Evidence map›Paper›PMID 40114986›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2025

A Prospective Randomized Dose-Finding Study of Intrathecal Opioids for Postoperative Analgesia After Minimally Invasive Colorectal Operation.

Patrice A Vinsard, Josef Pleticha, Emily E Sharpe, Jason K Panchamia, David A Olsen, Hans P Sviggum, Sherief F Shawki, Kevin T Behm, David W Larson, Allison M LeMahieu and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04752033 (Intrathecal Opioids for Pain Control After Colorectal Resection), which is not on this map. Not yet cited in PubMed.

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

NCT04752033 phase4completednot on this map

Intrathecal Opioids for Pain Control After Colorectal Resection: Determining the Optimal Dose

TypeinterventionalSponsorMayo ClinicRan2021 to 2023Enrolled80ConditionsColorectal Surgery, Pain, Postoperative, Analgesic, OpioidArmsMorphine, Hydromorphone
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Patrice A VinsardDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Josef PletichaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Emily E SharpeDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Jason K PanchamiaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
David A OlsenDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Hans P SviggumDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Sherief F ShawkiDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.
Kevin T BehmDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.
David W LarsonDepartment of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.
Allison M LeMahieuDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Adam D NiesenDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Adam W AmundsonDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the optimal dose of intrathecal morphine and hydromorphone in patients undergoing minimally invasive colorectal operation for postoperative analgesia. Patients and Methods: The study was a double-blinded clinical dosing trial that randomized patients to intrathecal morphine or hydromorphone from March 12, 2021, to February 17, 2023. Intrathecal dosing was determined by a sequential up-down method using a biased-coin design. Doses of the subsequent patients were stepped up or down based on the success or failure of the previous dose. The primary outcome was the dose effective in 90% of patients (ED Results: Eighty patients completed the study with 40 patients in each group. The ED Conclusion: The study could not establish an ED Trial Registration: clinicaltrials.gov Identifier: NCT04752033.

Identifiers

PMID40114986
PMCPMC11923816

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Registered trials

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.