Evidence map›Paper›PMID 40555454›Full record

Observational studyBMJ open2025

Snapshot of Obstetric National Audit and Research Project (SONAR1): aprotocol for an international observational cohort study.

Reshma Patel, James O'Carroll, Justin Kua, Pervez Sultan, Brendan Carvalho, Nadir El Sharawi, Victoria Eley, Pat O'Brien, Susanna Stanford, Samantha Hill and 4 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open, 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
–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

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

14 authors.

Reshma PatelTheatres and Anaesthetics, University College London Hospitals NHS Foundation Trust, London, UK reshma.patel21@nhs.net.ORCID http://orcid.org/0000-0002-5577-886X
James O'CarrollTheatres and Anaesthetics, University College London Hospitals NHS Foundation Trust, London, UK.
Justin KuaHealth Services Research Centre, National Institute For Academic Anaesthesia, London, UK.ORCID http://orcid.org/0000-0002-5741-2300
Pervez SultanStanford University, Stanford, California, USA.ORCID http://orcid.org/0000-0002-7770-0289
Brendan CarvalhoStanford University, Stanford, California, USA.
Nadir El SharawiUniversity of Arkansas for Medical Sciences Department of Anesthesiology, Little Rock, Arkansas, USA.
Victoria EleyRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Pat O'BrienMaternal Fetal Medicine, Institute for Women's Health, University College London Hospitals NHS Foundation Trust, London, UK.
Susanna StanfordPatient Representative, Northumbria, UK.
Samantha HillPatient Representative, Sussex, UK.
Robert CraigTheatres and Anaesthetics, University College London Hospitals NHS Foundation Trust, London, UK.
Nuala LucasNorthwick Park Hospital, Harrow, UK.
Bo HouDepartment of Surgery and Targeted Intervention, University College London, London, UK.
S Ramani MoonesingheTheatres and Anaesthetics, University College London Hospitals NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-6730-5824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCaesarean birth (CB) under neuraxial anaesthesia (NA) is the most performed inpatient operation in the UK. The incidence of intraoperative pain during caesarean delivery performed under neuraxial anaesthesia is unclear, with limited data that used patient-reported measures to investigate intraoperative pain. The short- and medium-term impacts on patients of this adverse event are unknown. METHODS AND ANALYSIS: We will undertake a multicentre, prospective observational cohort study to evaluate the incidence and impact of pain experienced by patients during CB performed under neuraxial anaesthesia. Routine audit data will be collected for all patients undergoing caesarean delivery for any indication during a 1 week window at participating hospitals within the UK and Queensland, Australia. The dataset will include patient, anaesthetic, obstetric and neonatal risk factors for intraoperative pain. Local investigators will then seek informed consent from patients either before or within 24 hours of delivery to record patient experience and patient-reported outcomes at 24 hours and 6 weeks postdelivery. Local investigators at participating hospitals will also complete a survey evaluating compliance with evidence-based structural standards at their sites. The patient characteristics, structures, processes and outcomes will be described. Inferential techniques will be used to evaluate the relationship between risk factors and postoperative outcomes. ETHICS AND DISSEMINATION: This study received ethical approval from the Leicester Health Research Authority and Care Research Wales, REC reference 24/EM/0084) on 24 May 24. The study received ethical approval from the Human Research Ethics Committee of Metro North Health in Australia on 25 March 2024 (REC Ref HREC/2024/MNHA/103767). The results of the study will be reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology statement. The results will be disseminated via conference presentations, peer-reviewed academic journals and reports prepared for patients, the public and policy makers. TRIAL REGISTRATION NUMBER: ISRCTN15269213.

Indexed as

Anesthesia, ObstetricalCesarean SectionFemaleHumansMulticenter Studies as TopicObservational Studies as TopicPregnancyProspective StudiesQueenslandResearch DesignRisk FactorsUnited KingdomAdult anaesthesiaAnaesthesia in obstetricsCesarean SectionClinical ProtocolsClinical TrialPain management

Identifiers

PMID40555454
PMCPMC12198837

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.