Evidence map›Paper›PMID 41193516›Full record

ArticleScientific reports2025

Bilateral paravertebral block reduces complications after pancreatectomy in retrospective cohort analysis.

Yaping Shi, Yuanqiang Dai, Qingyu Sun, Yu Deng, Xinnan Shi, Peng Shi, Guolin Sun, Tianhua Cheng, Lizhen Wang, Jinjun Bian and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 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

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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

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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.

Yaping ShiFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Yuanqiang DaiFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Qingyu SunFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Yu DengFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Xinnan ShiFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Peng ShiFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Guolin SunFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Tianhua ChengFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Lizhen WangFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Jinjun BianFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China.
Ruifang DingFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China. ruifangding@163.com.
Tao XuFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, No.168 Changhai Road, Shanghai, 200433, China. xutaosci@163.com.

Funding

National institute of hospital administration NIHAHL2504Naval Medical University PGQ2024103
6 · The paper itself

Abstract

To investigate the effects of paravertebral block (PVB) on postoperative pancreatic fistula (POPF) and major complications in adult pancreatic surgery. All data of patients who underwent pancreatic surgery at Changhai hospital between January 2017 and June 2021 were retrieved. According to whether they received PVB or not, the patients were divided into the PVB and non-PVB groups. POPF-related factors were balanced by covariate balancing propensity score (CBPS) based inverse probability weighting. After that, the POPF and postoperative major complications between the two groups were compared. Another propensity score matching, multivariate logistic regression and instrumental variable regression were employed for sensitivity analysis. Results of sensitivity analysis were expressed as relative risk (RR) or odd ratio (OR) and 95% confidence interval (CI). A total of 3360 patients were included in the study, with 374 patients in PVB group and 2986 patients in non-PVB group. After CBPS, there was no significant difference in incidence (5.7% VS 6.2%, P = 0.785) between the groups (PVB VS non-PVB). Postoperative nasogastric tube retention time (2d VS 3d, P < 0.001), and length of hospital stay (11d VS 12d, P = 0.031) were significantly reduced in the PVB group. delayed gastric emptying (DGE) (RR 0.476; 95% CI 0.262-0.863; P = 0.014) and postpancreatectomy hemorrhage (PPH) (RR 0.426; 95% CI 0.287-0.630; P < 0.001) were reduced more than 50% in PVB group. PVB did not increase the risk of POPF, but reduced DGE and PPH by more than 50%, and improved postoperative recovery after pancreatectomy.

Indexed as

Nerve BlockPancreatectomyPancreatic FistulaPostoperative ComplicationsAdultAgedFemaleHumansLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesDelayed gastric emptyingEnhanced recovery after surgeryPancreatectomyParavertebral blockPostoperative hemorrhagePostoperative pancreatic fistula

Identifiers

PMID41193516
PMCPMC12589467

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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.