204 | 0.87 (0.52 to 1.44) | 0.58 | 0.38 | 0% | ⊕⊕⊕⊕ |
Hallucinations | 4 | 4/284 | 2/257 | 1.06 (0.19 to 5.99) | 0.95 | 0.60 | 0% | ⊕⊕⊕⊕ |
Headaches | 4 | 33/294 | 40/266 | 0.73 (0.42 to 1.26) | 0.25 | 0.88 | 0% | ⊕⊕⊕⊕ |
Hypotension | 4 | 28/322 | 12/346 | 3.24 (1.12 to 9.36) | 0.03 | 0.18 | 41% | ⊕⊕⊕⊕ |
Nausea | 6 | 47/271 | 49/277 | 1.03 (0.51 to 2.04) | 0.94 | 0.08 | 49% | ⊕⊕⊕⊕ |
⊕⊕⊕⊕, high quality evidence; ⊕⊕⊕⊝, moderate quality evidence; ⊕⊕⊝⊝, low quality evidence, ⊕⊝⊝⊝, very low-quality evidence.
*Less than three observational studies assessed secondary outcomes and their results are not shown.
†Outcome reported by less than three studies or was not measured.
‡Full list of reported cannabinoid related side effects can be viewed in table 4.