Evidence map›Paper›PMID 40105988›Full record

SynthesisArchives of orthopaedic and trauma surgery2025

Functional recovery and pain control following Pericapsular Nerve Group (PENG) block following hip surgeries: a systematic review and meta-analysis of randomised controlled trials.

Tomasz Reysner, Grzegorz Kowalski, Małgorzata Reysner, Aleksander Mularski, Przemysław Daroszewski, Katarzyna Wieczorowska-Tobis

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  4. Review
  5. Article
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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

6 authors.

Tomasz ReysnerDepartment of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland.ORCID http://orcid.org/0000-0003-4565-9880
Grzegorz KowalskiDepartment of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland.ORCID http://orcid.org/0000-0002-3206-4426
Małgorzata ReysnerDepartment of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland. mdomagalska@ump.edu.pl.ORCID http://orcid.org/0000-0002-9067-0969
Aleksander MularskiDepartment of Forensic Medicine, Institute of Medical Sciences Collegium Medicum, University of Zielona Góra, Zielona Góra, Poland.ORCID http://orcid.org/0000-0002-3392-1813
Przemysław DaroszewskiDepartment of Organization and Management in Health Care, Poznan University of Medical Sciences, Poznań, Poland.ORCID http://orcid.org/0000-0002-7738-6023
Katarzyna Wieczorowska-TobisDepartment of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland.ORCID http://orcid.org/0000-0003-4017-3013

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Pericapsular Nerve Group (PENG) block is a regional anaesthesia technique used in hip surgery. However, its effectiveness and analgesic efficiency, especially when compared to other regional anaesthesia techniques, have yet to be fully established. This meta-analysis aimed to determine the functional recovery and pain management following PENG block in Hip surgeries.

methodsFollowing PRISMA guidelines, we conducted a meta-analysis of prospective randomised clinical trials that compared the effects of PENG block versus the control group or different regional anaesthesia techniques in hip surgeries. The study was registered on the International Register of Systematic Reviews (PROSPERO) and is available online ( www.crd.york.uk/prospero , CRD42024529125).

resultsNineteen studies encompassing 1682 participants were included for the synthesis after critical evaluation. Ultrasound-guided PENG block improved functional recovery when compared to no block anaesthesia (RR 0.48, 95% Cl 0.24, 0.96, p = 0.04) and different regional anaesthesia techniques (RR 0.45, 95% Cl 0.26, 0.77, p = 0.004). The PENG block showed a reduction of postoperative opioid consumption 24 h after surgery when compared to no block anaesthesia (SMD - 0.92, 95% Cl - 1.65, - 0.19; p = 0.01) and when compared to Fascia Iliaca Compartment Block (FICB) (SMD - 0.96, 95% Cl - 1.52, - 0.39, p = 0.0009).

conclusionThe PENG block improved functional recovery Compared to no-block analgesia and different regional anaesthesia techniques. Also, the PENG block improved analgesic efficacy in hip surgeries compared to no-block anaesthesia and to FICB. However, due to the high heterogeneity of included studies, more high-quality, methodological, and strictly defined RCTs are urgently needed to evaluate the advantages and disadvantages of PENG block for Hip surgeries.

Indexed as

HipNerve BlockPain ManagementPostoperative PainHumansRandomized Controlled Trials as TopicRecovery of FunctionFunctional recoveryHip surgeryOpioid consumption reductionPericapsular nerve group (PENG) blockPostoperative pain managementRegional anesthesia

Identifiers

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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.