Evidence map›Paper›PMID 34540643›Full record

ArticleAnesthesiology and pain medicine2021

Programmable Pump for Intrathecal Morphine Delivery to Cisterna Magna: Clinical Implications in Novel Management of Refractory Pain Above Middle Thoracic Vertebrae Level Utilizing a Prospective Trial Protocol and Review.

Chang Sun, Yu-Tong Wang, Yu-Jie Dai, Zhi-Hui Liu, Jing Yang, Zhu-Qiang Cheng, Dao-Song Dong, Cheng-Fu Wang, Guo-Li Zhao, Gui-Jun Lu and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Technical guideline for intra-prepontine cisternal drug delivery via spinal puncture through subarachnoid catheterization.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Guideline
  2. Review
  3. Article
  4. Conolidine: A Novel Plant Extract for Chronic Pain.Anesthesiology and pain medicine · 2021
    Review
  5. Article
  6. 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

17 authors at 7 institutions in 3 countries.

Chang SunDepartment of Orthopedics, Xijing Hospital, The Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Yu-Tong WangDepartment of Emergency, Xijing Hospital, The Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Yu-Jie DaiDepartment of Clinical Nutrition, Xijing Hospital, The Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Zhi-Hui LiuDepartment of Anesthesiology, Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China.
Jing YangDepartment of Anesthesiology, Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China.
Zhu-Qiang ChengDepartment of Anesthesiology, Pain Medicine Center, Jinling Hospital, Nanjing, China.
Dao-Song DongDepartment of Pain Medicine, The First Affiliated Hospital of Chinese Medical University, Shenyang, China.
Cheng-Fu WangDepartment of Pain Medicine, The First Affiliated Hospital of Chinese Medical University, Shenyang, China.
Guo-Li ZhaoDepartment of Anesthesiology, Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China.
Gui-Jun LuDepartment of Anesthesiology, Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China.
Tao SongDepartment of Pain Medicine, The First Affiliated Hospital of Chinese Medical University, Shenyang, China.
Yi JinDepartment of Anesthesiology, Pain Medicine Center, Jinling Hospital, Nanjing, China.
Alan D KayeDepartment of Anesthesiology, LSU Health Shreveport, Shreveport, USA.ORCID https://orcid.org/0000-0003-2464-0187
Farnad ImaniPain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-0814-0772
Kambiz SadegiDepartment of Anesthesiology, Zabol University of Medical Sciences, Zabol, Iran.ORCID https://orcid.org/0000-0002-0221-5799
Li-Li SunDepartment of Neurology, Xijing Hospital, The Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Yong-Hai SunDepartment of Anesthesiology, Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNFirst Hospital of China Medical University · CNXijing Hospital · CNNanjing General Hospital of Nanjing Military Command · CNIran University of Medical Sciences · IRLouisiana State University Health Sciences Center Shreveport · USZabol University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cisterna Intrathecal Drug Delivery system (IDDS) with morphine has proven to be effective in treating refractory cancer pain above the middle thoracic vertebrae level in some countries. However, it has not been fully investigated in others. We designed the current project to investigate the efficacy and safety of cisterna IDDS for pain relief in refractory pain above the middle thoracic vertebrae level in advanced cancer patients.

methodsThis study protocol allows for eligible cancer patients to receive the cisterna IDDS operation. Pain intensity (Visual Analogue scale, VAS), quality of life (36-Item Short-Form Health Survey, SF-36), and depression (Self-Rating Depression scale, SDS) are assessed along with side effects in the postoperative follow-up visits. Recent literature suggests a potential role for cisterna IDDS morphine delivery for refractory pain states above the middle thoracic level.

conclusionThe results of this study may provide further evidence that cisterna IDDS of morphine can serve as an effective and safe pain relief strategy for refractory pain above the middle thoracic vertebrae level in advanced cancer patients.

Indexed as

Cancer PatientsCisterna MagnaIntrathecal PumpMorphineRefractory Pain

Identifiers

PMID34540643
PMCPMC8438709
OpenAlexW3173198581

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.