Evidence map›Paper›PMID 31351590›Full record

SynthesisBritish journal of anaesthesia2019

Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis.

Stavros G Memtsoudis, Crispiana Cozowicz, Janis Bekeris, Dace Bekere, Jiabin Liu, Ellen M Soffin, Edward R Mariano, Rebecca L Johnson, Mary J Hargett, Bradley H Lee and 39 more

2 registry-linked trialsOpen access · greenAbstract readConsensus StatementMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British journal of anaesthesia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 135 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 5 pooled it
19.6field-weighted citation impact, top 1% 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.

NCT05444751 phase3enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Evaluating General Anesthesia With Erector Spinae Plane Block vs. Spinal Anesthesia With Erector Spinae Plane Block in Lumbar Decompression Surgeries

TypeinterventionalSponsorHospital for Special Surgery, New YorkRan2022 to 2026Enrolled142ConditionsLumbar Disc Herniation, Lumbar Disc Disease, Lumbar RadiculopathyArmsGeneral anesthetic, SA + ESP
NCT05916209 completednot on this mapstarted 2023, after this paper: background citation

Pericapsular Nerve Group (PENG) Block and Lateral Femoral Cutaneous Nerve (LFCN) Block Versus Fascia Iliaca (FIC) Block for Multimodal Analgesia After Total Hip Replacement Surgery: a Retrospective Analysis

TypeobservationalSponsorOspedale Edoardo BassiniRan2023 to 2023Enrolled60ConditionsRegional Anesthesia Morbidity, Arthropathy of Hip, Hip ArthropathyArmsPeripheral nerve blocks
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 5 syntheses or guidelines pooled it, 287 citations in OpenAlex.

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  11. [Fast-Track-Arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
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75 more citing papers are in PubMed but not listed here.

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

49 authors at 20 institutions in 9 countries.

Stavros G MemtsoudisDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria. Electronic address: memtsoudiss@hss.edu.
Crispiana CozowiczDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Janis BekerisDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Dace BekereDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Jiabin LiuDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Ellen M SoffinDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Edward R MarianoDepartment of Anesthesia, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.
Rebecca L JohnsonDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Mary J HargettDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Bradley H LeeDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Pamela WendelDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Mark BrouilletteDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
George GoDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Sang J KimDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Lila BaakliniDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Douglas WetmoreDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Genewoo HongDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Rie GotoKim Barrett Memorial Library, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Bridget JivanelliKim Barrett Memorial Library, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Eriphyli ArgyraDepartment of Anaesthesiology, Pain and Palliative Care, National and Kapodistrian University of Athens, Athens, Greece.
Michael J BarringtonDepartment of Medicine & Radiology, The University of Melbourne, Victoria, Australia.
Alain BorgeatDepartment of Anesthesiology and Intensive Care Medicine, Universität Zürich, Zurich, Switzerland.
Jose De AndresAnesthesia Unit- Surgical Specialties Department, Valencia University Medical School, Spain; Anesthesia, Critical Care, and Pain Management Department, General University Hospital, Valencia, Spain.
Nabil M ElkassabanyDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA.
Philippe E GautierDepartment of Anesthesiology, Clinique Ste-Anne St-Remi, Anderlecht, Belgium.
Peter GernerDepartment of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Alejandro Gonzalez Della ValleDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Enrique GoytizoloDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Paul KesslerDepartment of Anesthesiology, Intensive Care and Pain Medicine, Orthopedic University Hospital, Frankfurt am Main, Germany.
Sandra L KoppDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Patricia Lavand'HommeDepartment of Anesthesiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Catherine H MacLeanValue Management Office, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Carlos B MantillaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Daniel MacIsaacDepartment of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.
Alexander McLawhornDepartment of Orthopedic Surgery, Hip and Knee Replacement, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Joseph M NealDepartment of Anesthesiology, Virginia Mason Medical Center, Seattle, WA, USA.
Michael ParksDepartment of Orthopedic Surgery, Hip and Knee Replacement, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Javad ParviziRothman Orthopaedic Institute, Bensalem, PA, USA.
Lukas PichlerDepartment of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Jashvant PoeranDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, Institute for Healthcare Delivery Science, New York, NY, USA.
Lazaros A PoultsidesDepartment of Orthopaedic Surgery, New York Langone Orthopaedic Hospital, New York, NY, USA.
Brian D SitesDepartment of Anesthesiology, Dartmouth College Geisel School of Medicine, Hanover, NH, USA.
Otto StundnerDepartment of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Eric C SunDepartment of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA.
Eugene R ViscusiDepartment of Anesthesiology, Pain Center, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Effrossyni G Votta-VelisDepartment of Anesthesiology, University of Illinois Hospital and Health Sciences System, Chicago, IL, USA.
Christopher L WuDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Jacques T Ya DeauDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Nigel E SharrockDepartment of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery and Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.
Cornell University · USHospital for Special Surgery · USMayo Clinic · USParacelsus Medical University · ATClinique Saint-Joseph · BECliniques Universitaires Saint-Luc · BEDartmouth College · USGoethe University Frankfurt · DEHospital General Universitario De Valencia · ESIcahn School of Medicine at Mount Sinai · USNational and Kapodistrian University of Athens · GROrthopaedic Hospital · USRothman Orthopaedics · USStanford University · USThomas Jefferson University · USUniversity of Illinois Hospital & Health Sciences System · USUniversity of Melbourne · AUUniversity of Ottawa · CAUniversity of Pennsylvania · USUniversity of Zurich · CH

