Evidence map›Paper›PMID 30679920›Full record

ArticleJournal of pain research2019

Celiac plexus block increases quality of life in patients with pancreatic cancer.

István Molnár, Gabriella Hegyi, Lajos Zsom, Christine Saahs, Jan Vagedes, Gábor Kapócs, Zoltán Kovács, Martin-Günther Sterner, Henrik Szőke

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07117032 (A Prospective Pilot Clinical Trial of Simulation-Free Celiac Plexus Pain Ablation Using Stereotactic Body Radiotherapy in Patients With Cancer-Related Celiac Pain), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.1field-weighted citation impact, top 5% 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.

NCT07117032 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Pilot Clinical Trial of Simulation-Free Celiac Plexus Pain Ablation Using Stereotactic Body Radiotherapy in Patients With Cancer-Related Celiac Pain

TypeinterventionalSponsorCase Comprehensive Cancer CenterRan2026 to 2027Enrolled5ConditionsPancreatic Cancer, Retroperitoneal Pain SyndromeArmsSimulation-free workflow, Celiac plexus SBRT
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Interventional Treatments for Cancer Pain.Cancer treatment and research · 2021
    Article
  6. Review
  7. Article
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

9 authors at 4 institutions in 3 countries.

István MolnárDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary, henrik.szoke@etk.pte.hu.
Gabriella HegyiDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary, henrik.szoke@etk.pte.hu.
Lajos ZsomDepartment of Nephrology, Fresenius Medical Care, Cegléd, Hungary.
Christine SaahsDepartment of Pediatrics, University of Vienna, Vienna, Austria.
Jan VagedesUniversity Children's Hospital, University of Tuebingen, Tuebingen, Germany.
Gábor KapócsDepartment of Psychiatry and Psychiatric Rehabilitation, Saint John Hospital, Budapest, Hungary.
Zoltán KovácsDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary, henrik.szoke@etk.pte.hu.
Martin-Günther SternerDepartment of Medical Clinics I, Klinikum Niederlausitz, Lauchhammer, Germany.
Henrik SzőkeDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary, henrik.szoke@etk.pte.hu.
University of Pecs · HUKlinikum Görlitz · DEUniversity Children's Hospital Tübingen · DEUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer is a malignant disease with a high mortality rate and severe pain that is challenging to manage. To reduce the excruciating abdominal pain, opioids and adjuvant agents are conventionally used.

objectivesPRNCPB is a treatment of neural therapy. The number of studies assessing the effect on patients' QoL is limited and inconsistent. With this study, we intended to address this issue. STUDY

designA prospective nonrandomized study with a series of cases of unresectable pancreatic cancer was conducted.

settingThe study was performed at our pain clinic under real life conditions. MATERIALS AND

methodsA total number of 16 patients with severe abdominal pain were enrolled in the study all of whom had responded to combined systemic analgesic therapy inadequately and had intolerable side effects contraindicating further increase in dose. The efficacy of this invasive, palliative analgesic procedure was evaluated 35 days after PRNCPB was performed. Primary outcomes were changed in pain intensity using the VAS questionnaire. Secondary outcomes were improved in QoL using the SF-36 questionnaire. Changes in pain medications and adverse reactions were monitored.

resultsAfter PRNCPB patients experienced a significant decrease ( LIMITATIONS: Detection, observation, and reporting bias can be estimated as moderate. Selection bias was not detected.

conclusionOur results give preliminary evidence that PRNCPB might be helpful as an additional treatment to conventional pain management in end-stage pancreatic cancer patients. PRNCPB seems to improve QoL in these patients in a time frame of at least 5 weeks after intervention.

Indexed as

cancer painceliac plexusneural therapypalliative carepancreatic cancerplexus blockquality of life

Identifiers

PMID30679920
PMCPMC6338112
OpenAlexW2910298451

What OpenQuestion holds

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LicenceCC BY-NC
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.