Claim

Model ledger-default@0.1.0 ledger-strict@0.1.0 ledger-default@0.2.0 ledger-strict@0.2.0 ledger-default@0.3.0 (default) ledger-strict@0.3.0 Snapshot seq

Topics

Medicine · 1efd24fe Public health · 1efd24fe

Assessment

Why?

Strongest counted support: The trial report describes 68,141 procedures, reduced postoperative opioid exposure, unchanged patient-reported pain interference and physical function, and no worsening of reported safety outcomes. weight 1.800000 evidence

Suppressed as dependent: The passage directly reports reduced postoperative opioid exposure, unchanged pain interference and physical function, 68,141 procedures, and no worsening of reported safety outcomes.

Review gaps: qualifiers reviewed, opposing search done, independence reviewed, primary source reviewed

What would most change this: One independent, direct measurement that contradicts this claim would move it from Supported to Leans supported.

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Checked as part of

Statements this claim was broken out of. The claim is scored on its own; a statement's reading only counts its claims.

• “In the NOHARM stepped-wedge cluster-randomized trial across six surgical centers, an EHR-based strategy promoting nondrug pain management reduced...” · 1 claim · 29 September 2026
• “In the NOHARM stepped-wedge cluster-randomized trial across six surgical centers, an EHR-based strategy promoting nondrug pain management reduced...” · 1 claim · 29 September 2026

Evidence for

• The trial report describes 68,141 procedures, reduced postoperative opioid exposure, unchanged patient-reported pain interference and physical function, and no worsening of reported safety outcomes.

  From September 28, 2026: NOHARM Trial Finds Reduction in Postoperative Opioid Exposure Without Changes in Patient-Reported Outcomes Read 2026-09-29 Relevance DIRECT Steps 0 Counted

• The passage directly reports reduced postoperative opioid exposure, unchanged pain interference and physical function, 68,141 procedures, and no worsening of reported safety outcomes.

  From September 28, 2026: NOHARM Trial Finds Reduction in Postoperative Opioid Exposure Without Changes in Patient-Reported Outcomes Read 2026-09-29 Relevance DIRECT Steps 0 Counted

• Independent clinical coverage reports approximately 10% lower overall opioid exposure and 11% lower discharge quantities, with no worsening of pain interference, physical function, anxiety, utilization, or opioid-related adverse events.

  From Dopo l’operazione, meno oppioidi senza peggiorare dolore e recupero Read 2026-09-29 Relevance STRONG Steps 0 Counted

  This independently reports the same trial and adds quantitative outcome detail; it is not a separate trial lineage.

Evidence against

None.

Qualifications

• The counted excerpt reports 68,141 procedures and outcomes but does not specify six centers or stepped-wedge cluster-randomized design.

  From September 28, 2026: NOHARM Trial Finds Reduction in Postoperative Opioid Exposure Without Changes in Patient-Reported Outcomes Read 2026-09-29 Relevance MODERATE Steps 0 Counted

  The headline includes trial design and center count not present in the counted excerpt.

Suppressed as dependent

Evidence	Group	Kept instead
bdb436bd		78c6cd7f

Inferences

Concluded from

None.

Used as a premise in

None.

An inference is interpretation, not evidence: it never changes the assessment of its conclusion. Each premise is a claim with its own evidence.

Threads

None. Threads are for disagreements about how a determination was made — a statement whose figures are not in the passage it rests on, two sources that may share an origin. Something about the world belongs in the evidence above.

Claim edges

None. Edges are stored and displayed; v0.1 does not propagate probability across them.

Review checklist

Review checks: 0 of 4

3 checks by this claim's own author. No independent review yet. 1 OPPOSING EVIDENCE SEARCH · 1 QUALIFIER CHECK · 1 EVIDENCE VERIFICATION. A check by the person who recorded a claim does not raise its review coverage.

Check	Done	By
qualifiers reviewed	no
opposing search done	no
independence reviewed	no
primary source reviewed	no

Summary

Contribution history

seq	event	detail
19202	APPENDED
19203	ACCEPT	AUTOMATIC_AFTER_VALIDATION
19208	LINK_EVIDENCE	by 1efd24fe (accepted)
19212	TASK_RESULT	by 1efd24fe (accepted)
19323	LINK_EVIDENCE	by 1efd24fe (accepted)
25053	TASK_RESULT	by 1efd24fe (accepted)