Evidence map›Paper›PMID 25676405›Full record

Trial reportZhongguo fei ai za zhi = Chinese journal of lung cancer2015

[Effects of thoracic paravertebral block on postoperative analgesia and serum level of tumor marker in lung cancer patients undergoing video-assisted thoracoscopic surgery].

Jiheng Chen, Yunxiao Zhang, Chuan Huang, Keneng Chen, Mengying Fan, Zhiyi Fan

Open access · greenAbstract readEnglish AbstractRandomized Controlled Trial
In one paragraph

Trial report in Zhongguo fei ai za zhi = Chinese journal of lung cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Regional block techniques for pain management after video-assisted thoracoscopic surgery: a covariate-adjusted Bayesian network meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  5. Article
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 2 institutions in 2 countries.

Jiheng ChenKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Anesthesiology, 
Peking University Cancer Hospital and Institute, Beijing 100142, China.
Yunxiao ZhangKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Anesthesiology, 
Peking University Cancer Hospital and Institute, Beijing 100142, China.
Chuan HuangKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Thoracic Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China.
Keneng ChenKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Thoracic Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China.
Mengying FanKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Thoracic Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China.
Zhiyi FanKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Anesthesiology, 
Peking University Cancer Hospital and Institute, Beijing 100142, China.
Ministry of Education · ETPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative management of pain associated with the prognosis of cancer patients. Optimization of perio-perative analgesia method, then reduce perioperative stress response, reduce opioiddosage, to reduce or even avoid systemic adverse reactions and elevated levels of tumor markers. Serum levels of tumor markers in patients with lung cancer are closely related to tumor growth. Clinical research reports on regional anesthesia effect on tumor markers for lung cancer are still very little in domesticliterature. The aim of this study is to evaluate the effects of thoracic paraverte-bral block on postoperative analgesia and serum level of tumor marker in lung cancer patients undergoing video-assisted thoracoscopic surgery.

methodsLung cancer patients undergoing video-assisted thoracoscopic surgery were randomly divided into 2 groups (n=20 in each group). The patients in group G were given only general anesthesia. The thoracic paravertebral blockade (PVB) was performed before general anesthesia in patients of group GP. The effect of PVB was judged by testing area of block. Patient controlled intravenous analgesia (PCIA) pump started before the end of surgery in 2 groups. Visual analogue scale (VAS) score was recorded after extubation 2 h (T1), 24 h (T2) and 48 h (T3) after surgery and the times of PCIA and the volume of analgesic drugs used were recorded during 48 h after surgery. The serum levels of carcino-embryonic antigen (CEA), carbohydrate antigen 199 (CA199), carbohydrate antigen 125 (CA125), neuron-specific enolase (NSE), cytokeratin 19 fragment (CYFRA21-1) and squamous cell carcinoma (SCC) in 40 lung cancer cases undergoing video-assisted thoracoscopic lobectomy were measured before operation and 24 h after operation.

resultsForty American Society of Anesthesiologists (ASA) physical status I or II patients, aged 20 yr-70 yr, body mass index (BMI) 18 kg/m2-25 kg/m2, scheduled for elective video-assisted thoraeoscopic lobectomy, VAS scores at T1 and T2 were lower in group GP than those in group G (P=0.013, P=0.025, respectively), PCIA times during postoperative analgesia 24 h and 48 h were lower in group GP than those in group G (P=0.021, P=0.026, respectively), analgesic volume used during postoperative analgesia 24 h and 48 h were lower in group GP than those in group G (P=0.006, P=0.011, respectively). The level of tumor marker at post-operative were not significantly decreased than preoperative in both groups (P>0.05).

conclusionsPatients in group G feel more painful and a higher dosage of dezocine is required to relieve the pain than group GP. Thoracic paravertebralblock has no influence on serum level of tumor marker in lung cancer patients undergoing video-assisted thoraeoscopic lobectomy.

Indexed as

Nerve BlockAdultAgedAnalgesiaAnalgesicsAntigens, NeoplasmAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA-125 AntigenCarcinoembryonic AntigenFemaleHumansKeratin-19Lung NeoplasmsMaleMembrane ProteinsAnalgesicsantigen CYFRA21.1Antigens, NeoplasmAntigens, Tumor-Associated, CarbohydrateBiomarkers, TumorCA-125 Antigencarbohydrate antigen 199, humanCarcinoembryonic AntigenKeratin-19Membrane ProteinsMUC16 protein, human

Identifiers

PMID25676405
PMCPMC5999851
OpenAlexW1537367390

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Registered trials

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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.