Evidence map›Paper›PMID 34880158›Full record

ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2022

Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair.

Mitsuharu Hosono, Hiroshi Yasumoto, Shintaro Kuwauchi, Yoshino Mitsunaga, Uetsuki Tomohiko, Naoki Minato, Kohei Kawazoe

Open access · goldAbstract read
In one paragraph

Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Mitsuharu HosonoDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Hiroshi YasumotoDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Shintaro KuwauchiDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Yoshino MitsunagaDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Uetsuki TomohikoDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Naoki MinatoDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Kohei KawazoeDepartment of Cardiovascular Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Kansai Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively.

methodsOur comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal muscle division to mobilize the cut rib, limiting the number of intercostal ports, avoiding nerve entrapment, continuous extra-pleural intercostal nerve block, and regular use of oral non-steroidal anti-inflammatory drugs. We compared patients treated with this comprehensive strategy (Group S, n = 13) and patients before this strategy was implemented (Group C, n = 13). We used a numerical rating scale (NRS) as a pain scale during the first 3 days postoperatively.

resultsThe average NRS was significantly lower in Group S (0.82 ± 0.49) than in Group C (2.40 ± 1.46) (P <0.01). The maximum NRS was also significantly lower in Group S (3.23 ± 1.17) than in Group C (5.69 ± 2.43) (P <0.01). The number of patients using additional single-dose analgesic were significantly less in Group S (23.1%) than in Group C (84.6%) (P <0.01).

conclusionOur comprehensive pain control strategy effectively reduced postoperative pain in minimally invasive mitral valve repair.

Indexed as

Mitral ValvePain ManagementHumansMinimally Invasive Surgical ProceduresPainRetrospective StudiesThoracotomyTreatment Outcomeminimally invasive cardiac surgerymitral valve repairpain control

Identifiers

PMID34880158
PMCPMC9209889
OpenAlexW4200102315

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.