Evidence map›Paper›PMID 40475364›Full record

ReviewActa ortopedica brasileira2025

EFFECTIVENESS OF ORAL MEDICATIONS IN THE PERIOPERATIVE PERIOD OF ROTATOR CUFF INJURIES - SYSTEMATIC REVIEW.

Edivando de Moura Barros, Elzir Finizola Costa, Fabio Teruo Matsunaga, Milla Pompilio da Silva, Eiffel Tsuyoshi Dobashi, Marcel Jun Sugawara Tamaoki

Abstract readReview
In one paragraph

Review in Acta ortopedica brasileira, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Edivando de Moura BarrosUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia, Grupo de Ombro e Cotovelo, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-8190-7920
Elzir Finizola CostaUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia, Grupo de Ombro e Cotovelo, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-8068-3440
Fabio Teruo MatsunagaUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia, Grupo de Ombro e Cotovelo, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-7328-1446
Milla Pompilio da SilvaUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-5732-4813
Eiffel Tsuyoshi DobashiUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-6735-1401
Marcel Jun Sugawara TamaokiUniversidade Federal de Sao Paulo, Escola Paulista de Medicina, Departamento de Ortopedia, Grupo de Ombro e Cotovelo, Sao Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-9539-4545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative pain management remains a significant challenge in patient care, being particularly crucial in the context of arthroscopic or open rotator cuff repairs. Objective: To compare the effectiveness of different medications in controlling pain after this surgical intervention. Material and methods: A systematic review of the literature was carried out, conducting a data search in the Pubmed/Medline, Science Direct and Embase databases. Initially, 1,223 articles were identified where, after detailed analysis, eight studies were selected to compose this research. The total sample comprised 703 patients. Results: We observed a predominance of male participants in most studies, and the age range of those involved varied, on average, from 50.0 to 59.9 years old. The studies included cover a variety of pain management strategies after arthroscopic rotator cuff repair, highlighting the diversity of approaches in the literature, including analgesics, anti-inflammatories, anticonvulsants and opioids. Conclusion: In general, we showed that the interventions used were well tolerated. Some studies have demonstrated mild adverse effects, such as nausea, vomiting, dizziness, headache and other transient symptoms. This systematic review highlights that there is no well-established protocol for managing postoperative pain in arthroscopic rotator cuff repair, comparing the effectiveness of different medications. The diversity of approaches observed in the literature highlights the need for personalized strategies. Despite the good tolerance and positive results of the interventions, the choice of medication must consider the individuality of the patient and specific characteristics of the procedure.

Indexed as

Drug TherapyPainPerioperative PeriodPostoperative CareRotator Cuff Injuries

Identifiers

PMID40475364
PMCPMC12136622

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.