Evidence map›Paper›PMID 33859887›Full record

ArticleCureus2021

Mode of Anesthesia and Quality of Recovery After Breast Surgery: A Case Series of 100 Patients.

Ganeshkrishna Nair, Danny J Wong, Edmund Chan, Tamara Alexander, Rajeev Jeevananthan, Amit Pawa

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. [Evaluation of the quality of anesthetic recovery in postoperative patients].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
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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

6 authors at 1 institution in 1 country.

Ganeshkrishna NairAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Danny J WongAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Edmund ChanAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Tamara AlexanderAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Rajeev JeevananthanAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Amit PawaAnaesthesia, Guy's & St Thomas' National Health Service (NHS) Foundation Trust, London, GBR.
Guy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRegional anesthesia techniques may improve patient recovery beyond treating postoperative pain alone and may facilitate patients in their return to functional, psychological as well as emotional baselines. We hypothesized that the quality of recovery (QoR) experienced by patients following breast surgery was associated with the type of anesthesia received as well as the use of a regional anesthesia technique during surgery.

methodsWe performed a single-center prospective, observational cohort study of patients undergoing elective breast procedures (both cancer and non-cancer surgery).

resultsOne hundred patients completed baseline QoR-15 questionnaires prior to surgery, of which 96 also completed QoR-15 questionnaires on postoperative day 1. The median (IQR) QoR-15 score at baseline was 133 (124-141), decreasing to 121 (106.75-136.25) on postoperative day 1. In multivariable linear regression analysis, paravertebral blocks (PVB) were associated with a 16.7 point higher overall QoR-15 score on postoperative day 1 compared to no block (95% Confidence Interval [CI]: 7.7-25.8, p<0.001); while the use of combination blocks was associated with a 21.8 point higher postoperative QoR-15 score compared to no block (95% CI: 12.8-30.8, p<0.001). PVB and combination blocks were further associated with better postoperative pain, physical comfort, physical independence and emotional state scores, compared with no block. The use of total intravenous anesthetic was not associated with differences in postoperative QoR-15 score versus volatile anesthetic, after covariate adjustment.

conclusionBreast surgery patients receiving PVB or a combination of regional blocks during surgery have higher postoperative QoR-15 scores, after adjustment for other factors.

Indexed as

breast surgeryquality of recoveryregional anesthesia

Identifiers

PMID33859887
PMCPMC8038898
OpenAlexW3134552202

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.