Evidence map›Paper›PMID 26250850›Full record

SynthesisPain management2015

Regional anesthesia/analgesia and the risk of cancer recurrence and mortality after prostatectomy: a meta-analysis.

Brenda M Lee, Vinny Singh Ghotra, Jose A Karam, Mike Hernandez, Greg Pratt, Juan P Cata

Abstract readMeta-Analysis
In one paragraph

Synthesis in Pain management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  12. Article
  13. Anesthesia and cancer recurrence: an overview.Journal of anesthesia, analgesia and critical care · 2022
    Review
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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 4 institutions in 1 country.

Brenda M LeeDepartment of General Surgery, John Hopkins Hospital, MD, USA.
Vinny Singh GhotraDepartment of Internal Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA.
Jose A KaramDepartment of Urology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Mike HernandezDepartment of Biostatistics, University of Texas MD Anderson Cancer Center, PO Box 301402 Houston, TX 77230-1402, USA.
Greg PrattResearch Medical Library, University of Texas MD Anderson Cancer Center, Houston, TX 77230-1402, USA.
Juan P CataDepartment of General Surgery, John Hopkins Hospital, MD, USA.
The University of Texas MD Anderson Cancer Center · USAnesthesiology and Surgical Oncology Research Group · USJohns Hopkins Hospital · USNassau University Medical Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

aimsTo determine whether the use neuraxial anesthesia/analgesia is associated with longer biochemical recurrence-free survival (BRFS) and overall survival (OS) after radical prostatectomy.

methodsTen studies were included in the meta-analysis. A random-effects model was used to estimate the hazard ratios (HRs).

resultsThe HR for BRFS was 1.02 (95% CI: 0.91-1.15) for all studies and 1.08 (95% CI: 0.91-1.15) for those that included propensity score matching. For OS, the HR across all studies was 0.91 (95% CI: 0.7-1.15) and 0.81 (95% CI: 0.68-0.96; p = 0.016) for those reporting propensity score matching.

conclusionThe anesthetic technique used during oncologic prostatectomy surgery is not associated with longer BRFS. By contrast, the use of regional analgesia appears to improve OS.

Indexed as

Analgesia, EpiduralAnesthesia, EpiduralAnesthesia, SpinalProstatectomyDisease-Free SurvivalHumansMaleNeoplasm Recurrence, LocalProportional Hazards ModelsProstatic NeoplasmsRisk FactorsTreatment Outcomebiochemical recurrence-free survivaloverall survivalprostate cancerregional anesthesia

Identifiers

PMID26250850
PMCPMC5561907
OpenAlexW2181006908

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.