Table 3

Secondary outcome results

OutcomeNumber of included studiesCannabinoid mean (SD) or n/NControl mean (SD) or n/NMean difference or OR
(95% CI)
P value for statistical significanceP value for heterogeneity I 2 test for heterogeneityQuality of evidence (GRADE)
Randomized trials*
Rest pain at 1 hour (PACU) (cm)73.14 (3.04)2.96 (3.06)0.17 (-0.60 to 0.94)0.67<0.0000186%⊕⊕⊕⊝
Rest pain at 6 hours (cm)63.91 (2.83)3.84 (2.79)0.11 (-0.77 to 0.99)0.81<0.0000189%⊕⊕⊕⊝
Rest pain at 12 hours (cm)33.62 (2.54)2.79 (2.49)0.83 (0.04 to 1.63)0.040.0371%⊕⊕⊕⊝
Oral morphine consumption at 2 hours (PACU) (mg)318.36 (24.33)17.83 (18.46)1.12 (-4.71 to 6.94)0.71<0.000191%⊕⊕⊕⊝
Oral morphine consumption at 24–48 hours (mg)†N/AN/AN/AN/AN/AN/AN/AN/A
Quality of recovery†N/AN/AN/AN/AN/AN/AN/AN/A
Patient satisfaction (cm)†N/AN/AN/AN/AN/AN/AN/AN/A
Opioid-related side effects†N/AN/AN/AN/AN/AN/AN/AN/A
Cannabinoid-related side effects‡
 Blurred vision36/2446/2410.97 (0.31 to 3.04)0.950.700%⊕⊕⊕⊕
 Change in mood39/2326/2041.51 (0.45 to 5.09)0.510.900%⊕⊕⊕⊕
 Dizziness564/35438/3561.63 (0.33 to 8.15)0.550.000183%⊕⊕⊕⊝
 Drowsiness471/28463/2571.61 (0.40 to 6.48)0.500.0268%⊕⊕⊕⊝
 Dry mouth349/23249/2040.87 (0.52 to 1.44)0.580.380%⊕⊕⊕⊕
 Hallucinations44/2842/2571.06 (0.19 to 5.99)0.950.600%⊕⊕⊕⊕
 Headaches433/29440/2660.73 (0.42 to 1.26)0.250.880%⊕⊕⊕⊕
 Hypotension428/32212/3463.24 (1.12 to 9.36)0.030.1841%⊕⊕⊕⊕
 Nausea647/27149/2771.03 (0.51 to 2.04)0.940.0849%⊕⊕⊕⊕
  • ⊕⊕⊕⊕, 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.