Evidence map›Paper›PMID 36457090›Full record

Trial reportBMC anesthesiology2022

Efficacy of postoperative analgesia with duloxetine in posthemorrhoidectomy pain: a prospective, randomized, double-blind and placebo-controlled trial.

Marlus Tavares Gerber, Humberto Fenner Lyra, Thomas Rolf Erdmann, Fernanda Bomfati, Patrick Barcelos Gaspareto, Getúlio Rodrigues de Oliveira Filho

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2022. 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
0.9field-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

2 citing papers in PubMed, 4 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

6 authors at 2 institutions in 1 country.

Marlus Tavares GerberUniversity Hospital, Federal University of Santa Catarina, Maria Flora Pausewang St. S/N Campus Universitário - Trindade, Florianopolis, Santa Catarina, 88036-800, Brazil. marlusgerber@yahoo.com.br.ORCID 0000-0002-2211-4629
Humberto Fenner LyraUniversity Hospital, Federal University of Santa Catarina, Maria Flora Pausewang St. S/N Campus Universitário - Trindade, Florianopolis, Santa Catarina, 88036-800, Brazil.ORCID 0000-0001-8649-802X
Thomas Rolf ErdmannUniversity Hospital, Federal University of Santa Catarina, Maria Flora Pausewang St. S/N Campus Universitário - Trindade, Florianopolis, Santa Catarina, 88036-800, Brazil.ORCID 0000-0003-4741-0245
Fernanda BomfatiErasto Gaertner Hospital, Curitiba, Parana, Brazil.
Patrick Barcelos GasparetoUniversity Hospital, Federal University of Santa Catarina, Maria Flora Pausewang St. S/N Campus Universitário - Trindade, Florianopolis, Santa Catarina, 88036-800, Brazil.ORCID 0000-0003-3888-1563
Getúlio Rodrigues de Oliveira FilhoDepartment of Surgery, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.ORCID 0000-0001-6190-5653
Universidade Federal de Santa Catarina · BRHospital Erasto Gaertner · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effect of duloxetine when added to a multimodal analgesia regimen on posthemorrhoidectomy pain, opioid consumption, and side effects.

methodsProspective, randomized, double-blind placebo-controlled trial. This study included 62 patients who underwent hemorrhoidectomy. The patients were randomly assigned to receive oral duloxetine 60 mg or placebo 2 h before and 24 h after surgery. The primary outcomes were pain intensity - measured on an 11-point visual analog pain scale - and cumulative morphine consumption at 12, 24, and 48 postoperative hours.

resultsFifty-two patients completed the study (25 in the duloxetine group and 27 in the placebo group). Pain scores did not differ between duloxetine and placebo: 4.5; 3.0 - 7.0 vs. 5.0; 3.5 - 7.0, p = 0.68 at 12 h, 3.0; 2.0 - 5.0 vs. 3.0; 2.0 - 5.0, p = 0.56 at 24 h, and 2.5; 1.75 - 3.75 vs. 1.5; 0.5 - 3, p = 0.08 at 48 h. Further, cumulative morphine consumption did not differ between the duloxetine and placebo groups: 4; 1.25 - 10.75 mg vs. 7; 1.0 - 12.0 mg, p = 0.68 at 12 h, 9.5; 2.0 - 17.5 mg vs. 8.0; 4.0 - 18.0 mg; p = 0.80 at 24 h, and 11.0; 2.0 - 27.0 mg vs. 10; 4.0 - 24.0 mg, p = 0.78 at 48 h. Side effects did not differ between the groups.

conclusionsCompared with placebo, duloxetine did not decrease pain intensity or morphine consumption during the first 48 h postoperatively.

trial registrationThe study was retrospectively registered on the Brazilian Clinical Trials Registry (identifier: RBR-9pdgms, registration date: 08/10/2020).

Indexed as

AnalgesiaDrug-Related Side Effects and Adverse ReactionsDuloxetine HydrochlorideHumansMorphinePainProspective StudiesDuloxetine HydrochlorideMorphineAcute painDuloxetineHemorrhoidectomyMorphine consumption, postoperative pain

Identifiers

PMID36457090
PMCPMC9714059
OpenAlexW4311067348

What OpenQuestion holds

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Registered trials

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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.