Evidence map›Paper›PMID 29732387›Full record

ArticleBladder cancer (Amsterdam, Netherlands)2018

Transversus Abdominis Plane Blockade as Part of a Multimodal Postoperative Analgesia Plan in Patients Undergoing Radical Cystectomy.

Richard S Matulewicz, Mehul Patel, Brian J Jordan, Jacqueline Morano, Brendan Frainey, Yasin Bhanji, Mahreen Bux, Antoun Nader, Shilajit D Kundu, Joshua J Meeks

Abstract read
In one paragraph

Article in Bladder cancer (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
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  4. Review
  5. Article
  6. Article
  7. Examining the impact of postoperative opioid use on length of hospital stay following radical cystectomy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  8. Article
  9. Review
  10. Review
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  13. Anesthetic considerations for urologic surgeries.Korean journal of anesthesiology · 2020
    Review
  14. Review
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  16. Review
  17. Review
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

10 authors.

Richard S MatulewiczDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Mehul PatelDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Brian J JordanDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Jacqueline MoranoDepartment of Anesthesia, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Brendan FraineyDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Yasin BhanjiDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Mahreen BuxDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Antoun NaderDepartment of Anesthesia, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Shilajit D KunduDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Joshua J MeeksDepartment of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadical cystectomy (RC) is a morbid procedure with frequent complications that may benefit from implementation of an enhanced recovery after surgery (ERAS) protocol.

objectiveTo examine the benefits of a multimodal analgesic plan that uses continuous transversus abdominis plane (TAP) blockade as part of an ERAS protocol after RC.

methodsA retrospective comparison of consecutive patients undergoing RC over a 4-year period was conducted. Patients were designated as having surgery either before or after implementation of an ERAS protocol. A major component of the ERAS protocol was a multi-modal analgesia plan with TAP blockade. Patient demographics, comorbidities, operative details, and outcomes, including days to flatus, bowel movement (BM), narcotic usage, and length of stay (LOS) were compared.

resultsIn total, 171 patients were included: 100 pre-ERAS and 71 ERAS. There were no differences in age, smoking status, operative approach, or diversion type. The patients in the ERAS cohort were less likely to be male, had a higher median BMI, and more likely to have received neoadjuvant chemotherapy. Total and early postoperative narcotic use were lower in the ERAS cohort: 89 vs. 336 mg (

conclusionsTAP blockade as part of an ERAS multi-modal pain plan is associated with low narcotic usage, and significant improvement in time to flatus, BM, and LOS compared to traditional post-RC pain management.

Indexed as

ERASradical cystectomyRegional anesthesiaTAP block

Identifiers

PMID29732387
PMCPMC5929302

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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.