Evidence map›Paper›PMID 42332433›Full record

ArticleThe Korean journal of pain2026

Is cryoanalgesia superior to thoracic epidural analgesia for postoperative recovery after the nuss procedure? An updated meta-analysis.

Kristine Santos, Clara Campoverde Fárez, Khaled Alhwaishel, Bezalel Hakkeem, Joo Young Belen Kim Kim, Gabriel Wekure Chanayire, Silvia M West

Abstract read
In one paragraph

Article in The Korean journal of pain, 2026. 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

7 authors.

Kristine SantosNew Vision University School of Medicine, Tbilisi, Georgia.ORCID https://orcid.org/0009-0004-3563-4211
Clara Campoverde FárezFaculty of Medical Sciences, Universidad de Cuenca, Cuenca, Ecuador.ORCID https://orcid.org/0009-0001-0255-6489
Khaled AlhwaishelMansoura Manchester Medical Program, Faculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID https://orcid.org/0000-0002-5532-9263
Bezalel HakkeemGovernment Medical College Kozhikode, Kerala, India.ORCID https://orcid.org/0009-0006-4904-8242
Joo Young Belen Kim KimFaculty of Medical Sciences, National University de Asunción, Asunción, Paraguay.ORCID https://orcid.org/0009-0006-0793-2056
Gabriel Wekure ChanayireAll Saints University School of Medicine, Roseau, Dominica.ORCID https://orcid.org/0009-0001-7718-2282
Silvia M WestDepartment of Thoracic Surgery, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain.ORCID https://orcid.org/0000-0003-0579-8560

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Nuss procedure is commonly used to correct pectus excavatum, with cryoanalgesia (CA) and thoracic epidural analgesia (TEA) as pain management options. While a prior meta-analysis showed shorter hospital stays with CA, publication of recent studies warrants a more comprehensive evaluation of outcomes not previously reported. Methods: A literature search identified studies comparing CA and TEA in Nuss procedures. Pooled odds ratios, mean differences (MDs), and standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using RevMan 8.13.0, with a subgroup analysis of randomized and propensity matched studies. Results: Fifteen studies were included, comprising 1,391 patients, of whom 823 (62.4%) received CA. CA was associated with a longer operative duration (MD 29.1 minutes, 95% CI 17.3 to 40.8; Conclusions: Consistent with the prior meta-analysis, the authors' updated meta-analysis indicates that CA is associated with reduced hospital stay. Additionally, their analysis revealed that CA lowers postoperative pain and opioid consumption, however, the increased costs necessitate a cost-benefit evaluation.

Indexed as

AnalgesiaAnalgesicsCryotherapyEpiduralFunnel ChestMeta-AnalysisOpioidPain ManagementPostoperative Pain

Identifiers

PMID42332433
PMCPMC13327951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.