Evidence map›Paper›PMID 40540056›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

The "cough trick" can reduce pain during Kirschner wire extraction from the hand.

Netanel Cohen-Or, Lee Fuchs, Shadi Saleh, Amir Oron

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

4 authors.

Netanel Cohen-OrKaplan Medical Center, Rehovot, Israel.
Lee FuchsKaplan Medical Center, Rehovot, Israel. leefuchs@gmail.com.
Shadi SalehKaplan Medical Center, Rehovot, Israel.
Amir OronKaplan Medical Center, Rehovot, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study examines the effect of the forced coughing method ("cough trick") on pain during Kirschner wire extraction, in the clinic setting following hand fixation procedures.

methodsParticipants were recruited and randomized to a trial group or a control group. The trial group was asked to cough forcibly during wires extraction. The participants completed disability and quality of life questionnaires (QuickDASH, SF12) for reference and a visual analog scale (VAS) to indicate the level of pain.

resultsSixty-eight participants including 53 males and 15 females, aged 19-85 (median 51), were recruited and analyzed from 2019 to 2021. The demographic characteristics, QuickDASH mean score, SF12 questionnaire mean score and mean VAS score, were not significantly different between the groups. In the trial group, fewer participants experienced higher levels of pain (VAS score > 7) (p = 0.0149).

conclusionsWe found that the "cough trick" method was effective in reducing high-grade pain. The "cough trick" method is cost-effective, does not require special equipment and is easy to perform in the outpatient clinic.

Indexed as

Bone WiresCoughDevice RemovalFracture Fixation, InternalAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPain MeasurementQuality of LifeYoung AdultCoughCough trickHandKirschner wirePain

Identifiers

PMID40540056

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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.