Funding

The Epidemiology and Economics of Chronic Back PainK08DA042314 · NIDA · STANFORD UNIVERSITY · PI SUN, ERIC · 2017 to 2022
$975k
NIDA NIH HHS K08 DA042314
6 · The paper itself

Abstract

backgroundEvidence-based international expert consensus regarding anaesthetic practice in hip/knee arthroplasty surgery is needed for improved healthcare outcomes.

methodsThe International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) systematic review, including randomised controlled and observational studies comparing neuraxial to general anaesthesia regarding major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, genitourinary, thromboembolic, neurological, infectious, and bleeding complications. Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, from 1946 to May 17, 2018 were queried. Meta-analysis and Grading of Recommendations Assessment, Development and Evaluation approach was utilised to assess evidence quality and to develop recommendations.

resultsThe analysis of 94 studies revealed that neuraxial anaesthesia was associated with lower odds or no difference in virtually all reported complications, except for urinary retention. Excerpt of complications for neuraxial vs general anaesthesia in hip/knee arthroplasty, respectively: mortality odds ratio (OR): 0.67, 95% confidence interval (CI): 0.57-0.80/OR: 0.83, 95% CI: 0.60-1.15; pulmonary OR: 0.65, 95% CI: 0.52-0.80/OR: 0.69, 95% CI: 0.58-0.81; acute renal failure OR: 0.69, 95% CI: 0.59-0.81/OR: 0.73, 95% CI: 0.65-0.82; deep venous thrombosis OR: 0.52, 95% CI: 0.42-0.65/OR: 0.77, 95% CI: 0.64-0.93; infections OR: 0.73, 95% CI: 0.67-0.79/OR: 0.80, 95% CI: 0.76-0.85; and blood transfusion OR: 0.85, 95% CI: 0.82-0.89/OR: 0.84, 95% CI: 0.82-0.87.

conclusionsRecommendation: primary neuraxial anaesthesia is preferred for knee arthroplasty, given several positive postoperative outcome benefits; evidence level: low, weak recommendation. RECOMMENDATION: neuraxial anaesthesia is recommended for hip arthroplasty given associated outcome benefits; evidence level: moderate-low, strong recommendation. Based on current evidence, the consensus group recommends neuraxial over general anaesthesia for hip/knee arthroplasty. TRIAL REGISTRY NUMBER: PROSPERO CRD42018099935.

Indexed as

Anesthesia, EpiduralAnesthesia, GeneralAnesthesia, SpinalArthroplasty, Replacement, HipArthroplasty, Replacement, KneeEvidence-Based MedicineHumansPostoperative ComplicationsRandomized Controlled Trials as TopicTreatment Outcomeanaesthesiaarthroplastyassessmentepiduralgeneralhipkneeoutcomesreplacementspinal

Identifiers

PMID31351590
PMCPMC7678169
OpenAlexW2962818315

What OpenQuestion holds

Textmetadata
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.