Evidence map›Paper›PMID 26604817›Full record

ArticleJournal of pain research2015

Landmark-based versus ultrasound-guided ilioinguinal/iliohypogastric nerve blocks in the treatment of chronic postherniorrhaphy groin pain: a retrospective study.

Drew Trainor, Susan Moeschler, Matthew Pingree, Brian Hoelzer, Zhen Wang, William Mauck, Wenchun Qu

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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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

7 authors at 2 institutions in 1 country.

Drew TrainorDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Susan MoeschlerDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Matthew PingreeDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA ; Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Brian HoelzerDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Zhen WangDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
William MauckDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Wenchun QuDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA ; Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic postherniorrhaphy groin pain (CPGP) is a debilitating condition, which is often refractory to conservative medical management. To our knowledge, there have been no studies directly comparing landmarked-based and ultrasound-guided approaches in this population.

objectiveTo compare the effectiveness of landmark-based and ultrasound-guided ilioinguinal/iliohypogastric nerve blocks in the treatment of CPGP. STUDY

designThis is a retrospective chart review of patients who presented to our tertiary care pain medicine clinic with a diagnosis of CPGP. Inclusion criteria were the following: age >18 years, diagnosis of groin pain, and prior history of herniorrhaphy. Exclusion criteria included those who were seen for initial consultation but were lost to follow-up. Primary outcomes were 50% or greater reduction in pain on visual analog scale (VAS). Secondary outcomes were 30% or greater reduction in VAS pain score, changes in VAS pain scores, and reported complications.

resultsA total of 36 patients were included in the study. Of them, 20 patients underwent the landmark-based and 16 underwent the ultrasound-guided techniques. There was no significant difference in baseline demographics. The average VAS score preinjection was 7.08 in the landmark-based and 7.0 in the ultrasound-guided groups (P=0.65). A total of 14 patients (70%) in the landmark-based and eleven patients (79%) in the ultrasound-guided groups experienced at least a 50% reduction in VAS scores. There was no statistically significant difference between the two groups (P=1.0), and no complications were noted. We also did not find a significant difference in terms of number of patients with 30% or greater reduction (P=0.71) and changes in VAS pain scores (P=0.64). No complications were reported in either group.

conclusionIn our study, there was no statistically significant difference between the landmark-based and ultrasound-guided groups in terms of a reduction in VAS pain scores, and no complications were noted in either group.

Indexed as

abdominal wallanatomic landmarksintramuscular injectionsultrasound

Identifiers

PMID26604817
PMCPMC4631426
OpenAlexW1847322970

What OpenQuestion holds

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LicenceCC BY-NC
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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.