Evidence map›Paper›PMID 30919435›Full record

ArticleThe British journal of surgery2019

Chronic pain after hand-assisted laparoscopic donor nephrectomy.

M Zorgdrager, M van Londen, L B Westenberg, G J Nieuwenhuijs-Moeke, J F M Lange, M H de Borst, S J L Bakker, H G D Leuvenink, R A Pol

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The British journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07396753 (The Effects of Transversalis Fascia Plane Block on Opioid Consumption in Patients Undergoing Hand-Assisted Laparoscopic Donor Nephrectomy), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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.

NCT07396753 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effects of Transversalis Fascia Plane Block on Opioid Consumption in Patients Undergoing Hand-Assisted Laparoscopic Donor Nephrectomy: A Randomized Controlled Prospective Study

TypeinterventionalSponsorKoç UniversityRan2025 to 2026Enrolled50ConditionsPostoperative Pain, Analgesics, Opioid, Pain Management, Anesthesia RegionalArmsUltrasound-guided transversalis fascia plane block
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  11. Pain expectancy, prevalence, severity, and patterns following donor nephrectomy: Findings from the KDOC Study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  12. Kidney temperature during living donor kidney transplantation is associated with short-term measured glomerular filtration rate - a prospective study.Transplant international : official journal of the European Society for Organ Transplantation · 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

9 authors at 1 institution in 1 country.

M ZorgdragerDepartment of Radiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0002-0345-7183
M van LondenDepartment of Internal Medicine, Division of Nephrology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
L B WestenbergDepartment of Radiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
G J Nieuwenhuijs-MoekeDepartment of Anaesthesiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
J F M LangeDepartment of Surgery, Division of Transplant Surgery, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
M H de BorstDepartment of Internal Medicine, Division of Nephrology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
S J L BakkerDepartment of Internal Medicine, Division of Nephrology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
H G D LeuveninkDepartment of Surgery, Division of Transplant Surgery, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
R A PolDepartment of Surgery, Division of Transplant Surgery, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on chronic pain after kidney donation are sparse. The aim of this study was to assess the incidence of chronic pain after hand-assisted laparoscopic nephrectomy.

methodsLiving kidney donors who donated between 2011 and 2017 at the University Medical Centre Groningen were included. All patients underwent hand-assisted laparoscopic donor nephrectomy. Postdonation pain and movement disabilities were assessed using the Carolinas Comfort Scale (CCS) and a visual analogue scale (VAS). The prevalence, severity of pain and the need for analgesics were reported.

resultsSome 333 living kidney donors with a mean age of 56 years were included. At a median of 19 (i.q.r. 10-33) months after donation, 82 donors (24·6 per cent) had a CCS score above 0, of which 58 (71 per cent) had a CCS score of at least 2 and 57 (70 per cent) reported movement limitations. Some 110 donors (33·0 per cent) had a VAS score of more than 0. Complaints mainly occurred during bending over (12·3 per cent) and exercising (12·4 per cent). Thirty-two donors (9·7 per cent) required analgesics during follow-up between donation and the time of measurement, and six of 82 (7 per cent) reported chronic inguinal pain. In multivariable analysis, donor age (odds ratio (OR) 0·97, 95 per cent c.i. 0·95 to 0·99; P = 0·020) and length of hospital stay (OR 1·21, 1·01 to 1·51; P = 0·041) were independently associated with chronic pain.

conclusionOne-quarter of donors experienced chronic postdonation pain or discomfort, most of which was bothersome. Younger donors and those with a longer postoperative hospital stay had more symptoms.

Indexed as

Chronic PainHand-Assisted LaparoscopyKidney TransplantationLiving DonorsPostoperative PainAdultAgedFemaleFollow-Up StudiesHumansIncidenceLogistic ModelsMaleMiddle AgedNephrectomyPain Measurement

Identifiers

PMID30919435
PMCPMC6593841
OpenAlexW2933732742

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.