Evidence map›Paper›PMID 37550026›Full record

ArticleBMJ open2023

Value of indomethacin suppository for preoperative analgesia and anti-inflammation in laparoscopic appendectomy: a protocol of prospective, double-blinded, single-centre, randomised controlled trial in China.

Jinhong Gao, Shaolong Hao, Yong Liu, Wei Han, Yibing Weng, Xinyu Zhao

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 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. Review
  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

6 authors.

Jinhong GaoDepartment of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-6735-2674
Shaolong HaoDepartment of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yong LiuDepartment of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Wei HanDepartment of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yibing WengDepartment of Intensive Care Unit, Beijing Luhe Hospital, Capital Medical University, Beijing, China yibingweng@ccmu.edu.cn.
Xinyu ZhaoDepartment of Intensive Care Unit, Beijing Luhe Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative pain has always been a problem for patients and surgeons. Local inflammation, surgical trauma and pain in the body can cause a systemic stress response and immune imbalance, which can affect the patient's rapid recovery. Currently, most of the perioperative pain management is focused on the postoperative phase. The non-steroidal anti-inflammatory drug indomethacin suppository has antipyretic and analgesic effects. This study will evaluate the value of indomethacin suppository for analgesia and anti-inflammation before laparoscopic appendectomy (LA). METHODS AND ANALYSIS: A single-centre, double-blinded (clinician, assessor, data entry), randomised controlled trial will be conducted in 128 adult patients undergoing LA under emergency general anaesthesia with a Visual Analogue Scale (VAS) >2. The trial was divided into two groups (n=64) using a randomised number table: group A will be given 100 mg of indomethacin suppository rectally and group B will be given 8 mg of intravenous lornoxicam. The postoperative analgesic effect, inflammatory response and incidence of postoperative adverse effects will be compared. ETHICS AND DISSEMINATION: The study is in accordance with the Declaration of Helsinki and will be conducted in accordance with the principles of Good Clinical Practice. This trial was approved by the Ethics Committee of Beijing Luhe Hospital, Capital Medical University (2021-LHKY-123-02). We will disseminate our study findings at national and international paediatric research conferences. TRIAL REGISTRATION NUMBER: Chinese Clinical Trial Registry (ChiCTR2200062004).

Indexed as

AnalgesiaLaparoscopyAdultAnti-Inflammatory Agents, Non-SteroidalAppendectomyChildHumansIndomethacinPain ManagementPostoperative PainProspective StudiesRandomized Controlled Trials as TopicAnti-Inflammatory Agents, Non-SteroidalIndomethacinaccident & emergency medicineadult gastroenterologyadult surgeryinflammatory bowel diseasepain management

Identifiers

PMID37550026
PMCPMC10407368

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Registered trials

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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.