Evidence map›Paper›PMID 31403587›Full record

Trial reportObstetrics and gynecology2019

Gabapentin for Perioperative Pain Management for Uterine Aspiration: A Randomized Controlled Trial.

Beverly A Gray, Jill M Hagey, Donna Crabtree, Clara Wynn, Jeremy M Weber, Carl F Pieper, Lisa B Haddad

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

Trial report in Obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02725710 (Gabapentin as an Adjunct to Perioperative Pain Management Regimens for Uterine Aspiration), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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.

NCT02725710 phase2completednot on this map

Gabapentin as an Adjunct to Perioperative Pain Management Regimens for Uterine Aspiration: a Randomized Controlled Trial

TypeinterventionalSponsorDuke UniversityRan2016 to 2018Enrolled96ConditionsOther Abortion, Spontaneous AbortionArmsGabapentin, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Local anaesthesia for pain control in first trimester surgical abortion.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Review
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

7 authors at 1 institution in 1 country.

Beverly A GrayDepartment of Obstetrics and Gynecology, Duke University Medical Center, and the Duke Office of Clinical Research and the Department of Biostatistics & Bioinformatics, BERD Methods Core, Duke University School of Medicine, Durham, North Carolina; and the Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia.
Jill M Hagey
Donna Crabtree
Clara Wynn
Jeremy M Weber
Carl F Pieper
Lisa B Haddad
Duke University · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553
6 · The paper itself

Abstract

objectiveTo evaluate the effect of oral gabapentin in conjunction with usual oral pain management regimens of lorazepam, ibuprofen, oxycodone, and acetaminophen for surgical abortion on pain 5 minutes postprocedure.

methodsThis was a randomized, double-blind, placebo-controlled trial of patients from 6 0/7-14 6/7 weeks of gestation scheduled to undergo surgical abortion at the Duke Family Planning Clinic. Participants were administered 600 mg of oral gabapentin compared with placebo with usual oral pain management. Pain score was assessed using a 100-mm visual analog scale, with the primary outcome being pain score 5 minutes after the procedure. The effect of gabapentin was assessed using a linear regression model controlling for baseline pain. We also measured pain perception 24 hours after the procedure. Secondary outcome measures included anxiety, side effects, and usage of opiate pain medication in the 24-hour postoperative period.

resultsOut of 113 women screened for this study; 96 women were recruited, enrolled, and randomized to study treatment arm from August 2016 to June 2018. Pain at 5 minutes after the procedure was similar between the gabapentin and placebo groups ((Equation is included in full-text article.)=3.40; 95% CI -8.20 to 15.0; P=.56). Gabapentin and placebo were well tolerated, with no statistically significant difference in side effects or anxiety levels. Although prescription of opioids after the procedure was not standardized among patients, 73% of women received a short-term prescription for oxycodone. A lower percentage of women in the gabapentin group self-reported taking opioids in the 24 hours postprocedure (18% vs 47%; odds ratio 0.26; 95% CI 0.09-0.75).

conclusionThe addition of gabapentin to usual oral pain management regimens with paracervical block did not reduce postoperative pain for patients undergoing outpatient surgical abortion. Although the addition of gabapentin was well tolerated and reduced oral opiate use 24 hours postprocedure, it did not affect the experience of pain during and immediately after the procedure. CLINICAL

trial registrationClinicalTrials.gov, NCT02725710.

Indexed as

Abortion, InducedAdultAnalgesicsAnalgesics, OpioidAnesthesia, ObstetricalCombined Modality TherapyDouble-Blind MethodFemaleGabapentinHumansPain ManagementPain MeasurementPostoperative PainPregnancyUterusAnalgesicsAnalgesics, OpioidGabapentin

Identifiers

PMID31403587
PMCPMC7187900
OpenAlexW2968938362

What OpenQuestion holds

Textmetadata
LicenceTDM
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.