ArticleScientific reports2018
Multicenter cohort-study of 15326 cases analyzing patient satisfaction and perioperative pain management: general, regional and combination anesthesia in knee arthroplasty.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- [Fast-Track-Arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Trial
- Analgesic and Hemodynamic Effects of Preoperative Ultrasound-Guided Brachial Plexus Block in Radius Fracture Surgery: A Propensity-Matched Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Association between anesthetic approach and clinical outcomes of ACL reconstruction: a retrospective cohort study.BMC anesthesiology · 2026Article
- Regional Anesthesia: A Narrative Review of Impact on Oxidative Stress Biomarkers.Journal of clinical medicine · 2025Review
- Review
- Article
- Multidimensional pain assessment and opioid use after total knee arthroplasty: continuous vs single-injection regional vs systemic analgesia.Pain reports · 2025Article
- Pain Control and Satisfaction With Peripheral Nerve Blocks for Upper Extremity Surgery.Hand (New York, N.Y.) · 2024Article
- Observational
- [Perioperative management in fast-track arthroplasty].Der Orthopade · 2022Review
- Neural blocks at the helm of a paradigm shift in enhanced recovery after surgery (ERAS).Indian journal of anaesthesia · 2021Article
- Does Preoperative Opioid Consumption Increase the Risk of Chronic Postoperative Opioid Use After Total Joint Arthroplasty?Arthroplasty today · 2021Article
- Big Data in Studying Acute Pain and Regional Anesthesia.Journal of clinical medicine · 2021Review
- [Fast track in hip and knee arthroplasty].Der Orthopade · 2021Article
- Patient satisfaction with regional anaesthesia and general anaesthesia in upper limb surgeries: An open label, cross-sectional, prospective, observational clinical comparative study.Indian journal of anaesthesia · 2021Article
- Pain management of unicompartmental (UKA) vs. total knee arthroplasty (TKA) based on a matched pair analysis of 4144 cases.Scientific reports · 2020Article
- Evaluation of the Factors Affecting Concerns and Expectations of Patients Undergoing Total Knee Arthroplasty in China.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Numbers of knee replacement surgeries have been rising over the past years. After having ameliorated operation techniques and material, pain management and anesthetic methods have come into focus. All 15326 patients included had undergone primary knee arthroplasty within this multicenter cohort-study, conducted in 46 orthopedic departments. Parameters were evaluated on first postoperative day. Primary outcome values were pain levels (activity, minimum and maximum pain, and pain management satisfaction). Pain medication necessity was analyzed. Parameters were compared between the types of anesthesia used: general, regional and combination anesthesia. Pain scores and pain management satisfaction were significantly better in the groups of either spinal or peripheral anesthesia combined with general anesthesia (p < 0.001, respectively). Patients who received the combination of general and spinal anesthesia were associated with the lowest need for opioids (p < 0.001). The use of a combined general and spinal anesthesia as well as using a combination of general and peripheral anesthesia in knee arthroplasty was associated with a highly significant advantage to other anesthetic techniques regarding perioperative pain management in daily clinical practice, but maybe below clinical relevance. Furthermore they were associated with positive tendency considering side effects and subjective well-being parameters.
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