Evidence map›Paper›PMID 30470336›Full record

ReviewHand clinics2019

Wide Awake Surgery as an Opportunity to Enhance Clinical Research.

Verena J M M Festen-Schrier, Peter C Amadio

Registry-linked trialOpen access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Hand clinics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04089124 (Randomized Controlled Trial to Compare the Outcomes Of Zone II Flexor Tendon Repair of the Hand Under General Anesthesia Versus Wide Awake Local Anesthesia No Tourniquet), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT04089124 nacompletednot on this mapstarted 2020, after this paper: background citation

Randomized Controlled Trial to Compare the Outcomes Of Zone II Flexor Tendon Repair of the Hand Under General Anesthesia Versus Wide Awake Local Anesthesia No Tourniquet

TypeinterventionalSponsorAssiut UniversityRan2020 to 2022Enrolled86ConditionsCut Flexor Hand, Walant, General AnesthesiaArmssurgery of zone II cut flexor repair
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 8 citations in OpenAlex.

No citing paper in PubMed yet.

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

2 authors at 2 institutions in 2 countries.

Verena J M M Festen-SchrierDepartment of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Peter C AmadioDepartment of Orthopedic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: pamadio@mayo.edu.
Erasmus MC · NLMayo Clinic · US

Funding

REPAIR AND REHABILITATION OF FLEXOR TENDON INJURYR01AR044391 · NIAMS · MAYO CLINIC ROCHESTER · PI AMADIO, PETER C. · 1998 to 2013
$5.4M
Dynamic Ultrasound to Enhance Understanding of Carpal Tunnel SyndromeR01AR062613 · NIAMS · MAYO CLINIC ROCHESTER · PI AMADIO, PETER C. · 2014 to 2018
$1.7M
NIAMS NIH HHS R01 AR044391NIAMS NIH HHS R01 AR062613
6 · The paper itself

Abstract

Wide Awake surgery under Local Anesthesia with No Tourniquet (WALANT) has revolutionized clinical hand surgery, improving clinical outcomes and reducing postoperative pain and morbidity. It can also be used to deepen scientific knowledge, because the unsedated patient, with sensation intact and without the adverse effects of tourniquet neurapraxia or paralysis, can follow commands and actively move the limb after tendon and nerve surgery. These movements can be correlated with fingertip force, tendon tension, nerve conduction and amplitude, and muscle sarcomere length measurements to develop new insights into the effectiveness of many different tendon and nerve procedures in the hand.

Indexed as

Ambulatory Surgical ProceduresAnesthesia, LocalBiomedical ResearchOrthopedic ProceduresAnesthetics, LocalEpinephrineHandHumansIntraoperative CareLidocainePatient Outcome AssessmentVasoconstrictor AgentsAnesthetics, LocalEpinephrineLidocaineVasoconstrictor AgentsHumanMuscleNervePhysiologyTendon

Identifiers

PMID30470336
PMCPMC6260941
OpenAlexW2901493268

What OpenQuestion holds

Textmetadata
LicenceTDM
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.