May 7, 2026 · The British journal of general practice : the journal of the Royal College of General Practitioners · DOI: 10.3399/BJGP.2025.0705

Impact of Treatment Duration on the Effectiveness of Opioid Analgesia: A Systematic Review and Meta-Analysis

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The authors aimed to investigate whether the effectiveness of opioid analgesia diminishes with prolonged treatment duration in patients with chronic low back pain or osteoarthritis. Their systematic review and meta-analysis of 27 randomized trials indicated that while opioids are likely effective for short-term pain relief (≤4 weeks), their benefits diminish significantly over intermediate (4-12 weeks) and long-term (≥12 weeks) periods, where they may even worsen pain control compared to placebo.

Liesbeth Froentjes, Catherine Barrington, Rodger Craig, Mareiz Morcos, Dawn Wedman, Christina Korowynk, Michael Daniel Kelmer, Farah Campbell, Scott R Garrison

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