Evidence map›Paper›PMID 36912951›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Regional anesthesia improves inpatient but not outpatient opioid demand in tibial shaft fracture surgery.

Daniel Cunningham, Micaela LaRose, Preet Patel, Gloria Zhang, Nicholas Morriss, Ariana Paniagua, Mark Gage

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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
–field-weighted citation impact
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. 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

7 authors.

Daniel CunninghamDepartment of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC, 27710, USA.
Micaela LaRoseDuke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA.
Preet PatelDuke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA.
Gloria ZhangDuke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA.
Nicholas MorrissDuke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA. nicholasjmorriss@gmail.com.ORCID http://orcid.org/0000-0002-3248-7082
Ariana PaniaguaDuke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA.
Mark GageDepartment of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC, 27710, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing operative treatment of tibial shaft fractures have considerable pain largely managed with opioids. Regional anesthesia (RA) has been increasingly used to reduce perioperative opioid use.

methodsThis was a retrospective study of 426 patients that underwent operative treatment of tibial shaft fractures with and without RA. Inpatient opioid consumption and 90-day outpatient opioid demand were measured.

resultsRA significantly decreased inpatient opioid consumption for 48 h post-operatively (p = 0.008). Neither inpatient use after 48 h nor outpatient opioid demand differed in patients with RA (p > 0.05).

conclusionsRA may help with inpatient pain control and reduce opioid use in tibial shaft fracture. LEVEL OF EVIDENCE: Level III, retrospective, therapeutic cohort study.

Indexed as

Anesthesia, ConductionTibial FracturesAnalgesics, OpioidCohort StudiesHumansInpatientsPainRetrospective StudiesAnalgesics, OpioidNerve blockadeOpioid demandPainRegional anesthesiaTibial shaft fracture surgery

Identifiers

PMID36912951

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.