Evidence map›Paper›PMID 36450946›Full record

Observational studyCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

Use of injections for chronic pain from 2010 to 2019 in Ontario, Canada.

Karim S Ladha, Sophie Kitchen, Sarah Miles, Hance Clarke, Tara Gomes

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 2 countries.

Karim S LadhaDepartment of Anesthesia, St. Michael's Hospital, 30 Bond Street, 6 Donnelly North, Toronto, ON, M5B 1W8, Canada. karim.ladha@mail.utoronto.ca.ORCID http://orcid.org/0000-0001-7303-2458
Sophie KitchenICES, Toronto, ON, Canada.
Sarah MilesDepartment of Anesthesia and Pain Management, Toronto General Hospital, Toronto, ON, Canada.
Hance ClarkeDepartment of Anesthesia, St. Michael's Hospital, 30 Bond Street, 6 Donnelly North, Toronto, ON, M5B 1W8, Canada.
Tara GomesLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
St. Michael's Hospital · CAToronto General Hospital · CA

Funding

CIHR 153070
6 · The paper itself

Abstract

purposeThe management of chronic pain often involves interventional procedures such as injections. Nevertheless, there have been concerns raised regarding the frequency with which these injections are being performed. We conducted a descriptive study to examine trends in the use of pain injections over a ten-year time period in Ontario, Canada.

methodsWe used provincial administrative data to conduct a retrospective observational study of the most common pain injections performed from 2010 to 2019 in Ontario. We determined the frequency of pain injections and their associated physician billings from physician billing data.

resultsA total of 18,050,058 pain injections were included in this study with an associated total cost of CAD 865,431,605. There was a threefold increase in the number of blocks performed annually and associated costs, rising from 1,009,324 blocks (CAD 50,026,678) in 2010 to 3,198,679 blocks (CAD 156,809,081) in 2019. The majority of injections were performed by general practioners (70.8%), followed by anesthesiologists (8.3%).

conclusionThis descriptive study revealed a rapid increase in the frequency of pain injections performed in Ontario from 2010 to 2019. Given the associated costs and potential risks, this warrants further investigation to ensure that these interventions are being administered appropriately.

Indexed as

Chronic PainHumansInjectionsOntarioRetrospective Studieschronic painnerve blocksnerve injectionspain interventions

Identifiers

PMID36450946
OpenAlexW4310443855

What OpenQuestion holds

Textmetadata
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.