Evidence map›Paper›PMID 41286753›Full record

SynthesisBMC surgery2025

The quadro-iliac plane block: a systematic review of a promising novel technique.

Alireza Shakeri, Mohammadreza Alinejadfard

Abstract readSystematic Review
In one paragraph

Synthesis in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

2 authors.

Alireza ShakeriDepartment of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammadreza AlinejadfardStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Arabi Ave, Daneshjoo BlvdVelenjak, Tehran, Iran. mhmmdrzlnjd12@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Quadroiliac Plane Block (QIPB) is an emerging fascial plane block designed to provide extensive analgesia for various surgical procedures. While its use has been described in preliminary reports, a comprehensive evaluation of the existing evidence is needed.

objectiveThis systematic review aimed to evaluate the clinical applications, efficacy, and safety of the QIPB by analyzing all available published literature.

methodsA comprehensive search of PubMed, Scopus, Embase, and Web of Science was conducted up to September 4, 2025. Inclusion criteria encompassed all study designs, including randomized controlled trials (RCTs), case series, and case reports. Data on surgical context, pain scores, rescue analgesia, and adverse events were extracted. The quality of RCTs was assessed using the Cochrane Risk of Bias 2 tool, while the JBI Critical Appraisal Checklist was used for observational studies.

resultsNineteen studies, including two RCTs and 17 observational studies comprising a total of 164 patients, met the inclusion criteria. The RCTs provided the primary efficacy data: one demonstrated that the QIPB was non-inferior to the Erector Spinae Plane (ESP) block for lumbar discectomy, while the other suggested superiority over standard analgesia for hip arthroplasty. Observational studies described the block’s use in a wide range of orthopedic, spinal, and abdominal surgeries, with reported outcomes appearing to be context-dependent.

conclusionThe QIPB is an emerging regional anesthesia technique with preliminary evidence suggesting non-inferiority to the ESP block in some contexts. However, the current evidence is limited by the variable quality of the included studies and inconsistent safety reporting. The definitive role of the QIPB will be clarified by several ongoing RCTs that are expected to provide higher-quality evidence on its comparative effectiveness and safety.

Indexed as

Nerve BlockPostoperative PainHumansRandomized Controlled Trials as TopicNerve blockPain managementPostoperative painQuadro-iliac plane blockRegional anesthesia

Identifiers

PMID41286753
PMCPMC12642103

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.