Evidence map›Paper›PMID 31483013›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina2019

What do Cochrane systematic reviews say about ultrasound-guided vascular access?

Gabriela Araújo Attie, Carolina Dutra Queiroz Flumignan, Melissa Andreia de Moraes Silva, Edivando de Moura Barros, Raul Muffato Daolio, Henrique Jorge Guedes Neto, José Carlos Costa Baptista-Silva, Jorge Eduardo de Amorim, Luis Carlos Uta Nakano, Ronald Luiz Gomes Flumignan

Open access · diamondAbstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Duplex ultrasound for surveillance of lower limb revascularisation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. 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

10 authors at 2 institutions in 2 countries.

Gabriela Araújo AttieUndergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-3606-8990
Carolina Dutra Queiroz FlumignanMD, PhD. Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-9943-3583
Melissa Andreia de Moraes SilvaMD. Researcher, Postgraduate Program on Interdisciplinary Surgical Science, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), and Division of Vascular and Endovascular Surgery, Hospital de Clínicas de Itajubá, Itajubá, MG, Brazil.ORCID http://orcid.org/0000-0001-8773-3095
Edivando de Moura BarrosUndergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-8190-7920
Raul Muffato DaolioUndergraduate Student Researcher, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-2250-9097
Henrique Jorge Guedes NetoMD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-6477-1822
José Carlos Costa Baptista-SilvaMD, PhD. Full Professor and Chief, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-7617-0167
Jorge Eduardo de AmorimMD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-7149-1597
Luis Carlos Uta NakanoMD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-7996-3269
Ronald Luiz Gomes FlumignanMD, PhD. Adjunct Professor, Department of Surgery, Division of Vascular and Endovascular Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0001-6440-8011
Universidade Federal de São Paulo · BRCentro Universitário de Itajubá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrasonography is currently used in investigating many vascular diseases, especially for guiding vascular access.

objectiveThe objective here was to summarize the evidence from Cochrane systematic reviews (SRs) on the effects of ultrasound-guided vascular access as an intervention approach. DESIGN AND

settingReview of SRs, conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo.

methodsA broad search was conducted in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed the effects of ultrasound guidance as a therapeutic approach towards performing any vascular access. The key characteristics and results of all the reviews included were summarized and discussed.

resultsThree SRs on venous access at all ages and one review on arterial access in pediatric participants were included. There was low to moderate certainty of evidence that ultrasound increased the success rate from the first puncture and the overall success rate of the procedure; and reduced the total rate of perioperative and postoperative adverse events, number of punctures, time needed to achieve success and rate of failure to place catheters.

conclusionEvidence of low to moderate quality showed that ultrasound-guided vascular access seems to reduce the total rate of perioperative and postoperative complications/adverse effects, number of punctures, time needed to achieve success and rate of failure to perform venous catheterization in adults and arterial punctures in children. There is a lack of information regarding ultrasound-guided arterial puncture in adults. Further studies are still imperative for reaching solid conclusions, especially regarding arterial ultrasound-guided access.

Indexed as

Vascular Access DevicesClinical Trials as TopicEvidence-Based MedicineHumansSystematic Reviews as TopicUltrasonography, Interventional

Identifiers

PMID31483013
PMCPMC9743997
OpenAlexW2970806361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.