Evidence map›Paper›PMID 30901395›Full record

ArticleMilitary medicine2019

Percutaneous Peripheral Nerve Stimulation to Control Postoperative Pain, Decrease Opioid Use, and Accelerate Functional Recovery Following Orthopedic Trauma.

Brian M Ilfeld, Scott T Ball, Steven P Cohen, Steven R Hanling, Ian M Fowler, Amorn Wongsarnpigoon, Joseph W Boggs

Open access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.8field-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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Clinical Research of Orthopedic Trauma Based on Computer 3D Image Analysis.Computational and mathematical methods in medicine · 2021
    Article
  12. 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

7 authors at 6 institutions in 1 country.

Brian M IlfeldUniversity of California San Diego, 200 W Arbor Drive, San Diego, CA.
Scott T BallUniversity of California San Diego, 200 W Arbor Drive, San Diego, CA.
Steven P CohenJohns Hopkins School of Medicine, Department of Anesthesiology and Critical Care Medicine, 1800 Orleans Street, Baltimore, MD.
Steven R HanlingMedical College of Georgia, Department of Anesthesiology & Perioperative Medicine, BIW-2144 1120 15th Street, Augusta, GA.
Ian M FowlerNaval Medical Center San Diego, Department of Anesthesiology, 34800 Bob Wilson Dr, San Diego, CA.
Amorn WongsarnpigoonSPR Therapeutics, 22901 Millcreek Boulevard, Suite 110, Cleveland, OH.
Joseph W BoggsSPR Therapeutics, 22901 Millcreek Boulevard, Suite 110, Cleveland, OH.
Sprint PNS System (United States) · USAugusta University · USJohns Hopkins University · USNaval Medical Center San Diego · USUniversity of California, San Diego · USUniversity of California System · US

Funding

Electrical stimulation to reduce pain and improve function after knee replacementR44AG052196 · NIA · SPR THERAPEUTICS, LLC · PI BOGGS, JOSEPH WILDER · 2015 to 2023
$4.9M
Peripheral nerve stimulation for amputee painR43NS066523 · NINDS · NDI MEDICAL, LLC · PI BOGGS, JOSEPH WILDER · 2009 to 2011
$269k
NIA NIH HHS R44 AG052196NINDS NIH HHS R43 NS066523
6 · The paper itself

Abstract

Orthopedic trauma is a significant military problem, causing several of the most disabling conditions with high rates of separation from duty and erosion of military readiness. The objective of this report is to summarize the findings of case series of a non-opioid therapy-percutaneous peripheral nerve stimulation (PNS) - and describe its potential for postoperative analgesia, early opioid cessation, and improved function following orthopedic trauma. Percutaneous PNS has been evaluated for the treatment of multiple types of pain, including two case series on postoperative pain following total knee replacement (n = 10 and 8, respectively) and a case series on postamputation pain (n = 9). The orthopedic trauma induced during TKR is highly representative of multiple types of orthopedic trauma sustained by Service members and frequently produces intense, prolonged postoperative pain and extended opioid use following surgery. Collectively, the results of these three clinical studies demonstrated that percutaneous PNS can provide substantial pain relief, reduce opioid use, and improve function. These outcomes suggest that there is substantial potential for the use of percutaneous PNS following orthopedic trauma.

Indexed as

AnalgesicsAnalgesics, OpioidArthroplasty, Replacement, KneeElectric Stimulation TherapyHumansPain ManagementPain MeasurementPostoperative PainRecovery of FunctionAnalgesicsAnalgesics, Opioidneurostimulationnon-opioidPostsurgical paintotal joint replacement

Identifiers

PMID30901395
PMCPMC6523432
OpenAlexW2924013412

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.