Evidence map›Paper›PMID 38068495›Full record

ArticleJournal of clinical medicine2023

Comparison of Intravenous Acetaminophen and Intravenous Patient-Controlled Analgesia Fentanyl after Total Hip Arthroplasty: A Multicenter Randomized Controlled Trial.

Yoshinori Sakai, Norio Imai, Dai Miyasaka, Hayato Suzuki, Yoji Horigome, Yasuhito Takahashi, Hiroyuki Kawashima

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 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
1.6field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 4 institutions in 1 country.

Yoshinori SakaiDepartment of Orthopedic Surgery, Niigata City General Hospital, 463-7 Shumoku, Chuouku, Niigata City 950-1197, Niigata, Japan.
Norio ImaiDivision of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuouku, Niigata City 951-8510, Niigata, Japan.ORCID 0000-0003-2289-7499
Dai MiyasakaDepartment of Orthopedic Surgery, Niigata Bandai Hospital, 2-2-8 Yachiyo, Chuouku, Niigata City 950-8584, Niigata, Japan.
Hayato SuzukiDivision of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuouku, Niigata City 951-8510, Niigata, Japan.
Yoji HorigomeDivision of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuouku, Niigata City 951-8510, Niigata, Japan.
Yasuhito TakahashiDepartment of Orthopedic Surgery, Niigata Rosai Hospital, 1-7-12 Shinonome cho, Joetsu City 942-8502, Niigata, Japan.
Hiroyuki KawashimaDivision of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuouku, Niigata City 951-8510, Niigata, Japan.ORCID 0000-0001-9511-9773
Niigata University Medical and Dental Hospital · JPBandai Namco (Japan) · JPHamamatsu Rosai Hospital · JPNiigata City General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpioids often need to be discontinued because they cause nausea, whereas the administration of intravenous acetaminophen (APAP) causes less nausea and vomiting. This study aimed to compare the effects of fentanyl-based intravenous patient-controlled analgesia (IV-PCA) and intravenous APAP on pain and nausea after total hip arthroplasty (THA).

methodsWe prospectively investigated primary THA patients who underwent the anterolateral supine approach at four centers between October 2021 and October 2022. The patients (

resultsCompared with the APAP group, the IV-PCA group experienced significantly greater resting pain and nausea on postoperative day 1. A correlation was found between preoperative and postoperative pain. Postoperative nausea at 8 h was significantly correlated with pain at rest at 4 h (r = 0.193), 8 h (r = 0.194), day 1 (r = 0.245), and day 2 (r = 0.188) after surgery. Early postoperative pain and nausea correlated with subsequent pain and nausea.

conclusionsIntravenous APAP is associated with less pain and nausea and is superior to IV-PCA.

Indexed as

acetaminophenmultimodal treatmentsnausea and vomitingpatient-controlled analgesiapostoperative paintotal hip arthroplasty

Identifiers

PMID38068495
PMCPMC10707402
OpenAlexW4389190995

What OpenQuestion holds

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LicenceCC BY
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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.