Evidence map›Paper›PMID 31232611›Full record

Observational studyAnnals of the Royal College of Surgeons of England2020

A multicentre, prospective, observational cohort study of variation in practice in perioperative analgesia strategies in elective laparoscopic colorectal surgery (the LapCoGesic study).

L Brown, M Gray, B Griffiths, M Jones, A Madhavan, K Naru, F Shaban, S Somnath, D Harji, NoSTRA (Northern Surgical Trainees Reseach Association)

Open access · greenAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Observational
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  8. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

L BrownNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
M GrayNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
B GriffithsNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
M JonesNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
A MadhavanNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
K NaruNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
F ShabanNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
S SomnathNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
D HarjiNorthern Surgical Trainees Research Association, Department of Academic Surgery, University of Newcastle, Newcastle Upon Tyne, Tyne and Wear, UK.
NoSTRA (Northern Surgical Trainees Reseach Association)Collaborators: Yousif Aawsaj, Paul Ainley, Rebecca Barnett, Philippa Burnell, Rachael Coates, Lucy Grant, Helen Hawkins, Ross Mclean, Lydia Newton, Komal Patel, Syed Shumon, Anisha Sukha, Savita Tarigabil, Laura Watson, Eleanor Whyte (Northern Surgical Trainees Research Association); David Borowski (University Hospital North Tees); Vikram Garud (Friarage Hospital, Northallerton); Stephen Holtham (Sunderland Royal Hospital); Reza Kalbassi (Wansbeck General Hospital); Seamus Kelly (North Tyneside General Hospital); Sophie Noblett (University Hospital North Durham); Sriram Subramonia (South Tyneside District General Hospital).
EES Research (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnhanced recovery programmes are established as an essential part of laparoscopic colorectal surgery. Optimal pain management is central to the success of an enhanced recovery programme and is acknowledged to be an important patient reported outcome measure. A variety of analgesia strategies are employed in elective laparoscopic colorectal surgery ranging from patient-controlled analgesia to local anaesthetic wound infiltration catheters. However, there is little evidence regarding the optimal analgesia strategy in this cohort of patients. The LapCoGesic study aimed to explore differences in analgesia strategies employed for patients undergoing elective laparoscopic colorectal surgery and to assess whether this variation in practice has an impact on patient-reported and clinical outcomes. MATERIALS AND

methodsA prospective, multicentre, observational cohort study of consecutive patients undergoing elective laparoscopic colorectal resection was undertaken over a two-month period. The primary outcome measure was postoperative pain scores at 24 hours. Data analysis was conducted using SPSS version 22.

resultsA total of 103 patients undergoing elective laparoscopic colorectal surgery were included in the study. Thoracic epidural was used in 4 (3.9%) patients, spinal diamorphine in 56 (54.4%) patients and patient-controlled analgesia in 77 (74.8%) patients. The use of thoracic epidural and spinal diamorphine were associated with lower pain scores on day 1 postoperatively ( DISCUSSION: Postoperative pain is managed in a variable manner in patients undergoing elective colorectal surgery, which has an impact on patient reported outcomes of pain scores and pain severity.

Indexed as

AgedAnalgesiaAnalgesia, Patient-ControlledAnalgesics, OpioidColonic DiseasesConversion to Open SurgeryElective Surgical ProceduresFemaleHumansIntraoperative CareLaparoscopyLength of StayMalePain MeasurementPostoperative CarePostoperative PainAnalgesics, OpioidAnalgesiaColorectal surgeryLaparoscopy

Identifiers

PMID31232611
PMCPMC6937613
OpenAlexW2953982188

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.