Evidence map›Paper›PMID 34512009›Full record

ReviewJournal of pain research2021

A Systematic Review and Meta-Analysis of Intraperitoneal Bupivacaine in Laparoscopic Gynecologic Surgery.

Greg Marchand, Kelly Ware, Malini Govindan, Ahmed T Masoud, Alexa King, Stacy Ruther, Giovanna Brazil, Kaitlynne Cieminski, Nicolas Calteux, Catherine Coriell and 7 more

Abstract readReview
In one paragraph

Review in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

17 authors.

Greg MarchandMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.ORCID 0000-0003-4724-9148
Kelly WareMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Malini GovindanMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Ahmed T MasoudMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Alexa KingMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Stacy RutherMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Giovanna BrazilMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Kaitlynne CieminskiMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Nicolas CalteuxMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Catherine CoriellMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Hollie UlibarriMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Julia PariseMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Amanda ArroyoMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.
Diana ChenMidwestern University College of Osteopathic Medicine, Glendale, AZ, USA.
Maria PiersonMidwestern University College of Osteopathic Medicine, Glendale, AZ, USA.
Rasa RafieRocky Vista University College of Osteopathic Medicine, Parker, CO, USA.
Katelyn SainzMarchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe set out to evaluate whether the instillation of bupivacaine versus a saline solution into the peritoneal cavity at time of laparoscopic gynecologic surgery will reduce postoperative pain and postoperative opioid consumption. DATA SOURCES: We searched six databases: Web of Science, SCOPUS, Cochrane CENTRAL, ClinicalTrials.Gov, MEDLINE and PubMed. Our search strategy had no restriction on time or languages and included all studies that met our search algorithm up to March of 2021. METHODS OF STUDY SELECTION: We included only randomized trials that met our search strategy for the outcomes of 1) pain intensity 24 hours after surgery, 2) pain intensity 6 hours after surgery, and 3) length of hospital stay. TABULATION INTEGRATION AND

resultsWe analyzed continuous data using mean difference (MD) with relative 95% confidence interval (CI). We included 8 randomized clinical trials. We found that intraperitoneal bupivacaine showed significant difference from the saline group regarding pain intensity 24 hours after surgery (MD= -0.73 [-1.10, -0.36]) (P = 0.01) and pain intensity 6 hours after surgery (MD= -1.12 [-2.22, -0.02]) (P = 0.05). Overall, patients allocated to the placebo group seemed to need other analgesics earlier than patients allocated to the bupivacaine group (MD=145.08 [51.37, 238.79] (P = 0.02)). There was no significant difference regarding the length of hospital stay (MD= -0.44 [-1.44, 0.56]) (P = 0.39).

conclusionBupivacaine significantly reduced the visual analog pain score for pain compared with that of the placebo at 6 and 24 hours postoperatively. There was no significant difference in hospital stay. PROSPERO REGISTRATION: CRD42021254268.

Indexed as

bupivacaineenhanced recovery after surgeryERASintra-abdominal anestheticmarcaine

Identifiers

PMID34512009
PMCPMC8421670

What OpenQuestion holds

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Registered trials

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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.