Evidence map›Paper›PMID 30112680›Full record

ArticleInternational orthopaedics2019

Post-operative pain control following arthroscopic rotator cuff repair: peri-articular injection versus interscalene brachial plexus block.

Masayoshi Saito, Sachiyuki Tsukada, Nobuko Fujita, Mahbubur Rahman, Wataru Morita, Nobuto Kitamura, Atsushi Tasaki

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. A comparison of ice wrap and subacromial injection for postoperative pain and edema control following arthroscopic rotator cuff repair.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2020
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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 3 institutions in 2 countries.

Masayoshi SaitoDepartment of Orthopedics Surgery, St. Luke's International Hospital, 9-1 Akashi Cho, Chuo-ku, Tokyo, 104-8560, Japan.
Sachiyuki TsukadaDepartment of Orthopedics Surgery, St. Luke's International Hospital, 9-1 Akashi Cho, Chuo-ku, Tokyo, 104-8560, Japan.
Nobuko FujitaDepartment of Anesthesia, St. Luke's International Hospital, 9-1 Akashi Cho, Chuo-ku, Tokyo, 104-8560, Japan.
Mahbubur RahmanCenter for Clinical Epidemiology, St. Luke's International University, Tsukiji 3-6-2, Chuo-ku, Tokyo, 104-0045, Japan.
Wataru MoritaBotnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Nobuto KitamuraDepartment of Orthopedics Surgery, St. Luke's International Hospital, 9-1 Akashi Cho, Chuo-ku, Tokyo, 104-8560, Japan.
Atsushi TasakiDepartment of Orthopedics Surgery, St. Luke's International Hospital, 9-1 Akashi Cho, Chuo-ku, Tokyo, 104-8560, Japan. tatsu@luke.ac.jp.
St. Luke's International Hospital · JPSt. Luke's International University · JPUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery.

methodsWe retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBPB group. We compared complications and self-reported pain score measured using a Numerical Rating Scale (NRS) during the initial 24 hours after surgery.

resultsThe NRS scores recorded in the recovery room (0), 0.5, and four hours post-operatively were higher in the PI group (n = 38) than the IBPB group (n = 52) (2.1 vs. 0.8, p = 0.014; 1.4 vs. 0.5, p = 0.0069; and 1.3 vs. 0.5, p = 0.012, respectively). However, the NRS scores recorded at 16, 20, and 24 hours post-operatively were lower in the PI group than in the IBPB group (1.4 vs. 3.1, p < 0.0001; 1.4 vs. 3.2, p < 0.0001; and 1.7 vs. 3.2, p = 0.00046, respectively). The incidences of post-operative nausea and temporary numbness in the upper arm were significantly lower in the PI group than in the IBPB group (7.9% vs. 33%, p = 0.0052; and 13% vs. 85%, p < 0.0001, respectively).

conclusionsAlthough IBPB provided superior pain control during the initial few hours after ARCR surgery, PI was superior from 16 to 24 hours post-operatively. The rates of side effects, such as nausea and temporary arm numbness, were also lower in the PI group than in the IBPB group.

Indexed as

Brachial Plexus BlockInjections, Intra-ArticularAgedArthroscopyFemaleHumansMaleMiddle AgedPain ManagementPostoperative PainRetrospective StudiesRotator Cuff InjuriesArthroscopic rotator cuff repairInterscalene brachial plexus blockPain managementPeri-articular injectionShoulder

Identifiers

PMID30112680
OpenAlexW2887114236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.