Evidence map›Paper›PMID 36557019›Full record

Observational studyMedicina (Kaunas, Lithuania)2022

Postoperative Pain Management after Full Endoscopic Lumbar Discectomy: An Observational Study.

Guang-Xun Lin, Li-Wei Sun, Shang-Wun Jhang, Chien-Min Chen, Gang Rui, Bao-Shan Hu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
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 3 institutions in 2 countries.

Guang-Xun LinDepartment of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, China.ORCID 0000-0002-9828-2768
Li-Wei SunDivision of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua 500209, Taiwan.
Shang-Wun JhangDivision of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua 500209, Taiwan.
Chien-Min ChenDivision of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua 500209, Taiwan.
Gang RuiDepartment of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, China.
Bao-Shan HuDepartment of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361000, China.
Fujian Medical University · CNChanghua Christian Hospital · TWKaohsiung Medical University · TW

Funding

Natural Science Foundation of Fujian Province 2021J05282Xiamen Health System Discipline Leaders and their Backup Candidates, Senior Management Talent Training Candidates Training Program 2021
6 · The paper itself

Abstract

Background: Surgical incision pain, rebound pain, and recurrence can manifest themselves in different forms of postoperative pain after full endoscopic lumbar discectomy (FELD). This study aims to evaluate various postoperative pains after FELD and summarize their characteristics. Methods: Data about the demographic characteristics of patients, pain intensity, and functional assessment results were collected from January 2016 to September 2019. Clinical outcomes including Oswestry Disability Index (ODI) and visual analog scale (VAS) scores, were obtained. Results: A total of 206 patients were enrolled. ODI and VAS of the patients significantly decreased after FELD at 12-month follow-up. A total of 193 (93.7%) patients had mild surgical incision pain after FELD and generally a VAS < 4, and it mostly resolved on its own within 3 days. A total of 12 (5.8%) patients experienced rebound pain, which was typically characterized by pain (mainly leg pain with or without back pain), generally occurring within 2 weeks after FELD and lasting < 3 weeks. The pain levels of rebound pain were equal to or less than those of preoperative pain, and generally scored a VAS of < 6. The recurrence rate was 4.4%. Recurrence often occurs within three months after surgery, with the pain level of the recurrence being greater than or equal to the preoperative pain. Conclusions: Different types of postoperative pain have their own unique characteristics and durations, and treatment options are also distinct. Conservative treatment and analgesia may be indicated for rebound pain and surgical incision pain, but recurrence usually requires surgical treatment.

Indexed as

Intervertebral Disc DisplacementSurgical WoundBack PainDiskectomyEndoscopyHumansLumbar VertebraePostoperative PainRetrospective StudiesTreatment OutcomeFELDfull endoscopic lumbar discectomylumbar disc herniationpostoperative painrebound pain

Identifiers

PMID36557019
PMCPMC9786695
OpenAlexW4312125719

What OpenQuestion holds

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LicenceCC BY
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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.