Evidence map›Paper›PMID 33209112›Full record

ReviewEcancermedicalscience2020

Lack of association between angiotensin-converting enzyme inhibitors and angiotensin receptor blockers and pain improvement in patients with oral cancer.

Kim N Du, Andrew J Shepherd, Irvin V Ma, Carlos J Roldan, Moran Amit, Lei M S Feng, Shubh Desai, Juan P Cata

Open access · goldAbstract readReview
In one paragraph

Review in Ecancermedicalscience, 2020. 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
0.5field-weighted citation impact, top 34% 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, 8 citations in OpenAlex.

  1. Review
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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

8 authors at 3 institutions in 1 country.

Kim N DuDepartment of Internal Medicine, Baylor College of Medicine - Houston, Texas 77030, USA.
Andrew J ShepherdDepartment of Symptom Research, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
Irvin V MaUniversity of Nevada, Reno School of Medicine, Las Vegas, NV 89557, USA.
Carlos J RoldanDepartment of Pain Medicine, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
Moran AmitDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
Lei M S FengDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
Shubh DesaiDepartment of Anesthesiology and Pain Medicine, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
Juan P CataDepartment of Anesthesiology and Pain Medicine, The University of Texas MD Anderson Cancer Center - Houston, Texas 77030, USA.
The University of Texas MD Anderson Cancer Center · USAnesthesiology and Surgical Oncology Research Group · USUniversity of Nevada, Reno · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundThere is a growing body of literature implicating angiotensin II in the modulation of tumour-associated inflammation and pain. However, the impact of angiotensin-converting enzyme inhibitors (ACEis) and angiotensin II receptor blockers (ARBs) on pain and inflammation has not yet been studied in oral cancers. The objective is to investigate the role of ACEi and ARB pharmacotherapy on preoperative pain and inflammatory biomarkers, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and monocyte-to-lymphocyte ratio (MLR), in patients with oral cancer.

methodsWe performed a retrospective study on patients who underwent oral cancer surgery. The Wilcoxon rank-sum test or Kruskal-Wallis analysis was used to evaluate differences in demographic, tumour-related and preoperative characteristics and amongst patients using ARBs, ACEis and no treatment. Multivariable analysis was fitted to estimate the effects of important covariates on severe preoperative pain.

resultsA total of 162 patients with oral malignancies were included in the study. After adjusting for significant covariates, patients with perineural invasion were found to have higher levels of pain (

conclusionsWhen compared to no treatment, ARBs and ACEis are not associated with significant analgesic effect or decreased inflammatory scores (NLR, PLR and MLR).

Indexed as

angiotensin receptor blockersoral cancerpain

Identifiers

PMID33209112
PMCPMC7652423
OpenAlexW3023566088

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.