Evidence map›Paper›PMID 34278347›Full record

ArticleF&S reports2021

Routine ketorolac at oocyte retrieval decreases postoperative narcotic use by more than 50.

Emily A Seidler, Denis A Vaughan, Angela Q Leung, Denny Sakkas, David A Ryley, Alan S Penzias

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in F&S reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06026553 (A Randomized Blinded Placebo Controlled Trial Assessing Ketorolac), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT06026553 phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

A Randomized Blinded Placebo Controlled Trial Assessing Ketorolac (Toradol) at Oocyte Retrieval

TypeinterventionalSponsorShady Grove Fertility Reproductive Science CenterRan2022 to 2025Enrolled400ConditionsInfertility, Infertility, Female, Oocyte Retrieval, Postoperative PainArmsKetorolac (Toradol), Placebo (saline)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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 3 institutions in 1 country.

Emily A SeidlerDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, Massachusetts.
Denis A VaughanDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, Massachusetts.
Angela Q LeungDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, Massachusetts.
Denny SakkasBoston IVF, 130 2nd Ave, Waltham, Massachusetts.
David A RyleyDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, Massachusetts.
Alan S PenziasDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, Massachusetts.
Beth Israel Deaconess Medical Center · USBoston IVF · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the impact of routine ketorolac administration during oocyte retrieval on the proportion of patients who require postoperative narcotics for analgesia.

designRetrospective cohort study.

settingSingle, university-affiliated infertility clinic. PATIENTS: All women undergoing oocyte retrieval between July and November 2016 (non-ketorolac group [NKG]; n = 826) and April-August 2017 (ketorolac group, KG; n = 1780).

interventionsA single 30 mg intravenous dose of ketorolac was administered after the oocyte retrieval procedure.

main outcome measuresThe number of patients who required postoperative narcotic analgesia, postoperative complication rate, and fresh embryo transfer pregnancy outcomes were examined.

resultsIn the KG, we found a significant decrease in the patients who required narcotics after oocyte retrieval compared with the NKG (12% KG vs. 25.5% NKG). We found no significant change in the clinical pregnancy rate (CPR) resulting from fresh embryo transfer after our intervention (NKG CPR 32.6%, KG CPR 32.4%). Furthermore, there was no increase in postoperative bleeding complications in the KG.

conclusionsRoutine use of ketorolac at the time of oocyte retrieval may decrease the rate of postoperative opioid use without adversely impacting pregnancy and complication rates.

Indexed as

IVFketorolacnon-narcotic analgesiaNSAIDoocyte retrievalpostoperative pain control

Identifiers

PMID34278347
PMCPMC8267402
OpenAlexW3126718812

What OpenQuestion holds

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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.