Evidence map›Paper›PMID 38182827›Full record

SynthesisCanadian journal of anaesthesia = Journal canadien d'anesthesie2024

Perioperative clinical practice recommendations for pediatric tonsillectomy: a systematic review.

Alfonso E Albornoz, Mehwish Rana, Jason Hayes, Marina Englesakis, Maisie Tsang, Reshma Amin, Elaine Gilfoyle, Maria-Alexandra Petre, Paolo Campisi, Kazuyoshi Aoyama

Open access · bronzeAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. [Clinical practice guideline for perioperative pain management in pediatric low-temperature plasma tonsillectomy].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Guideline
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  5. Trial
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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

10 authors at 4 institutions in 1 country.

Alfonso E AlbornozDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Mehwish RanaUniversity of Toronto, Toronto, ON, Canada.
Jason HayesDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Marina EnglesakisLibrary and Information Services, University Health Network, Toronto, ON, Canada.
Maisie TsangDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Reshma AminDivision of Respiratory Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Elaine GilfoyleChild Health Evaluative Sciences, SickKids Research Institute, Toronto, ON, Canada.
Maria-Alexandra PetreDepartment of Anesthesiology, Montreal Children's Hospital, Montreal, QC, Canada.
Paolo CampisiDepartment of Otolaryngology - Head and Neck Surgery, The Hospital for Sick Children, Toronto, ON, Canada.
Kazuyoshi AoyamaDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada. kazu.aoyama@utoronto.ca.ORCID 0000-0002-7502-0896
University of Toronto · CAHospital for Sick Children · CAMontreal Children's Hospital · CAUniversity Health Network · CA

Funding

Hospital for Sick Children Department of AnesthesiaHospital for Sick Children Outcomes Research Award 2020-2021Hospital for Sick Children Pain MedicineHospital for Sick Children Perioperative Services Summer Studentship Program 2021
6 · The paper itself

Abstract

purposeTonsillectomy is one of the most common surgical procedures performed in children. Since most clinical practice guidelines (CPGs) are designed to support surgical decisions, none are specifically designed for the perioperative management of children undergoing tonsillectomy. We aimed to identify and analyze the existing CPGs with recommendations for the perioperative management of children undergoing tonsillectomy by conducting a systematic review. SOURCE: We searched Embase, MEDLINE, MEDLINE ePub Ahead of Print, and CINAHL for relevant articles published from inception to 3 August 2022. The inclusion criteria were: 1) CPG of perioperative recommendations for tonsillectomy under general anesthesia in children, 2) CPG that include at least one evidence-based recommendation, 3) peer-reviewed CPG published in English after 2000. We extracted data on baseline characteristics of each CPG and general recommendations for perioperative interventions or complications. PRINCIPAL

findingsOut of five eligible CPGs, AGREE II and REX confirmed that two CPGs were high quality while only one of the two was recommended for implementation without modifications. Most of the recommendations were for pain management. Acetaminophen was the only medication recommended in all five CPG. Except for the oldest CPG, the CPG all supported of the use of nonsteroidal anti-inflammatory drugs and steroids as a pain adjunct.

conclusionsAcetaminophen, nonsteroidal anti-inflammatory drugs, and steroids are recommended in the perioperative management of pediatric tonsillectomy. Future CPG should further clarify the safe use of opioids based on severity of obstructive sleep apnea and in the context of opioid-sparing techniques, such as dexmedetomidine, high-dose dexamethasone, and gabapentinoids. STUDY REGISTRATION: PROSPERO (CRD42021253374); first submitted 18 June 2021.

Indexed as

Perioperative CarePractice Guidelines as TopicTonsillectomyAcetaminophenAnesthesia, GeneralAnti-Inflammatory Agents, Non-SteroidalChildHumansPain ManagementPostoperative PainAcetaminophenAnti-Inflammatory Agents, Non-Steroidalclinical practice guidelinesgeneral anesthesiapediatric tonsillectomyperioperative caresystematic review

Identifiers

PMID38182827
OpenAlexW4390607317

What OpenQuestion holds

Textmetadata
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.