Evidence map›Paper›PMID 32804272›Full record

SynthesisEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021

The effect of dexamethasone on pain control after thyroid surgery: a meta-analysis of randomized controlled trials.

Lian Cheng, Yuan Le, Hui Yang, Xiangyu Zhou

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

4 authors at 2 institutions in 1 country.

Lian ChengCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Department of General Surgery (Thyroid Surgery), Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Yuan LeHospital of Traditional Chinese Medicine affiliated to Southwest Medical University, Luzhou, 646000, China.
Hui YangCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Department of General Surgery (Thyroid Surgery), Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. yh65011@163.com.ORCID http://orcid.org/0000-0003-2765-8673
Xiangyu ZhouCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Department of General Surgery (Thyroid Surgery), Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. Xiangyuzhou971@vip.126.com.
Southwest Medical University · CNAffiliated Hospital of Southwest Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effect of dexamethasone on postoperative pain after thyroid surgery remains controversial. We conduct a systematic review and meta-analysis to explore the influence of dexamethasone versus placebo on postoperative pain after thyroid surgery.

methodsWe search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through May 2020 for randomized controlled trials (RCTs) assessing the effect of dexamethasone versus placebo on postoperative pain after thyroid surgery. This meta-analysis is performed using the random-effect model.

resultsEight RCTs involving 734 patients are included in the meta-analysis. Overall, compared with control group for thyroid surgery, dexamethasone shows significantly reduced pain scores (SMD = - 0.82; 95% CI - 1.08 to - 0.56; P < 0.00001), number of required analgesics (OR = 0.18; 95% CI 0.11-0.31; P < 0.00001), analgesic consumption (SMD = - 0.38; 95% CI - 0.63 to - 0.13; P = 0.003), nausea and vomiting (OR = 0.38; 95% CI 0.17-0.86; P = 0.02), as well as rescue antiemetics (OR = 0.40; 95% CI 0.20-0.79; P = 0.008).

conclusionsPerioperative dexamethasone is effective to reduce the pain, nausea and vomiting after thyroid surgery.

Indexed as

Pain ManagementThyroid GlandDexamethasoneHumansPostoperative PainRandomized Controlled Trials as TopicDexamethasoneDexamethasonePostoperative painRandomized controlled trialsThyroid surgery

Identifiers

PMID32804272
OpenAlexW3081497977

What OpenQuestion holds

Textmetadata
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.