Evidence map›Paper›PMID 38828025›Full record

Trial reportDrug design, development and therapy2024

Effect of Oxycodone-Based Multimodal Analgesia on Visceral Pain After Major Laparoscopic Gastrointestinal Surgery: A Randomised, Double-Blind, Controlled Trial.

Guo-Wang Yang, Hao Cheng, Xiao-Yang Song, Yu-Fan Yang, Hong Liu, Fu-Hai Ji, Ke Peng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

7 authors.

Guo-Wang YangDepartment of Anaesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0009-0001-2641-8435
Hao ChengDepartment of Anaesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Xiao-Yang SongDepartment of Anaesthesiology, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, Jiangsu, People's Republic of China.ORCID 0009-0004-9152-5829
Yu-Fan YangDepartment of Anaesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0009-0002-7096-1993
Hong LiuDepartment of Anaesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA.ORCID 0000-0003-3611-7131
Fu-Hai JiDepartment of Anaesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0001-6649-665X
Ke PengDepartment of Anaesthesiology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0003-2879-1759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Oxycodone is a potent μ- and κ-opioid receptor agonist that can relieve both somatic and visceral pain. We assessed oxycodone- vs sufentanil-based multimodal analgesia on postoperative pain following major laparoscopic gastrointestinal surgery. Methods: In this randomised double-blind controlled trial, 40 adult patients were randomised (1:1, stratified by type of surgery) to receive oxycodone- or sufentanil-based multimodal analgesia, comprising bilateral transverse abdominis plane blocks, intraoperative dexmedetomidine infusion, flurbiprofen axetil, and oxycodone- or sufentanil-based patient-controlled analgesia. The co-primary outcomes were time-weighted average (TWA) of visceral pain (defined as intra-abdominal deep and dull pain) at rest and on coughing during 0-24 h postoperatively, assessed using the numerical rating scale (0-10) with a minimal clinically important difference of 1. Results: All patients completed the study (median age, 64 years; 65% male) and had adequate postoperative pain control. The mean (SD) 24-h TWA of visceral pain at rest was 1.40 (0.77) in the oxycodone group vs 2.00 (0.98) in the sufentanil group (mean difference=-0.60, 95% CI, -1.16 to -0.03; Conclusion: For patients undergoing major laparoscopic gastrointestinal surgery, oxycodone-based multimodal analgesia reduced postoperative visceral pain in a statistically significant but not clinically important manner. Trial Registration: Chinese Clinical Trial Registry (ChiCTR2100052085).

Indexed as

Analgesics, OpioidLaparoscopyOxycodonePostoperative PainVisceral PainAdultAgedAnalgesia, Patient-ControlledDexmedetomidineDigestive System Surgical ProceduresDouble-Blind MethodFemaleFlurbiprofenHumansMaleMiddle AgedAnalgesics, OpioidDexmedetomidineFlurbiprofenflurbiprofen axetilOxycodoneSufentanillaparoscopic gastrointestinal surgeryoxycodonepatient-controlled analgesiavisceral pain

Identifiers

PMID38828025
PMCPMC11141770

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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.