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Letters Corresponding Author: Tina Hernandez-Boussard, PhD, Department of Medi- this study, we found evidence that acupuncture and electro- cine, Stanford University, 1265 Welch Rd, Stanford, CA 94305-5479 (boussard therapy following total knee arthroplasty were associated @stanford.edu). with reduced and delayed opioid use, an important finding Published Online: January 31, 2018. doi:10.1001/jamasurg.2017.5575 given the current opioid epidemic in the United States. Conflict of Interest Disclosures: None reported. We agree that, in general, a fixed-effects model should 1. Tedesco D, Gori D, Desai KR, et al. Drug-free interventions to reduce pain or be used in analyses with a heterogeneity of 50% or less. We opioid consumption after total knee arthroplasty: a systematic review and adopted a random-effects model when heterogeneity was meta-analysis. JAMA Surg. 2017;152(10):e172872. 50% or greater and/or when analyses included 5 or less 2. Borenstein M, Hedges LV, Higgins JPT, Rothstein HR, eds. Introduction to studies even with heterogeneity less than 50% to be more Meta-Analysis. Chichester, England: John Wiley & Sons; 2009. conservative and avoid the risk of a type I error. In the first 3. Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of example reported by Jiao et al, the first subgroup analysis Interventions.
JAMA Surgery – American Medical Association
Published: Apr 10, 2018
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