Evidence map›Paper›PMID 25210688›Full record

ArticleAnnals of coloproctology2014

Enhancing the Enhanced Recovery Program in Colorectal Surgery - Use of Extended-Release Epidural Morphine (DepoDur®).

Rajeev Peravali, Rachael Brock, Elizabeth Bright, Patricia Mills, Dawn Petty, Justin Alberts

Open access · goldAbstract read
In one paragraph

Article in Annals of coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Gene therapy for chronic pain management.Cell reports. Medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rajeev PeravaliDepartment of Colorectal Surgery, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Rachael BrockDepartment of Colorectal Surgery, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Elizabeth BrightDepartment of Anaesthetics, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Patricia MillsDepartment of Anaesthetics, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Dawn PettyPain Management Team, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Justin AlbertsDepartment of Colorectal Surgery, West Suffolk Hospital NHS Foundation Trust, Suffolk, UK.
Suffolk University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDepoDur® is a single-dose extended-release morphine injection into the epidural space. It is not commonly used, but has many advantages over traditional analgesic regimens. We analyzed a number of these advantages in our case series in the context of the colorectal enhanced recovery program (ERP) and aimed to show that the ERP could be further enhanced by using DepoDur®.

methodsWe conducted a prospective audit of all patients undergoing open and laparoscopic colorectal procedures where DepoDur® was used between July 2010 and April 2012. Validated pain scores were used, and primary outcome measures were resting and dynamic pain, mobilization, and need for additional analgesia.

resultsTwo hundred eighty patients were included in the case series. Good pain control was seen at 24 and 48 hours. Eighty-one percent of the patients required simple analgesia alone at 24 hours, and 62% required simple analgesia (paracetamol +/- nonsteroidal anti-inflammatory drugs) alone at 48 hours. Only a minority required additional oramorph and patient-controlled analgesia at 24 and 48 hours (19% at 24 hours and 38% at 48 hours). Seventy-nine percent of the patients were mobilized at 24 hours, and 88% of the patients were mobilized at 48 hours.

conclusionDepoDur® is an effective alternative to conventional pain management techniques and may have a role in further enhancing the ERP.

Indexed as

AnalgesiaColorectal surgeryPain managementPostoperative period

Identifiers

PMID25210688
PMCPMC4155138
OpenAlexW2043564690

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.