Evidence map›Paper›PMID 33982238›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Preoperative analgesic instruction and prescription reduces early home pain after outpatient surgery: a randomized controlled trial.

Jean Selim, Zoubir Djerada, Céline Chaventre, Thomas Clavier, Bertrand Dureuil, Emmanuel Besnier, Vincent Compere

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03205189 (Comparison Between Pre-operative Prescription Delivered During Anesthesia Consultation or Post-operative Prescription), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-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.

NCT03205189 nacompletednot on this map

Comparison Between Pre-operative Prescription Delivered During Anesthesia Consultation or Post-operative Prescription: a Randomized Prospective Trial

TypeinterventionalSponsorUniversity Hospital, RouenRan2017 to 2018Enrolled200ConditionsPostoperative Pain, Ambulatory Surgery, Anesthesia, Postoperative ComplicationArmsComparison between pre-operative prescription and post-operative prescription
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Jean SelimDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France. jean.selim@chu-rouen.fr.ORCID http://orcid.org/0000-0002-1395-1601
Zoubir DjeradaDepartment of Pharmacology, EA3801, SFR CAP-Santé, Reims University Hospital, 51 rue Cognacq-Jay, 51095, Reims, France.
Céline ChaventreDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Thomas ClavierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Bertrand DureuilDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Emmanuel BesnierDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Vincent CompereDepartment of Anesthesiology and Critical Care, Rouen University Hospital, 1 rue de Germont, 76000, Rouen, France.
Inserm · FRUniversité de Rouen Normandie · FRCentre Hospitalier Universitaire de Reims · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHome pain remains the most common complication in outpatient surgery. Optimal management requires good information and early availability of analgesics. The main objective of this randomized controlled trial was to compare the effects of pre- vs postoperative analgesic instruction and prescription on postoperative home pain.

methodsPatients were randomized into an anesthesia consultation group (AC group) and a standard postoperative group (POP group). The AC group and the POP group received analgesic prescription and instruction during the anesthesia consultation and after surgery, respectively. The primary outcome was the incidence of home pain on postopertive day one (D1). Home pain was defined by at least one episode with a numeric rating scale score > 3/10 at rest. Treatment compliance and postoperative nausea and vomiting (PONV) were also assessed on D1 and postoperative day 7 (D7).

resultsOne hundred and eighty-six patients were included between May 2017 and May 2018 at Rouen University Hospital, France. Ninety-four patients were randomized to the AC group and 92 to the POP group. On D1, the incidence of pain was 23/94 (24%) in the AC group and 44/92 (48%) in the POP group (P < 0.001). On D1, the rate of treatment compliance was significantly higher in the AC group than in the POP group (85% vs 69%; P = 0.02). There was no statistically significant difference in the incidence of pain or treatment compliance between groups on D7 or in PONV on D1 and on D7.

conclusionsPreoperative analgesic instruction and prescription during anesthesia consultation reduces the incidence of early postoperative home pain in outpatient surgery.

trial registrationwww.clinicaltrialsgov (NCT03205189); registered 2 July 2017.

Indexed as

Ambulatory Surgical ProceduresPostoperative Nausea and VomitingAnalgesicsAnalgesics, OpioidDouble-Blind MethodHumansPostoperative PainPrescriptionsAnalgesicsAnalgesics, Opioidanalgesic prescriptionoutpatient surgerypostoperative pain

Identifiers

PMID33982238
OpenAlexW3161093055

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.