ArticleInternational orthopaedics2016
Epidemiologic data and trends concerning the use of regional anaesthesia for shoulder arthroscopy in the United States of America.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed, 8 citations in OpenAlex.
- Intra-operative effect of interscalene brachial plexus block to arthroscopic rotator cuff repair surgery.International orthopaedics · 2019Trial
- Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry.Journal of clinical medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite a growing body of literature illustrating the benefits of regional anaesthesia in shoulder arthroscopy, data on actual use of the technique in the United States is lacking. This study analyses epidemiologic data to describe current trends in anaesthetic practice for these procedures in the United States and highlights key associations with patient and provider demographic variables that may provide further insight.
methodsWe analysed the large database from the National Anesthesia Clinical Outcomes Registry of the Anesthesia Quality Institute. Of the 26,568,734 records available and after applying our exclusion criteria, we identified 169,878 shoulder arthroscopies performed from 2010 to 2014. The cases concerned all types of arthroscopic surgical procedures performed regardless of pathology (e.g. arthritis, instability, rotator cuff tears) These cases were sorted into three anaesthetic types consisting of general anaesthesia alone (GA, 62 %), general plus regional anaesthesia (GA+RA, 36 %) and RA alone (RA, 2 %).
resultsRA alone was more highly associated with board-certified anaesthesiologists practicing at university hospitals, older patients, patients with higher American Society of Anesthesiologists (ASA) classification and shorter procedures. RA is rarely used as the primary anaesthetic for these procedures across the country, while there is a steadily growing rate of GA+RA combination anaesthetics.
conclusionsNumerous advantages have been reported for utilizing RA and avoiding GA. The low rate at which RA is used as the sole anesthetic may represent room for improvement nationwide. GA+RA combination technique quickly became the predominant anaesthetic choice for shoulder arthroscopy during the five years of this analysis. LEVEL OF EVIDENCE: III.
Indexed as
Identifiers
What OpenQuestion holds
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.