Evidence map›Paper›PMID 25356170›Full record

ArticleInternational journal of clinical and experimental medicine2014

Transversus abdominis plane block for postoperative analgesia after laparoscopic surgery: a systematic review and meta-analysis.

Xiang Zhao, Yao Tong, Hao Ren, Xi-Bing Ding, Xin Wang, Jia-Ying Zong, Shu-Qing Jin, Quan Li

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in International journal of clinical and experimental medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03154463 (Analgesic Effect of Three-point Transversus Abdominis Plane Block Compared With Continuous Epidural Infusion for Post-laparoscopic Nephrectomy), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT03154463 nacompletednot on this mapstarted 2017, after this paper: background citation

Analgesic Effect of Three-point Transversus Abdominis Plane Block Compared With Continuous Epidural Infusion for Post-laparoscopic Nephrectomy

TypeinterventionalSponsorIndonesia UniversityRan2017 to 2018Enrolled50ConditionsPain, PostoperativeArmsTAP Blocks, continuous epidural infusion
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Trial
  7. Trial
  8. Article
  9. Article
  10. Effectiveness of an Educational Intervention with Guidelines from the Total Acceleration of Postoperative Recovery Project (ACERTO) in Gynecology.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. New Advances in Acute Postoperative Pain Management.Current pain and headache reports · 2018
    Review
  18. Article
  19. Article
  20. Review
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

8 authors at 1 institution in 1 country.

Xiang ZhaoDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Yao TongDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Hao RenDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Xi-Bing DingDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Xin WangDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China ; Department of First Clinical Medical College, Nanjing Medical University Nanjing, Jiangsu, China.
Jia-Ying ZongDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China ; Department of First Clinical Medical College, Nanjing Medical University Nanjing, Jiangsu, China.
Shu-Qing JinDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Quan LiDepartment of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine Shanghai, China.
Shanghai East Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing use of the transversus abdominis plane (TAP) block, as a form of pain relief after laparoscopic surgery, warrants evaluation of its effectiveness, when compared with other analgesic techniques.

methodsWe searched online databases of MEDLINE, EMBASE, Google scholar and The Cochrane Database of Systematic Review. Mean differences (MD) were formulated for continuous data; odds ratios (OR) were calculated for dichotomous data. Results were produced with a random effects model with 95% confidence intervals (CI).

results14 trials with a total of 905 patients were included for the analysis, TAP block resulted in significantly less postoperative analgesic consumption at 24 h (MD = -25.46, 95% CI [-32.22, -18.69], P < 0.00001), and less number of patients requiring analgesic postoperatively (OR = 0.16, 95% CI 0.03-0.87, P = 0.03). Meanwhile, pain sores were significantly different at 2 h (MD = -1.55, 95% CI [-2.50, -0.59], P < 0.00001), a borderline difference between the groups seen at 6 hours ( MD = -1.13, 95% CI [-1.69, -0.56], P = 0.05), and there was not affect pain at 24 h (MD = -0.33, 95% CI [-0.08, 0.15], P = 0.14) with TAP block groups compared with the groups without TAP block. There was a significant difference in postoperative nausea and vomiting (random effects model: OR = 2.04, 95% CI [1.19-3.48], P = 0.34).

conclusionTAP block would result in less analgesic consumption, less requirement of analgesic, and less pain at 2 h and slightly at 6 h but at 24 h after laparoscopic surgery in comparison with usual care alone or placebo block. In addition TAP block can increase the incidence of postoperative nausea and vomiting.

Indexed as

laparoscopic surgerymeta-analysisTAP blocktransversus abdominis plane block

Identifiers

PMID25356170
PMCPMC4211820
OpenAlexW2401508230

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.