Evidence map›Paper›PMID 37151123›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2023

Regional anesthesia is associated with improved metastasis free survival after surgical resection of bone sarcomas.

Bijan Abar, Junheng Gao, Amanda N Fletcher, Elizbeth Sachs, Andrew H Wong, Alexander L Lazarides, Chinedu Okafor, Brian E Brigman, William C Eward, Sin-Ho Jung and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 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
0.2field-weighted citation impact, top 47% 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 citations in OpenAlex.

  1. Review
  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

12 authors at 2 institutions in 1 country.

Bijan AbarDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-5184-5762
Junheng GaoDepartment of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina, USA.
Amanda N FletcherDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Elizbeth SachsDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Andrew H WongDepartment of Anesthesiology, Duke University, Durham, North Carolina, USA.
Alexander L LazaridesDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Chinedu OkaforDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Brian E BrigmanDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
William C EwardDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Sin-Ho JungDepartment of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina, USA.
Amanda H KumarDepartment of Anesthesiology, Duke University, Durham, North Carolina, USA.
Julia D VisgaussDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Duke University Hospital · USDuke University · US

Funding

NRSA Training CoreTL1TR002555 · NCATS · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2018 to 2022
$3.7M
NCATS NIH HHS TL1 TR002555
6 · The paper itself

Abstract

There is increasing evidence that perioperative factors, including type of anesthesia, may be an important consideration regarding oncological disease progression. Previous studies have suggested that regional anesthesia can improve oncological outcomes by reducing the surgical stress response that occurs during tumor resection surgery and that may promote metastatic progression. The purpose of this study is to provide the first robust investigation of the impact of adding regional anesthesia to general anesthesia on oncological outcomes following sarcoma resection. One hundred patients with bone sarcoma were retrospectively analyzed in this study. After adjusting for confounding variables such as age and grade of the tumor, patients with bone sarcoma receiving regional anesthesia in addition to general anesthesia during resection had improved metastasis free survival (multivariate hazard ratio of 0.47 and p = 0.034). Future studies are needed to confer the beneficial effect of regional anesthesia, and to further investigate the potential mechanism. Clinical significance: The results from this study provide evidence that regional anesthesia may be advantageous in the setting of bone sarcoma resection surgery, reducing pain while also improving oncological outcomes and should be considered when clinically appropriate.

Indexed as

Anesthesia, ConductionBone NeoplasmsOsteosarcomaSarcomaHumansRetrospective Studiescancer/tumorsstatisticssurgical repairtreatment

Identifiers

PMID37151123
PMCPMC10630530
OpenAlexW4375855468

What OpenQuestion holds

Textmetadata
LicenceTDM
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.