Evidence map›Paper›PMID 32876936›Full record

ReviewDrugs2020

Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment.

Ruchir Gupta, Thomas Van de Ven, Srinivas Pyati

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Drugs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06750627 (Efficacy of Continuous Erector Spinae Plane Block to Reduce Postoperative Pain in Patients Undergoing Unilateral Thoracotomy), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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.

NCT06750627 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Continuous Erector Spinae Plane Block to Reduce Postoperative Pain in Patients Undergoing Unilateral Thoracotomy

TypeinterventionalSponsorUdayana UniversityRan2025 to 2025Enrolled30ConditionsContinuous Erector Spinae Plane Block, Unilateral ThoracotomyArmsContinuous Erector Spinae Plane Block, Multimodal Intravenous Analgesia
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

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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

3 authors.

Ruchir GuptaDepartment of Anesthesiology, Mayo Clinic Hospital, Phoenix, AZ, 85054, USA.
Thomas Van de VenDepartment of Anesthesiology, Duke University School of Medicine, Durham Veterans Affairs Health Systems, 508 Fulton St, Durham, NC, 27705, USA.
Srinivas PyatiDepartment of Anesthesiology, Duke University School of Medicine, Durham Veterans Affairs Health Systems, 508 Fulton St, Durham, NC, 27705, USA. Srinivas.pyati@duke.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treating acute pain after thoracotomy surgery and preventing the development of chronic post-thoracotomy pain syndrome (PTPS) remain significant challenges in this surgical population. While appropriately treated acute thoracotomy pain often resolves, a significant number of patients develop PTPS, with up to 65% of patients experiencing some pain and 10% suffering life-altering, debilitating pain. Currently, there is very little known about specific molecular targets or novel therapeutic combinations that effectively prevent PTPS. Identifying modifiable clinical risk factors (procedure, physical and mental health, preoperative pain in the surgical area and another regions) seems to the most pragmatic approach for prevention for now. Effective acute pain management adopting a multimodal approach can result in a decreased incidence of PTPS. Interventional techniques such as paraverterbral blocks, intercostal blocks, and erector spinae blocks show some promise as well. Future research should be focused on minimally invasive surgeries and also the effect of ERAS protocols, including early mobilization, nutrition, and early removal of drains, on the development of PTPS.

Indexed as

AnalgesiaAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalEnhanced Recovery After SurgeryHumansIncidenceNerve BlockNeuralgiaPain ManagementPain MeasurementPatient Education as TopicPostoperative Nausea and VomitingPostoperative PainPreoperative CareRisk AssessmentRisk FactorsAnalgesics, OpioidAnti-Inflammatory Agents, Non-Steroidal

Identifiers

What OpenQuestion holds

Textmetadata
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.