Evidence map›Paper›PMID 36992692›Full record

ArticleDEN open2023

Dexmedetomidine is safe and effective for reducing intraprocedural pain in colorectal endoscopic submucosal dissection.

Hiroyoshi Iwagami, Takuji Akamatsu, Kazuki Matsuyama, Yusuke Hanawa, Kohei Tonomura, Eiki Chikugo, Shinya Ogino, Hiroki Morimura, Masayuki Shimoyama, Tomoko Terashita and 10 more

Open access · goldFull text read
In one paragraph

Article in DEN open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

20 authors at 1 institution in 1 country.

Hiroyoshi IwagamiDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.ORCID https://orcid.org/0000-0002-6312-8541
Takuji AkamatsuDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Kazuki MatsuyamaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Yusuke HanawaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Kohei TonomuraDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Eiki ChikugoDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Shinya OginoDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Hiroki MorimuraDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Masayuki ShimoyamaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Tomoko TerashitaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Shogo NakanoDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Midori WakitaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Takeya EdagawaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Takafumi KonishiDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Hisakazu MatsumotoDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Yasuki NakataniDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Shunji UraiDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Takeshi SetaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Yoshito UenoyamaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Yukitaka YamashitaDepartment of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
Japanese Red Cross Society Wakayama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Endoscopic submucosal dissection (ESD) is effective for the resection of colorectal intramucosal lesions. This study was performed to examine the safety and effectiveness of using dexmedetomidine (DEX) in the anesthesia regimen of patients with colorectal lesions undergoing ESD. Methods: We retrospectively examined 287 consecutive patients who underwent ESD for colorectal lesions in our institution from January 2015 to December 2021. Outcomes including the frequency of intraprocedural pain and adverse events were compared between the DEX and no DEX groups. Moreover, univariate and multivariate analyses were conducted for each clinical factor of intraprocedural pain. Intraprocedural pain was defined as patient-reported abdominal pain or body movement during the procedure. Results: The incidence of intraprocedural pain was significantly lower in the DEX than in the no DEX group (7% vs. 17%, Conclusions: Adding DEX to the anesthesia regimen in patients undergoing colorectal ESD appears to be safe and effective for reducing intraprocedural pain.

Indexed as

anesthesiacolorectaldexmedetomidineendoscopic submucosal dissectionsedation

Identifiers

PMID36992692
PMCPMC10041156
OpenAlexW4361008163

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read25
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.