Evidence map›Paper›PMID 36961562›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Literature review on the use of methoxyflurane in the management of pain in cancer-related procedures.

Samuel Finkelstein, Etinosa Oliogu, Albert Yee, Lauren Milton, Leon Rivlin, Patrick Henry, Tara Behroozian, Edward Chow, Joel Finkelstein

Abstract readReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

9 authors at 4 institutions in 1 country.

Samuel Finkelstein *Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Etinosa Oliogu *Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Albert Yee *Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Lauren MiltonSunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Leon RivlinHumber River Hospital, Toronto, ON, Canada.
Patrick HenrySunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Tara BehroozianSunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Edward ChowSunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Joel Finkelstein *Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada. Joel.Finkelstein@sunnybrook.ca.
Health Sciences Centre · CAUniversity of Toronto · CASunnybrook Health Science Centre · CAHumber River Regional Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelf-administered methoxyflurane, also known as Penthrox, at a sub-anesthetic dose is a short-term, fast-acting, and safe analgesic that may provide suitable pain relief for cancer patients. This review aims to compile the existing evidence on methoxyflurane and its efficacy in reducing pain during cancer-related procedures.

methodsA literature search was conducted through OVID Medline and Embase. The search was limited to articles published between 2012 and 2021 and studies were included if they assessed the efficacy of methoxyflurane to reduce pain in cancer-related procedures. All types of cancer were included.

resultsThe literature search yielded seven studies published between 2012 and 2021. The studies analyzed assessed methoxyflurane use in prostate biopsy, colonoscopy, removal of brachytherapy rods, and bone marrow biopsy. Various research designs were employed, including three randomized controlled trials, two prospective observational studies, one retrospective, and one non-randomized controlled trial. In all, methoxyflurane has a demonstrated ability to reduce pain in these procedures.

conclusionIn the limited studies available in evaluating the efficacy of methoxyflurane for reducing procedural pain during cancer-related procedures, all have demonstrated clinical equivalency or superiority. Pain relief appears to be equivalent however methoxyflurane overcomes the standard limitations of respiratory sedation and has demonstrated quicker procedural recovery times than traditional sedation methods. The accumulated data to date supports the use of methoxyflurane which can supplement or supplant current methods of analgesia in cancer-related procedures.

Indexed as

Anesthetics, InhalationCancer PainNeoplasmsControlled Clinical Trials as TopicHumansMaleMethoxyfluraneObservational Studies as TopicPainRetrospective StudiesAnesthetics, InhalationMethoxyfluraneAnalgesiaCancerMethoxyfluranePenthrox

Identifiers

PMID36961562
OpenAlexW4360807192

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.