Evidence map›Paper›PMID 41255057›Full record

ArticleAnnals of medicine2025

Impact of opioid-free anesthesia on the overall benefit of analgesia score after laparoscopic cholecystectomy: protocol and statistical analysis plan for a multicenter, randomized, controlled trial.

Han-Xue Zhao, Liu Han, Dan Wang, Jiayu Jin, Fu-Hai Ji, Wenya Guo, Hong Liu, Nazneen Sudhan, Yun Li, Ke Peng

Abstract readClinical Trial Protocol
In one paragraph

Article in Annals of medicine, 2025. 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. Article
  2. Article
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

10 authors.

Han-Xue ZhaoDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Liu HanDepartment of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Dan WangDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Jiayu JinDepartment of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Fu-Hai JiDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID 0000-0001-6649-665X
Wenya GuoDepartment of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA.
Nazneen SudhanAnesthetics, Critical Care & Chronic Pain, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.
Yun LiDepartment of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Ke PengDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.ORCID 0000-0003-2879-1759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic cholecystectomy is frequently complicated by significant postoperative pain and opioid-related adverse events. Whether opioid-free anesthesia (OFA) improves the overall benefit of analgesia in this setting remains unknown. We aim to compare the effects of OFA versus conventional opioid-based anesthesia on the Overall Benefit of Analgesia Score (OBAS) after laparoscopic cholecystectomy. PATIENTS AND

methodsThis multicenter, randomized, controlled trial will enroll 318 adult patients scheduled for elective laparoscopic cholecystectomy at three teaching hospitals in China. Patients will be allocated 1:1 to receive OFA (dexmedetomidine and esketamine) or opioid-based anesthesia (sufentanil). All patients will receive standardized sevoflurane anesthesia and postoperative multimodal analgesia. The primary endpoint is the OBAS at 24 h after surgery. Secondary endpoints include pain scores on movement at 24 h postoperatively and the incidence of chronic pain at 90 days postoperatively. Exploratory endpoints include intraoperative hemodynamics, rescue analgesia, psychiatric adverse events, length of stay in the post-anesthesia care unit, and length of hospital stay. DISCUSSION: Results of this trial will provide high-level evidence on whether the OFA regimen can improve patients' overall analgesic benefit after laparoscopic cholecystectomy.

trial registrationChinese Clinical Trial Registry (ChiCTR2500099527).

Indexed as

AnalgesiaAnalgesics, OpioidAnesthesiaCholecystectomy, LaparoscopicPostoperative PainAdultChinaDexmedetomidineFemaleHumansKetamineLength of StayMaleMiddle AgedMulticenter Studies as TopicPain MeasurementAnalgesics, OpioidDexmedetomidineKetamineSevofluraneSufentanilchronic postsurgical painLaparoscopic cholecystectomymultimodal analgesiaopioid-free anesthesiaoverall benefit of analgesia

Identifiers

PMID41255057
PMCPMC12632203

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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.