Evidence map›Paper›PMID 33733680›Full record

ArticleOperative neurosurgery (Hagerstown, Md.)2021

Stereotactic Electroencephalography Is Associated With Reduced Pain and Opioid Use When Compared with Subdural Grids: A Case Series.

Jonathan P Scoville, Evan Joyce, Joshua Hunsaker, Jared Reese, Herschel Wilde, Amir Arain, Robert L Bollo, John D Rolston

Erratum issuedOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Operative neurosurgery (Hagerstown, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Jonathan P ScovilleDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, USA.
Evan JoyceDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, USA.
Joshua HunsakerSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.
Jared ReeseSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.
Herschel WildeSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.
Amir ArainDepartment of Neurology, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah, USA.
Robert L BolloDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, USA.
John D RolstonDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, USA.ORCID 0000-0002-8843-5468
University of Utah · US

Funding

Patient-Specific Modeling and Network Perturbation to Enhance the Predictability of Direct Cortical Stimulation for EpilepsyK23NS114178 · NINDS · UNIVERSITY OF UTAH · PI ROLSTON, JOHN D · 2019 to 2023
$961k
Propagation patterns of microelectrode-recorded human interictal dischargesR21NS113031 · NINDS · UNIVERSITY OF UTAH · PI ROLSTON, JOHN D · 2019 to 2019
$427k
NINDS NIH HHS K23 NS114178NINDS NIH HHS R21 NS113031
6 · The paper itself

Abstract

backgroundMinimally invasive surgery (MIS) has been shown to decrease length of hospital stay and opioid use.

objectiveTo identify whether surgery for epilepsy mapping via MIS stereotactically placed electroencephalography (SEEG) electrodes decreased overall opioid use when compared with craniotomy for EEG grid placement (ECoG).

methodsPatients who underwent surgery for epilepsy mapping, either SEEG or ECoG, were identified through retrospective chart review from 2015 through 2018. The hospital stay was separated into specific time periods to distinguish opioid use immediately postoperatively, throughout the rest of the stay and at discharge. The total amount of opioids consumed during each period was calculated by transforming all types of opioids into their morphine equivalents (ME). Pain scores were also collected using a modification of the Clinically Aligned Pain Assessment (CAPA) scale. The 2 surgical groups were compared using appropriate statistical tests.

resultsThe study identified 43 patients who met the inclusion criteria: 36 underwent SEEG placement and 17 underwent craniotomy grid placement. There was a statistically significant difference in median opioid consumption per hospital stay between the ECoG and the SEEG placement groups, 307.8 vs 71.5 ME, respectively (P = .0011). There was also a significant difference in CAPA scales between the 2 groups (P = .0117).

conclusionOpioid use is significantly lower in patients who undergo MIS epilepsy mapping via SEEG compared with those who undergo the more invasive ECoG procedure. As part of efforts to decrease the overall opioid burden, these results should be considered by patients and surgeons when deciding on surgical methods.

Indexed as

Analgesics, OpioidElectroencephalographyElectrocorticographyHumansPainRetrospective StudiesAnalgesics, OpioidElectrocorticographyEpilepsyGridOpioidPainStereotactic electroencephalography

Identifiers

PMID33733680
PMCPMC8203422
OpenAlexW3137273418

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.