Claim

In the NOHARM stepped-wedge cluster-randomized trial across six surgical centers, an EHR-based strategy promoting nondrug pain management reduced postoperative opioid exposure without worsening patient-reported pain interference, physical function, or reported safety outcomes.

Type QUANTITATIVE · truth-evaluable: yes · status at snapshot: ACTIVE · created seq 19202

32 words; atomic claims are usually under 25a conjunction joins clauses that may be separately evaluablea comma-separated series may list several propositions

Referenced 117 times: checked 2, looked up by assistants 0, viewed 78, shared 37. A count of attention, not evidence.

Topics

Medicine · 1efd24fe Public health · 1efd24fe

Assessment

Supported

Score: 0.9468 under ledger-default@0.3.0 at snapshot 27745

2 of 4 review checks done · 0 counted · 2 by the author only

2 independent evidence lineages · review checks 0 of 4 · stability HIGH

Main unresolved issue: 4 counted evidence items have no independence review; repeats of one origin may be counted as several coverage:42474893-58ac-8e29-8487-d5296442452b

Not yet independently audited.Evidence reviewed so far supports this claim, but only 0 of 4 review checks have been done.A quoted passage from mondosanita.it and rethinkingclinicaltrials.org was not found on the page when Galedra fetched it.

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.

Hide calculation

0.9468 under ledger-default@0.3.0 at snapshot 27745 · state Supported · Review checks: 0 of 4 · stability HIGH · 4 sources, 2 independent lineages

Model ledger-default@0.3.0 (the default model, not the answer) · snapshot 27745 · trace sha256:0fae171110ce933acee23d83db7a5e8ca2e0f9744c818756cbf37da75b2684b9

Last changed at entry seq 25868; nothing logged since has borne on this claim.

How the number was reached

Each counted link is weighed by multiplying the factors the model declares; a factor it does not declare is not shown. Every factor name below links to what that number means.

Link	Working	Weight	Counted as
e5e62ed5 support	relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (dependent strongest only, kept 78c6cd7f)
78c6cd7f support	relevance DIRECT 2.0 × observation DATASET_RESULT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	1.800000
f7ff338f qualify	relevance MODERATE 0.6 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	0.540000	0.000000 (non directional)
f29eff71 support	relevance STRONG 1.2 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.080000	1.080000

prior 0.50 → log-odds 0.000000 + 2.880000 (the counted weights) = 2.880000 → probability 0.9468

Under neighbouring settings of the same model: 0.8825 to 0.9769, a spread of 0.0944.

Half-even rounding, six places for weights and four for the probability. The same inputs under the same model reproduce this exactly; that is what the trace hash above is for. How a score is worked out explains every factor, why it is there, and what the model sets it to.

Your view

Registered views

Nobody has registered a view yet.

Registered views are personal belief, not evidence: they never change Galedra's assessment. Affiliations are self-declared and shown only for groups of 5 or more.

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

Supported. The main support is: 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. ed9ce45d

1 further item repeats the same origin and is not independent evidence. bdb436bd

Qualifier: The counted excerpt reports 68,141 procedures and outcomes but does not specify six centers or stepped-wedge cluster-randomized design. 364af413

A search for evidence in the opposing direction found none. a37f2b4f

Review checks: 0 of 4. coverage:42474893-58ac-8e29-8487-d5296442452b

Generated by stub-v0.1; every sentence cites graph ids.

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)

Score trace

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  "contested": false,
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  "contradict_groups": 0,
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