Evidence map›Paper›PMID 33809273›Full record

ArticleCancers2021

Efficacy of Multimodal Analgesia for Postoperative Pain Management in Head and Neck Cancer Patients.

Ashley Hinther, Steven C Nakoneshny, Shamir P Chandarana, T Wayne Matthews, Robert Hart, Christiaan Schrag, Jennifer Matthews, C David McKenzie, Gordon H Fick, Joseph C Dort

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06201039 (Continuous Local Anesthetic Wound Infusion to Improve Quality of Recovery Following Ablative Surgery and Neck Dissection), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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.

NCT06201039 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Continuous Local Anesthetic Wound Infusion to Improve Quality of Recovery Following Ablative Surgery and Neck Dissection: a Randomized Controlled Trial.

TypeinterventionalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2024 to 2025Enrolled80ConditionsHead and Neck CancerArms0.5% Lidocaine Hydrochloride, 0.9% Normal Saline
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Unveiling Prescribing Patterns: A Systematic Review of Chronic Opioid Prescriptions After Head and Neck Cancer Surgeries.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Article
  8. Review
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  10. Article
  11. Psychological Survivorship in Head and Neck Cancer.Seminars in plastic surgery · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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

10 authors at 1 institution in 1 country.

Ashley HintherSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Steven C NakoneshnyOhlson Research Initiative, Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0002-8920-0310
Shamir P ChandaranaSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0001-6612-4717
T Wayne MatthewsSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Robert HartSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Christiaan SchragSection of Plastic and Reconstructive Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Jennifer MatthewsSection of Plastic and Reconstructive Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
C David McKenzieSection of Plastic and Reconstructive Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Gordon H FickCommunity Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Joseph C DortSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0002-0858-187X
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative opioid use has been linked to the subsequent development of opioid dependency. Multimodal analgesia (MMA) can reduce the use of opioids in the postoperative period, but MMA has not been well-studied after major head and neck surgery. Our goal is to explore the association between MMA and postoperative opioid use and pain control in patients undergoing major head and neck surgery. We performed a retrospective study in adult (age ≥ 18 years) patients undergoing primary head and neck cancer resection with free-flap reconstruction. All patients were treated using an established care pathway. The baseline group was treated between January 2015-December 2015 (

Indexed as

head and neck cancerhead and neck surgerymultimodal analgesiaperioperative pain controlpostoperative pain

Identifiers

PMID33809273
PMCPMC7999688
OpenAlexW3138479945

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.