Evidence map›Paper›PMID 34627828›Full record

SynthesisBrazilian journal of anesthesiology (Elsevier)

Perioperative costs of local or regional anesthesia versus general anesthesia in the outpatient setting: a systematic review of recent literature.

Valérie Graff, Luca Gabutti, Giorgio Treglia, Mariarosa Pascale, Luciano Anselmi, Stefano Cafarotti, Davide La Regina, Francesco Mongelli, Andrea Saporito

Abstract readSystematic Review
In one paragraph

Synthesis in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  19. The Role of Regional Anaesthesia and Acute Pain Services in Value-Based Healthcare.Turkish journal of anaesthesiology and reanimation · 2023
    Article
  20. 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

9 authors.

Valérie GraffOspedale San Giovanni, Anesthesia, Bellinzona, Switzerland.
Luca GabuttiOspedale San Giovanni, Internal Medicin, Bellinzona, Switzerland.
Giorgio TregliaOspedale San Giovanni, Clinical Trial Unit of the Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Mariarosa PascaleOspedale San Giovanni, Clinical Trial Unit of the Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Luciano AnselmiOspedale San Giovanni, Anesthesia, Bellinzona, Switzerland.
Stefano CafarottiOspedale San Giovanni, Surgery, Bellinzona, Switzerland.
Davide La ReginaOspedale San Giovanni, Surgery, Bellinzona, Switzerland.
Francesco MongelliOspedale Regionale di Lugano, Surgery, Lugano, Switzerland. Electronic address: francesco.mongelli@mail.com.
Andrea SaporitoOspedale San Giovanni, Anesthesia, Bellinzona, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn this systematic review, we carried out an assessment of perioperative costs of local or regional anesthesia versus general anesthesia in the ambulatory setting.

methodsA systematic literature search was conducted to find relevant data on costs and cost-effectiveness analyses of anesthesia regimens in outpatients, regardless of the medical procedure they underwent. The hypothesis was that local or regional anesthesia has a lower economic impact on hospital costs in the outpatient setting. The primary outcome was the average total cost of anesthesia calculated on perioperative costs (drugs, staff, resources used).

resultsOne-thousand-six-hundred-ninety-eight records were retrieved, and 28 articles including 27,581 patients were selected after reviewing the articles. Data on the average total costs of anesthesia and other secondary outcomes (anesthesia time, recovery time, time to home readiness, hospital stay time, complications) were retrieved. Taken together, these findings indicated that local or regional anesthesia is associated with lower average total hospital costs than general anesthesia when performed in the ambulatory setting. Reductions in operating room time and postanesthesia recovery time and a lower hospital stay time may account for this result.

conclusionsDespite the limitations of this systematic review, mainly the heterogeneity of the studies and the lack of cost-effectiveness analysis, the economic impact of the anesthesia regimes on healthcare costs appears to be relevant and should be further evaluated.

Indexed as

Anesthesia, ConductionOutpatientsAnesthesia, GeneralCost-Benefit AnalysisHumansLength of StayAnesthesiaCosts and Cost AnalysisEconomicsOutpatients

Identifiers

PMID34627828
PMCPMC10240220

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.