Evidence map›Paper›PMID 31218084›Full record

ArticleProstate cancer2019

Anesthesia for Open Radical Retropubic Prostatectomy: A Comparison between Combined Spinal Epidural Anesthesia and Combined General Epidural Anesthesia.

O Kofler, S Prueckner, E Weninger, R Tomasi, A Karl, S Niedermayer, A Jovanovic, H H Müller, C Stief, B Zwissler and 1 more

Open access · goldAbstract read
In one paragraph

Article in Prostate cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Changing urological practice during COVID-19.Indian journal of urology : IJU : journal of the Urological Society of India
    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

11 authors at 4 institutions in 1 country.

O KoflerDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.ORCID 0000-0003-4279-6935
S PruecknerDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
E WeningerDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
R TomasiDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
A KarlDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
S NiedermayerDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
A JovanovicDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
H H MüllerInstitute of Medical Biometry and Epidemiology, Philipps-University of Marburg, Marburg, Germany.
C StiefDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
B ZwisslerDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
V von DossowDepartment of Anesthesiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DEHeart and Diabetes Center North Rhine-Westphalia · DEHeidelberg University · DEPhilipps University of Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral anesthesiologic regimens can be used for open radical retropubic prostatectomy. The aim of this retrospective analysis was to compare the combined general epidural anesthesia and the combined spinal epidural anesthesia with regard to availability, efficacy, side effects, and perioperative time consumption in a high-volume center.

methodsA retrospective analysis was performed by querying the electronic medical records of 1207 consecutive patients from the database of our online documentation software. All patients underwent open radical retropubic prostatectomy from 01/2008 to 08/2011 and met the study criteria. Linear and multivariate regression analyses were performed to identify differences in parameters such as time consumption in the operating unit, hemodynamic parameters, volume replacement, and catecholamine therapy.

results698 (57.8%) patients have been undergoing open radical retropubic prostatectomy under combined spinal epidural anesthesia and 509 (42.2%) patients by combined general epidural anesthesia. Operating unit (p <0.0001) and post-anesthesia care unit stay (p <0.0001) as well as total hospital stay (p <0.0001) were significantly shorter in the combined spinal epidural anesthesia group. In addition, this group had reduced intraoperative volume need (p <0.0001) as well as lower need of catecholamines (p <0.0001).

conclusionsThis retrospective study suggests that the combined spinal epidural anesthesia seems to be a suitable and efficient anesthesia technique for patients undergoing open radical retropubic prostatectomy. This specific approach reduces time in the operation unit and length of hospital stay.

Identifiers

PMID31218084
PMCPMC6536977
OpenAlexW2946396733

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LicenceCC BY
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Registered trials

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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.