Evidence map›Paper›PMID 35590364›Full record

SynthesisJournal of orthopaedic surgery and research2022

Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgery.

Haolan Xiong, Xiaohua Chen, Wenxiu Zhu, Wuke Yang, Fuming Wang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. 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

5 authors at 1 institution in 1 country.

Haolan XiongDepartment of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China.
Xiaohua ChenDepartment of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China.
Wenxiu ZhuDepartment of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China.
Wuke YangDepartment of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China.
Fuming WangDepartment of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China. richdaywfm@163.com.ORCID http://orcid.org/0000-0002-0834-1390
First People's Hospital of Chongqing · CN

Funding

Medical Research Project of Chongqing Health Commission 2022WSJK001
6 · The paper itself

Abstract

backgroundQuadratus lumborum block is a truncal block with several technique variations. It has been reported as providing effective analgesia for postoperative pain. The aim of this study is to determine the efficacy of the QL block in providing postoperative analgesia for hip surgery when compared with placebo or no block or other analgesic techniques.

methodsRandomized trials evaluating quadratus lumborum block benefits in elective hip surgery were sought. The primary outcome was the 24 h opioid requirement after surgery. Two independent reviewers selected the studies and extracted the data.

resultsThirteen randomized-controlled trials were included in this study. The included studies had significant heterogeneity regarding comparator groups; therefore, a limited quantitative analysis was undertaken for the comparison of QL block versus no block or placebo only. QL block reduced the opioid use by 15.78 (95% CI, 2.31 to 29.26) mg IME in the first postoperative 24 h compared with no block or placebo with no difference in static pain scores, pain grade was reduced by 2.95 (95% CI, 2.40 to 3.60) in the QL block group compared with placebo or no block in the first postoperative 24 h during movement.

conclusionsOur meta-analysis indicates that QL block may be effective for analgesia in patients after hip surgery compared with placebo or no block. There is currently limited evidence comparing QL block with other analgesic techniques for hip surgery.

Indexed as

AnalgesiaNerve BlockAdultAnalgesicsAnalgesics, OpioidAnesthetics, LocalHumansPostoperative PainRandomized Controlled Trials as TopicAnalgesicsAnalgesics, OpioidAnesthetics, LocalHip surgeryPostoperative analgesiaQuadratus lumborum block

Identifiers

PMID35590364
PMCPMC9118859
OpenAlexW4280606159

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.