Evidence map›Paper›PMID 32500675›Full record

Trial reportCancer medicine2020

Patient-controlled subcutaneous analgesia using sufentainil or morphine in home care treatment in patients with stage III-IV cancer: A multi-center randomized controlled clinical trial.

Cheng-Fu Wan, Qing-Zhu Meng, Yan-Wei Wang, Liang Qi, Chang-Liang Ai, Xin Sui, Tao Song

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 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

7 authors at 2 institutions in 1 country.

Cheng-Fu WanPain Department of the First Affiliated Hospital, China Medical University, Shenyang, China.
Qing-Zhu MengPain Department of the Central Hospital of Haicheng city, Anshan, China.
Yan-Wei WangPain Department of the Third People's Hospital of Anshan city, Anshan, China.
Liang QiPain Department of the Central Hospital of Fuxin city, Fuxin, China.
Chang-Liang AiPain Department of the Women and Children's Hospital of Dandong city, Dandong, China.
Xin SuiPain Department of the Central Hospital of Kuandian city, Dandong, China.
Tao SongPain Department of the First Affiliated Hospital, China Medical University, Shenyang, China.ORCID 0000-0002-9915-9673
China Medical University · CNAnshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatient-controlled subcutaneous analgesia (PCSA) with sufentanil is an alternative analgesia strategy in patients with stage III-IV cancer; however, its efficacy and safety have not been fully investigated.

methodsFrom May 10, 2017 to November 10, 2017, 120 patients with stage III-IV cancer suffering from moderate to severe pain were prospectively enrolled from six hospitals and randomized to receive PCSA with morphine (control group) or sufentanil (intervention group). Before the PCSA and on days 1, 3, 7, 14, 28, and 56 after treatment, the numeric rating scale (NRS) and 36-item Short Form health survey (SF-36) were completed for each patient and the side effects were also recorded.

resultsNo significant differences (P > .05) were observed in the preoperative NRS score and the SF-36 parameters between the two groups. Patients in the intervention group achieved better pain relief, as indicated by lower NRS scores at days 14 (P = .040), 28 (P < .001), and 56 (P < .001) after PCSA device implantation (vs control group). Furthermore, the patients in the intervention group also achieved a better life quality, as indicated by the physical role, general health, social function body pain, and mental health scores. Finally, the patients receiving sufentanil showed lower levels of nausea and somnolence than those in the control group.

conclusionPCSA with sufentanil achieves better pain control and life quality as well as fewer adverse reactions in stage III-IV cancer patients with pain and may be a promising pain management in these patients.

trial registrationThis study was registered at chictr.org.cn with the trial number: ChiCTR-IPR-17011280.

Indexed as

Adjuvants, AnesthesiaAgedAnalgesia, Patient-ControlledFemaleHome Care ServicesHumansMaleMiddle AgedMorphineNeoplasmsNeoplasm StagingSufentanilAdjuvants, AnesthesiaMorphineSufentanil36-item Short Form health surveyadvanced cancernumeric rating scalepatient-controlled subcutaneous analgesiasufentanil

Identifiers

PMID32500675
PMCPMC7402833
OpenAlexW3033453330

What OpenQuestion holds

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Registered trials

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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.