Evidence map›Paper›PMID 27578313›Full record

Trial reportScientific reports2016

Impact of Preemptive Analgesia on inflammatory responses and Rehabilitation after Primary Total Knee Arthroplasty: A Controlled Clinical Study.

Xu Jianda, Qu Yuxing, Gao Yi, Zhao Hong, Peng Libo, Zhao Jianning

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.8field-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.

NCT03520205 nacompletednot on this mapstarted 2018, after this paper: background citation

Comparison Between Quadratus Lumborum Block and Epidural on Stress Response and Perioperative Cellular Immunological Function of Laparoscopic Nephrectomy Kidney Donor

TypeinterventionalSponsorIndonesia UniversityRan2018 to 2018Enrolled62ConditionsRenal Transplant Donor of Left KidneyArmsQuadratus Lumborum Block, Continuous Epidural
NCT03879980 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Preincisional Ultrasound-guided Quadratus Lumborum Block on Perioperative Analgesia and Inflammatory Responses in Transperitoneal Laparoscopic Nephrectomy: A Single-Blinded, Randomised Control Trial

TypeinterventionalSponsorIndonesia UniversityRan2019 to 2019Enrolled44ConditionsPostoperative PainArmsBilateral QL block, Non-QL block
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  11. Effects of Abdominal Wall Blocks on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Study.Medical science monitor : international medical journal of experimental and clinical research · 2022
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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 3 institutions in 1 country.

Xu JiandaDepartment of Orthopaedics, School of Medicine, Southern Medical University (Guangzhou), Jinling Hospital, 305 East Zhongshan Road, Nanjing, 210002, Jiangsu Province, China.
Qu YuxingDepartment of Orthopaedics, Changzhou Traditional Chinese medical hospital, changzhou, 213003, China.
Gao YiDepartment of Orthopaedics, Changzhou Traditional Chinese medical hospital, changzhou, 213003, China.
Zhao HongDepartment of Orthopaedics, Changzhou Traditional Chinese medical hospital, changzhou, 213003, China.
Peng LiboDepartment of Orthopaedics, Changzhou Traditional Chinese medical hospital, changzhou, 213003, China.
Zhao JianningDepartment of Orthopaedics, School of Medicine, Southern Medical University (Guangzhou), Jinling Hospital, 305 East Zhongshan Road, Nanjing, 210002, Jiangsu Province, China.
Hangzhou Hospital of Traditional Chinese Medicine · CNNanjing General Hospital of Nanjing Military Command · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate the effects of preemptive analgesia on the inflammatory response and rehabilitation in TKA. 75 patients with unilateral primary knee osteoarthritis were conducted in this prospective study. All patients were randomly divided into two groups (MMA with/without preemptive analgesia group). The following parameters were used to evaluate analgesic efficacy: knee flexion, pain at rest and walking, functional walking capacity (2 MWT and 6 MWT), WOMAC score, and hs-CRP level. Patients in MMA with preemptive analgesia group had lower hs-CRP level and less pain at rest and walking during the first week postoperatively (P < 0.05). The 2 MWT was significantly better in MMA with preemptive analgesia group (17.13 ± 3.82 VS 14.19 ± 3.56, P = 0.001). The 6 MWT scores and WOMAC scores increased significantly within Groups (P = 0.020, 0.000), but no difference between groups postoperatively (P > 0.05). Less cumulative consumption of morphine was found in MMA with preemptive analgesia group at 48 h (P = 0.017, 0.023), but no difference at total requirement (P = 0.113). Preemptive analgesia added to a multimodal analgesic regime improved analgesia, reduced inflammatory reaction and accelerated functional recovery at the first week postoperatively, but not improved long-term function.

Indexed as

Analgesia, Patient-ControlledArthroplasty, Replacement, KneeAgedAnalgesics, OpioidFemaleHumansInflammationKnee JointMaleMiddle AgedMorphineOsteoarthritis, KneePain ManagementPain MeasurementPostoperative ComplicationsPostoperative PainAnalgesics, OpioidMorphine

Identifiers

PMID27578313
PMCPMC5005994
OpenAlexW2515875695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.