Evidence map›Paper›PMID 39455612›Full record

Trial reportScientific reports2024

The efficacy of preemptive multimodal analgesia in elderly patients undergoing laparoscopic colorectal surgery: a randomized controlled trial.

Zhangnan Sun, Chaolei Liu, Lining Huang, Lijun Bo, Xuze Li, Chang Lv, Jin Li, Jiaojiao Yang, Yue Zhao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Observational
  4. Review
  5. Article
  6. 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

9 authors.

Zhangnan SunDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Chaolei LiuDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China. verna521@163.com.
Lining HuangDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Lijun BoDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Xuze LiDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Chang LvDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Jin LiDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Jiaojiao YangDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.
Yue ZhaoDepartment of Anesthesiology, the Second Hospital of Hebei Medical University, NO 215Heping West Road, Shijiazhuang, Hebei, 050000, China.

Funding

Hebei Province Medical Science Research Key Project (20240036)
6 · The paper itself

Abstract

Objective To evaluate the effectiveness of preemptive multimodal analgesiain elderly patients undergoing laparoscopic colorectal surgery. Methods A prospective randomized controlled study was conducted in the Department of Gastrointestinal Surgery of the Second Hospital of Hebei Medical University from January 2022 to December 2022. A total of 133 patients were included according to the criteria and randomly divided into preemptive analgesia (PRA) group (test group, 67patients) and postoperative analgesia (POA) group (control group, 66patients). Results The Visual Analog Scale (VAS)scores of PRA group 24 h, 48 h, and 72 h after operation were lower than those of POA group, and the difference was statistically significant, P < 0.001.The incidences of postoperative gastrointestinal dysfunction (POGD) and postoperative delirium (POD)in PRA group were 13.43% and 8.98%, respectively, which were significantly lower than those in POA group (31.82% and 24.24%), P < 0.05. The levels of IL-6 and IL-10 in PRA group after the operation were 17.54 ± 2.13 ng/L and 15.57 ± 1.71 ng/L respectively, which were lower than those in POA group (25.45 ± 2.95 ng/L and 23.45 ± 1.88 ng/L), P < 0.05. The level of acetylcholinesterase(AchE) was 56.34 ± 5.62 nmol/L in the POA group, which was significantly higher than that in the POA group (49.59 ± 5.52 nmol/L), P < 0.001. Conclusion Preemptive multimodal analgesia can reduce the incidence of POGD and POD in elderly patients undergoing laparoscopic gastrocolic surgery, improve the recovery process of postoperative gastrointestinal function, increase the concentrations of propionic acid and butyric acid in short chain fatty acids (SCFAs) and the number of beneficial intestinal bacteria.

Indexed as

AnalgesiaColorectal SurgeryLaparoscopyPostoperative PainAgedAged, 80 and overFemaleHumansInterleukin-6MaleMiddle AgedPain ManagementPain MeasurementPostoperative ComplicationsProspective StudiesTreatment OutcomeInterleukin-6Laparoscopic surgeryMultimodal AnalgesiaPostoperative gastrointestinal dysfunctionPreventive analgesia

Identifiers

PMID39455612
PMCPMC11511970

What OpenQuestion holds

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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.