Evidence map›Paper›PMID 31366683›Full record

Trial reportPediatrics2019

Local Anesthesia With General Anesthesia for Pediatric Bone Marrow Procedures.

Sara Zarnegar-Lumley, Katharine R Lange, Melissa D Mathias, Miho Nakajima-Hatano, Katharine M Offer, Ugochi O Ogu, Michael V Ortiz, Kay See Tan, Michael Kellick, Shakeel Modak and 3 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02924324 (RePPAIR -Reducing Procedural Pain and Improving Recovery of Quality of Life in Pediatric Neuroblastoma Patients Undergoing Bone Marrow Procedures), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 91% 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.

NCT02924324 nacompletednot on this map

RePPAIR -Reducing Procedural Pain and Improving Recovery of Quality of Life in Pediatric Neuroblastoma Patients Undergoing Bone Marrow Procedures: A Prospective Randomized Cross-over Clinical Trial

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2016 to 2019Enrolled56ConditionsNeuroblastomaArmspropofol, ropivacaine, Wong-Baker FACES® Pain Rating Scale, Post-procedural quality of life (QOL)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

13 authors at 5 institutions in 1 country.

Sara Zarnegar-LumleyDepartments of Pediatrics, sara.zarnegar@vumc.org.
Katharine R LangeDepartments of Pediatrics.
Melissa D MathiasDepartments of Pediatrics.
Miho Nakajima-HatanoDepartments of Pediatrics.
Katharine M OfferDepartments of Pediatrics.
Ugochi O OguDepartments of Pediatrics.
Michael V OrtizDepartments of Pediatrics.
Kay See TanEpidemiology and Biostatistics.
Michael KellickPharmacy, and.
Shakeel ModakDepartments of Pediatrics.
Stephen S RobertsDepartments of Pediatrics.
Ellen M BasuDepartments of Pediatrics.
R Scott DingemanDepartments of Pediatrics.
Pediatrics and Genetics · USCancer Research And Biostatistics · USJohns Hopkins Medicine · USRegeneron (United States) · USVanderbilt University Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
MSK Paul Calabresi Career Development Award for Clinical OncologyK12CA184746 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Omar Abdel-Wahab, Simon N. Powell · 2015 to 2026
$8.3M
NCI NIH HHS K12 CA184746NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundPediatric patients with cancer undergo repeated painful procedures, including bone marrow aspirations and biopsies (BMABs). Optimal management of procedure-related pain can reduce discomfort, anxiety, and distress.

methodsChildren with neuroblastoma were randomly assigned to 1 of 2 arms on a prospective, single-blind, crossover trial conducted at Memorial Sloan Kettering Cancer Center from October 2016 to January 2018 (www.clinicaltrials.gov, identifier NCT02924324). Participants underwent 2 sequential BMABs: one with general anesthesia (GA) alone, the other with GA plus local anesthesia (LA) (GA + LA). The objective was to assess procedure-related pain and its interference with quality of life (QoL) with GA versus GA + LA. Primary outcome was percentage of participants requiring postprocedural opioids. Secondary outcomes were total opioid and nonopioid analgesics, pain scores, time to first analgesic, QoL, and toxicity. Management of postprocedural pain was standardized.

resultsOf 56 participants randomly assigned (3-16.5 years old), 46 completed both procedures. There was no significant difference in percentage of participants requiring opioids with GA versus GA + LA (24% vs 20%,

conclusionsLA was associated with significant improvement in pain scores in the immediate recovery period. LA did not reduce postprocedural opioid use, nor did it improve QoL for patients undergoing BMAB with GA.

Indexed as

Anesthesia, GeneralAnesthesia, LocalBiopsyBone MarrowChildChild, PreschoolCross-Over StudiesFemaleHumansMaleNeuroblastomaPostoperative PainProspective StudiesSingle-Blind Method

Identifiers

PMID31366683
PMCPMC6855828
OpenAlexW2965022146

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.