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Role of Preoperative Tapentadol in Reduction of Peri-operative Analgesics Requirements After Breast Conservative Surgery in Cancer Patients: A Randomized Controlled Trial Cover

Role of Preoperative Tapentadol in Reduction of Peri-operative Analgesics Requirements After Breast Conservative Surgery in Cancer Patients: A Randomized Controlled Trial

Open Access
|Jun 2026

Figures & Tables

Figure 1.

CONSORT flow diagram of participant enrollment, randomization, allocation, follow-up, and analysis in patients undergoing breast conservative surgery. Seventy participants were randomized equally to tapentadol and placebo groups, with no losses to follow-up.

Figure 2.

Mean postoperative pain scores measured using the Numerical Rating Scale (NRS: range 0–10) at 1, 2, 3, and 4 hours after surgery in patients receiving preoperative tapentadol (Group A) versus placebo (Group B). Data are presented as mean values and standard deviation (SD). Lower scores indicate less pain. Pain scores were significantly lower in the tapentadol group at 1 and 3 hours postoperatively (p < 0.05).

Figure 3.

Mean intraoperative morphine consumption (mg) in patients receiving preoperative tapentadol (Group A) versus placebo (Group B) during breast conservative surgery. Data are presented as mean morphine dose in milligrams, with standard deviation (SD).

Baseline demographic and perioperative characteristics of study participants (Group A = Tapentadol, Group B= Placebo)_

Group A (n=35)Group B (n=35)p Value
Age, years;mean(SD)40.97±9.1045.83±10.930.041
BMI, kg/m2;mean(SD)25.96±3.4326.75±4.730.426
ASA 2;n(%)34(97.1%)35(100%)0.314
Duration of surgery, minutes;mean(SD)64.57±24.8664.69±24.050.984

Comparison of intraoperative morphine consumption and time to first rescue analgesia between Group A: Tapentadol and Group B: Placebo_

Group A (n=35) Mean ± SDGroup B (n=35) Mean ± SDMean Difference95%CIp-value
Intra-operative morphine consumption(mg)1.11 ± 1.533.36 ± 1.60−2.24−2.99 to −1.49<0.001
Time to first rescue analgesia postoperatively(minutes)58.0 ± 21.743.5 ± 27.314.5−14.4 to 43.40.290

Postoperative pain scores measured by Numerical Rating Scale (NRS) at predefined time intervals following surgery (Group A = Tapentadol, Group B= Placebo)_

Time intervals (hours)Pain score, Group A (n=35) Mean ± SDPain Score, Group B (n=35) Mean ± SDMean Difference in Pain scores.95%CIp-value
11.89 ± 0.832.46 ± 1.15−0.571−1.050 to −0.0930.020
21.31 ± 0.631.66 ± 0.87−0.343−0.707 to 0.0210.064
31.06 ± 0.241.23 ± 0.43−0.171−0.336 to −0.0060.042
41.00 ± 0.001.03 ± 0.17−0.029−0.087 to 0.0290.324

Comparison between number of patients requiring rescue analgesia in each group_ Group A: Tapentadol and Group B: Placebo_

Group A (n=35) Frequency (%)Group B (n=35) Frequency (%)p-value
Intra-operative13 (37.1)31 (88.6)<0.001
Post-operative5 (14.3)10 (28.6)0.145
Language: English
Page range: 78 - 84
Published on: Jun 29, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Yusra Saleem, Allah Ditta Ashfaq, Syed Raza Mehdi, Asad Aleem, published by Shakuat Khanum Memorial Cancer Hospital and Research Centre
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.