Evidence map›Paper›PMID 32867692›Full record

SynthesisBMC anesthesiology2020

Comparison of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease: a systematic review and meta-analysis.

Chen Gao, Chunyan Weng, Chenghai He, Jingli Xu, Liqiang Yu

Registry-linked trialOpen access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04730310 (Association of Anesthesia Technique With Graft Patency Rates After Open Lower Limb Revascularization), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT04730310 completednot on this mapstarted 2021, after this paper: background citation

Association of Anesthesia Technique With Graft Patency Rates After Open Lower Limb Revascularization: a Retrospective Population Cohort Study

TypeobservationalSponsorUniversity of British ColumbiaRan2021 to 2022Enrolled8,893ConditionsRegional Anesthesia, Vascular Grafting, Vascular PatencyArmsNSQIP Lower Extremity Open (LEO) procedure-targeted dataset (i.e. undergoing Lower extremity open revascularization) from 2014-2019
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. 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

5 authors at 3 institutions in 1 country.

Chen GaoDepartment of Nephrology, The Hangzhou Fuyang Hospital of Traditional Chinese Medicine, Zhejiang, Hangzhou, China.
Chunyan WengThe First Clinical Medical of Zhejiang Chinese Medicine University, Zhejiang, Hangzhou, China.
Chenghai HeDepartment of Internal Medicine, The Affiliated Hospital of Hangzhou Normal University, 126 Wenzhou Road, Zhejiang, Hangzhou, China. hikiddhechenghai@163.com.ORCID 0000-0003-4192-5766
Jingli XuThe First Clinical Medical of Zhejiang Chinese Medicine University, Zhejiang, Hangzhou, China.
Liqiang YuDepartment of Nephrology, The Hangzhou Fuyang Hospital of Traditional Chinese Medicine, Zhejiang, Hangzhou, China.
Hangzhou Hospital of Traditional Chinese Medicine · CNZhejiang Chinese Medical University · CNAffiliated Hospital of Hangzhou Normal University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArteriovenous fistulae (AVF) are the hemodialysis access modality of choice for patients with end-stage renal disease. However, they have a high early failure rate. Good vascular access is essential to manage long-term hemodialytic treatment, but some anesthesia techniques directly affect venous diameter as well as intra- and post-operative blood flow. The main purpose of this meta-analysis was to compare the results of regional and local anesthesia (RA and LA) for arteriovenous fistula creation in end-stage renal disease.

methodsWe conducted a systematic review and meta-analysis to synthesize evidence from 7 randomized controlled trials (565 patients) and 1 observational study (408 patients) with the aim of evaluating the safety and efficacy of RA versus LA in surgical construction of AVF.

resultsPooled data showed that RA was associated with higher primary patency rates than LA (odds ratio [OR], 1.88; 95% confidence interval [CI]: 1.24-2.84; P = 0.003; I

conclusionsThis meta-analysis suggests that RA is preferable to LA in patients with end-stage renal disease in guaranteeing AVF patency and increasing brachial artery diameter.

Indexed as

Anesthesia, ConductionAnesthesia, LocalArteriovenous Shunt, SurgicalHumansKidney Failure, ChronicRandomized Controlled Trials as TopicRetrospective StudiesTreatment OutcomeArteriovenous fistulaEnd-stage renal diseaseLocal anesthesiaMeta-analysisRegional anesthesiaSystematic review

Identifiers

PMID32867692
PMCPMC7457346
OpenAlexW3081854304

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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.