Evidence map›Paper›PMID 40342606›Full record

Observational studyJSLS : Journal of the Society of Laparoendoscopic Surgeons

Does Ultrasound-Guided Quadratus Lumborum Block Improve Pain after Hysterectomy.

Amro Elfeky, Nimra Dad, Adi Borovich, Allix Hillebrand, Shantel Jiggetts, Michael Silver, David Herzog, Lily Shamsnia, Scott Chudnoff, Lindsey Michel and 2 more

Abstract readObservational Study
In one paragraph

Observational study in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

12 authors.

Amro ElfekyDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Nimra DadDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Adi BorovichDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Allix HillebrandDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Shantel JiggettsDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Michael SilverDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
David HerzogDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Lily ShamsniaDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Scott ChudnoffDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Lindsey MichelDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Pedram BralDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
Justin ToDepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Determine whether the quadratus lumborum block (QLB) is an effective adjunct to control postoperative pain during the first 24 hours after minimally invasive hysterectomy. Methods: Prospective cohort observational study of patients who underwent laparoscopic or robotic hysterectomy. Patients either received a QLB or did not. Initial postoperative pain scores were recorded in the postanesthesia recovery area using a numeric rating scale. Patients were then called to collect 24-hour scores and analgesic medication usage. The primary outcome was the 3-hour pain score. Secondary analysis evaluated use of analgesic medication. Results: Fifty patients were enrolled in the study: 25 patients in the no-QLB cohort and 25 patients in the QLB group. The median postoperative pain scores (out of 10) were 4, 2, and 6 at 1, 3, and 24 hours in the no-QLB group. Scores were 5 ( Conclusion: There was no significant pain difference between the no-QLB and QLB groups. Patients who received a QLB were more likely to receive pain medication 3 hours after surgery. Thus, the use of a QLB does not appear to be a suitable adjunct for postoperative pain.

Indexed as

Abdominal MusclesHysterectomyNerve BlockPostoperative PainUltrasonography, InterventionalAdultAgedFemaleHumansLaparoscopyMiddle AgedPain MeasurementProspective StudiesRobotic Surgical ProceduresTreatment OutcomeHysterectomyMinimally invasive surgeryQuadratus lumborum block (QLB)

Identifiers

PMID40342606
PMCPMC12061071

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.