Evidence map›Paper›PMID 39363012›Full record

ArticlePediatric surgery international2024

Effect of cryoablation in Nuss bar placement on opioid utilization and length of stay.

Christopher Clinker, Jack Scaife, Davian Martinez, Anastasia M Kahan, R Scott Eldredge, Katie W Russell

Abstract read
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Article in Pediatric surgery international, 2024. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Christopher ClinkerUniversity of Utah School of Medicine, 100 North Mario Capechi Drive, Salt Lake City, UT, 84103-0000, United States.
Jack ScaifeUniversity of Utah School of Medicine, 100 North Mario Capechi Drive, Salt Lake City, UT, 84103-0000, United States.
Davian MartinezUniversity of Utah School of Medicine, 100 North Mario Capechi Drive, Salt Lake City, UT, 84103-0000, United States.
Anastasia M KahanDepartment of Surgery, Division of Pediatric Surgery, University of Utah, Salt Lake City, UT, United States.
R Scott EldredgeDepartment of Surgery, Mayo Clinic, Phoenix, AZ, USA.
Katie W RussellUniversity of Utah School of Medicine, 100 North Mario Capechi Drive, Salt Lake City, UT, 84103-0000, United States. katie.russell@hsc.utah.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur institution recently transitioned from paravertebral nerve blocks (PVBs) to intercostal nerve cryoablation (INC) for pain control following minimally invasive repair of pectus excavatum (MIRPE). This study aimed to determine how INC affected the operative time, length of stay, complication rates, inpatient opioid use, and outpatient prescription of opioids at a single center.

methodsA retrospective review was performed at a single pediatric referral center of all patients who underwent MIRPE between 2018 and 2023. Patient demographics, operative details, and perioperative course were collected. The use of INC versus PVB was recorded. Univariate analyses were performed using Wilcoxon rank sum tests for continuous variables and chi-squared tests for categorical variables.

results255 patients were included with a median age of 15 years, median BMI of 18.50 kg/m

conclusionINC after MIRPE significantly decreased both the inpatient opioid utilization and our outpatient prescribing practices while also decreasing our overall length of stay without increasing complications. LEVEL OF EVIDENCE: Level III.

Indexed as

Analgesics, OpioidCryosurgeryFunnel ChestLength of StayPostoperative PainAdolescentChildFemaleHumansMaleMinimally Invasive Surgical ProceduresPain ManagementRetrospective StudiesAnalgesics, OpioidCryoablationNuss barOpioidsPectus excavatum

Identifiers

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.