Evidence map›Paper›PMID 37700233›Full record

ArticleBMC anesthesiology2023

Erector spinae plane block improves postoperative recovery after laminectomy and discectomy surgery: a retrospective cohort study.

Renee J C van den Broek, Valerie M M van Meegen, Hazem Al Khawaja, R Arthur Bouwman, Barbara Versyck

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
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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

5 authors at 1 institution in 3 countries.

Renee J C van den BroekDepartment of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands. Renee.vd.broek@catharinaziekenhuis.nl.ORCID http://orcid.org/0000-0001-5939-695X
Valerie M M van MeegenDepartment of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands.
Hazem Al KhawajaDepartment of Neurosurgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands.
R Arthur BouwmanDepartment of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands.
Barbara VersyckDepartment of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is still room for improvement of pain management after spinal surgery. The goal of this study was to evaluate adding the erector spinae block to the standard analgesia regimen. Our hypothesis was that the erector spinae plane block will decrease length of hospital stay, reduce opioid need and improve numeric rating scale pain scores.

methodsThis was a single center retrospective cohort study. We included 418 patients undergoing laminectomy or discectomy from January 2019 until December 2021. The erector spinae plane block was introduced in 2016 by Forero and colleagues and added to our clinical practice in October 2020. Patients who did not receive an erector spinae plane block prior to its implementation in October 2020 were used as control group. The primary outcome measure was functional recovery, measured by length of hospital stay. Secondary outcome measures were perioperative opioid consumption, need for patient-controlled analgesia and numeric rating scale pain scores. Postoperative data collection time points were: at the PACU and after 3, 6, 12 and 24 h postoperatively.

resultsThere was a significant shorter length of hospital stay in patients undergoing single level laminectomy (with erector spinae plane block 29 h (IQR 27-51), without block 53 h (IQR 51-55), p < .001), multiple level laminectomy (with erector spinae plane block 49 h (IQR 31-54), without block 54 h (IQR 52-75), p < .001) and discectomy (with erector spinae plane block 27 h (IQR 25-30), without block 29 h (IQR 28-49), p = .04).

conclusionsErector spinae plane block reduces length of stay after laminectomy surgery.

Indexed as

LaminectomyNerve BlockAnalgesia, Patient-ControlledAnalgesics, OpioidDiskectomyHumansPainRetrospective StudiesAnalgesics, OpioidErector spinae plane blockFunctional recoveryLaminectomyPostoperative painRegional anesthesiaSpinal surgery

Identifiers

PMID37700233
PMCPMC10496381
OpenAlexW4386639520

What OpenQuestion holds

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LicenceCC BY
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.