TY - JOUR T1 - Review: opiate administration may alter physical examination findings but does not increase management errors in acute abdominal pain JF - Evidence Based Medicine JO - Evid Based Med SP - 23 LP - 23 DO - 10.1136/ebm.12.1.23 VL - 12 IS - 1 A2 - , Y1 - 2007/02/01 UR - http://ebm.bmj.com/content/12/1/23.abstract N2 - Ranji SR, Goldman LE, Simel DL, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA 2006;296:1764–74.OpenUrlCrossRefPubMedWeb of Science 
 
 Q In patients with acute abdominal pain, does opiate administration for pain relief alter history and physical examination findings and increase management errors? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Gastroenterology ★★★★★★☆ Surgery—general ★★★★★★☆ Surgery—gastrointestinal ★★★★★★☆ Emergency medicine ★★★★★☆☆ Data sources: Medline (to May 2006), EMBASE/Excerpta Medica, and bibliographies of relevant studies. Study selection and assessment: randomised controlled trials (RCTs) or quasi-randomised controlled trials that compared opiate analgesia with placebo and reported changes in history, physical examination findings or clinical management in patients with acute abdominal pain. 12 RCTs, 9 in adults (n = 1062) and 3 in children (n = 291), met the selection criteria. Quality … ER -