Evidence map›Paper›PMID 38343676›Full record

ArticleIndian journal of anaesthesia2023

Efficacy of splanchnic nerve neurolysis in the management of upper abdominal cancer pain: A systematic review and meta-analysis.

Sonal Goyal, Ajit Kumar, Divakar Goyal, Pradeep Attar, Baibhav Bhandari, Gaurav Purohit, Aditya Pal Mahiswar, Shiwam Gupta

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. The Role of IR in Pediatric Pain and Palliation.Seminars in interventional radiology · 2025
    Review
  5. 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

8 authors at 4 institutions in 1 country.

Sonal GoyalDepartment of Anaesthesiology, MGM Medical College and Hospital, Kamothe, Navi Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-1727-0763
Ajit KumarDepartment of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0003-3548-1257
Divakar GoyalDepartment of Trauma Surgery, Adesh Medical College and Hospital, Near Ambala Cant, Haryana, India.ORCID https://orcid.org/0000-0002-6196-8520
Pradeep AttarDepartment of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0003-0749-2696
Baibhav BhandariDepartment of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0001-5172-3848
Gaurav PurohitDepartment of Anaesthesiology, Army Hospital (R & R), New Delhi, India.ORCID https://orcid.org/0000-0001-6822-085X
Aditya Pal MahiswarDepartment of Anaesthesiology, Fortis Memorial Research Institute, Gurugram, Haryana, India.ORCID https://orcid.org/0000-0001-6915-6116
Shiwam GuptaDepartment of Anaesthesiology, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0003-0884-9976
All India Institute of Medical Sciences Raipur · INArmy Hospital Research and Referral · INFortis Memorial Research Institute · INMahatma Gandhi Mission Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Neurolytic splanchnic nerve block (NSNB) is practised in intractable abdominal pain secondary to intra-abdominal malignancies. This review evaluated the efficacy of NSNB. Methods: PubMed, Embase, Scopus, and Cochrane databases were searched for articles published from January 2001 to October 2023. Two independent reviewers extracted the data from the included studies. The quality of randomised controlled trials (RCTs) was assessed using the revised Cochrane risk-of-bias tool (RoB 2), and the Newcastle-Ottawa scale was used for cohort studies. Results: Fourteen articles (4 RCTs, 3 non-randomised prospective, and 7 retrospectives) were included. Ten articles were quantitatively assessed and demonstrated significant pain relief at 1 week (standardised mean difference (SMD): 3.46 [2.09, 4.83], Conclusion: NSNB appears to be an efficacious technique that provides substantial pain relief, reduces opioid consumption, and ameliorates QOL.

Indexed as

Abdominal painchemical neurolysischronic painintractable painneoplasmsneurolysisopioidquality of lifesplanchnic nerve blocksympathetic

Identifiers

PMID38343676
PMCPMC10858689
OpenAlexW4389816487

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.