Evidence map›Paper›PMID 36628043›Full record

ReviewCureus2022

Effect of Parecoxib on Postoperative Pain Management After Total Knee/Hip Arthroplasty: A Systematic Review and Meta-Analysis.

Sri Nikhil Zallipalli, Rakesh Reddy Bethi, Madhuri Kandru, Nikith Kashyap Dendukuri, Geethanjali Gandla, Sree Sai Siddhardha Vemuri, Harish Peri, Saichand Linga

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 6 institutions in 2 countries.

Sri Nikhil ZallipalliDepartment of Surgery, Star Hospitals, Hyderabad, IND.
Rakesh Reddy BethiDepartment of Surgery, Star Hospitals, Hyderabad, IND.
Madhuri KandruDepartment of Surgery, Bharati Vidyapeeth University Medical College & Hospital, Sangli, IND.
Nikith Kashyap DendukuriDepartment of Surgery, Coventry University, Coventry, GBR.
Geethanjali GandlaHealthcare Management, Anglia Ruskin University, Chelmsford, GBR.
Sree Sai Siddhardha VemuriDepartment of Surgery, Max Super Specialty Hospital, New Delhi, IND.
Harish PeriDepartment of Surgery, Armed Forces Medical College, Pune, IND.
Saichand LingaDepartment of Surgery, South Tyneside and Sunderland NHS (National Health Service) Foundation Trust, Sunderland, GBR.
Anglia Ruskin University · GBApollo Hospitals · INArmed Forces Medical College · INCoventry University · GBMax Super Speciality Hospital · INSouth Tyneside and Sunderland NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA) or total hip arthroplasty (THA) are frequent procedures used to relieve the symptoms of hip or knee joint dysfunction, enhance disease recovery, and boost patients' quality of life. Nevertheless, postoperative pain has been a significant disadvantage since it strongly impacts patients' postoperative recovery. Parecoxib has been demonstrated to be useful in the management of postoperative pain in a variety of surgical procedures. While parecoxib can help with postoperative pain, its analgesic and unfavourable effects in TKA/THA patients have not been well studied.

methodsA systematic search of peer-reviewed articles was conducted through the PubMed database, Google Scholar, and Cochrane library to retrieve related studies published in the English language that met inclusion and exclusion criteria. The publication date was restricted to the past 10 years (2012-2022). Results were analyzed using Review Manager software (RevMan version 5.4.1, The Cochrane Collaboration, 2020). The quality of the studies included was assessed using Jadad scores. Risk ratios (RR) standard mean difference (SMD) and 95% confidence intervals (CI) were calculated to analyze the primary and secondary endpoints.

resultsEleven randomized controlled trials covering 1911 patients who underwent TKA/THA were selected. The pooled results indicated that the parecoxib group has lower visual analogue scale (VAS) scores than the placebo group. However, there was no significant difference in the secondary endpoint. The Jadad scores ranged from 3 to 5 and most of the studies were of high quality.

conclusionThe results of our meta-analysis indicate that parecoxib has a better analgesic effect compared to placebo. It alleviates postoperative orthopaedic pain without raising the risk of adverse events.

Indexed as

adverse eventsjadad scoreparecoxibplacebopostoperative paintotal hip arthroplastytotal knee arthroplastyvas scores

Identifiers

PMID36628043
PMCPMC9826532
OpenAlexW4311981166

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.