Evidence map›Paper›PMID 35070591›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Evaluating the Efficacy of Two Regional Pain Management Modalities in Autologous Breast Reconstruction.

Juan L Rendon, Jaume Borrell-Vega, Joshua-Paolo C Reyes, Diana M Wang, Cory Roeth, Mahmoud Abdel-Rasoul, Roman J Skoracki, Ronald L Harter, Susan D Moffatt-Bruce, Michelle L Humeidan

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 25% 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, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Liposomal bupivacaine and postoperative opioid consumption for oncologic and non-oncologic breast procedures: a literature review and meta-analysis.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Review
  6. 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

10 authors at 4 institutions in 2 countries.

Juan L RendonDepartment of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Jaume Borrell-VegaDepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Joshua-Paolo C ReyesDepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Diana M WangDepartment of Psychiatry, Kaiser Permanente Southern California, Fontana, Calif.
Cory RoethBoonshoft School of Medicine, Wright State University, Dayton, Ohio.
Mahmoud Abdel-RasoulDepartment of Biomedical Informatics, The Ohio State University College of Medicine, Columbus, Ohio.
Roman J SkorackiDepartment of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Ronald L HarterDepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Susan D Moffatt-BruceRoyal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.
Michelle L HumeidanDepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Ohio State University Wexner Medical Center · USRoyal College of Physicians and Surgeons of Canada · CAThe Ohio State University · USWright State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

At our institution, multimodal opiate-sparing pain management is the cornerstone of our enhanced recovery program for autologous breast reconstruction. The purpose of this study was to compare postoperative outcomes and pain control metrics following implementation of an enhanced recovery program with two different regional analgesia approaches.

methodsThis retrospective cohort study identified 145 women who underwent autologous breast reconstruction from 2015 to 2017. Three groups were included: historical control patients (n = 46) and enhanced recovery patients that received multimodal pain management including a postoperative transversalis abdominis plane block with either a continuous local anesthetic catheter (n = 60) or a single-shot of liposomal bupivacaine (n = 39). The primary outcome was pain scores in the first three postoperative days. Secondary outcomes were opioid consumption in oral morphine equivalents and length of stay.

resultsPostoperative pain scores were similar across all three groups until postoperative day 3. Length of stay was significantly shorter in both of the enhanced recovery cohorts (3.0 [3.0, 4.0]) compared with control patients (4.0 [4.0, 5.0],

conclusionCompared with control patients, both approaches to regional transversalis abdominis plane block analgesia as part of an opiate-sparing enhanced recovery pain management strategy were successful, but neither superior to the other.

Identifiers

PMID35070591
PMCPMC8769083
OpenAlexW4205192264

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.