Evidence map›Paper›PMID 34638182›Full record

ArticleKorean journal of anesthesiology2022

Regional analgesia techniques for video-assisted thoracic surgery: a frequentist network meta-analysis.

Yumin Jo, Seyeon Park, Chahyun Oh, Yujin Pak, Kuhee Jeong, Sangwon Yun, Chan Noh, Woosuk Chung, Yoon-Hee Kim, Young Kwon Ko and 1 more

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in Korean journal of anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Erector spinae plane block for postoperative pain.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Erector spinae plane block for postoperative pain.The Cochrane database of systematic reviews · 2023
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  20. Regional block techniques for pain management after video-assisted thoracoscopic surgery: a covariate-adjusted Bayesian network meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
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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

11 authors at 2 institutions in 1 country.

Yumin JoDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Seyeon ParkDepartment of Nursing, College of Nursing, Chungnam National University, Daejeon, Korea.
Chahyun OhDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Yujin PakDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Kuhee JeongDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Sangwon YunDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Chan NohDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Woosuk ChungDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Yoon-Hee KimDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Young Kwon KoDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Boohwi HongDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea.
Chungnam National University · KRChungnam National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious regional analgesia techniques are used to reduce postoperative pain in patients undergoing video-assisted thoracic surgery (VATS). This study aimed to determine the relative efficacy of regional analgesic interventions for VATS using a network meta-analysis (NMA).

methodsWe searched the Medline, EMBASE, Cochrane Controlled Trial Register, Web of Science, and Google Scholar databases to identify all randomized controlled trials (RCTs) that compared the analgesic effects of the following interventions: control, thoracic paravertebral block (TPVB), erector spinae plane block (ESPB), serratus plane block (SPB), and intercostal nerve block (INB). The primary outcome was opioid consumption during the first 24-h postoperative period. Pain scores were also collected during three different postoperative periods: the early (0-6 h), middle (6-18 h), and late (18-24 h) periods.

resultsA total of 21 RCTs (1391 patients) were included. TPVB showed the greatest effect on opioid consumption compared with the control (mean difference [MD] = -13.2 mg; 95% CI [-16.2, -10.1]). In terms of pain scores in the early period, ESPB had the greatest effect compared to control (MD = -1.6; 95% CI [-2.3, -0.9]). In the middle and late periods, pain scores showed that TPVB, ESPB and INB had superior analgesic effects compared to controls, while SPB did not.

conclusionsTPVB had the best analgesic efficacy following VATS, though the analgesic efficacy of ESPBs was comparable. However, further studies are needed to determine the optimal regional analgesia technique to improve postoperative pain control following VATS.

Indexed as

AnalgesiaThoracic Surgery, Video-AssistedAnalgesics, OpioidHumansPostoperative PainAnalgesics, OpioidNerve blockNetwork meta-analysisOpioid analgesicsPostoperative painReviewVideo-assisted thoracic surgery

Identifiers

PMID34638182
PMCPMC9171539
OpenAlexW3206720756

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.