Efficacy of acupressure on quality of recovery after surgery

Noll, Eric; Shodhan, Shivam; Romeiser, Jamie; Madariaga, Maria Cecilia; Page, Christopher R.; Santangelo, Diane; Guo, Xiaojun; Pryor, Aurora D.; Gan, Tong J.; Bennett‐Guerrero, Elliott

doi:10.1097/eja.0000000000001001

Cited by 16 publications

(12 citation statements)

References 27 publications

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“…The QoR-15 scale has been used as an endpoint in perioperative medicine trials. 17,18 The monitoring of this clinical dimension has recently been recommended by the American Society for Enhanced Recovery to improve routine clinical care. 4 Amongst all the tools validated to measure postoperative recovery, the QoR-15 scale offers several attractive features.…”

Section: Discussionmentioning

confidence: 99%

Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population

Demumieux

Ludes

Diemunsch

et al. 2020

British Journal of Anaesthesia

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Background: Quality of recovery is an important component of perioperative health status. The 15-item Quality of Recovery (QoR-15) scale is a validated multidimensional questionnaire that measures postoperative quality of recovery. The aim of this study was to translate and assess the psychometric properties of a French version of the QoR-15 scale (QoR-15F) to measure postoperative recovery in French-speaking patients. Methods: After translation into French of the original English version of the QoR-15 scale, psychometric validation of the QoR-15F scale to measure postoperative quality of recovery was performed. This psychometric validation included validity, reliability, responsiveness, and feasibility. The QoR-15F scale was administered before operation and on Postoperative day 1 in French-speaking patients. Patient-perceived global recovery assessment was measured at Postoperative day 1 using a VAS. Results: We enrolled 150 patients, and 144 completed the study protocol. The completion rate of administered questionnaires was 100%. Pearson (r) correlation between postoperative QoR-15F and the global recovery assessment by the patient was 0.60 (P<0.0001). As expected, there was a significant negative correlation between QoR-15F score and duration of surgery (r¼e0.29; P<0.01), duration of PACU stay (r¼e0.21; P¼0.01), and duration of hospital stay (r¼e0.34; P<0.01). Cronbach's alpha was 0.81, split-half alpha was 0.83, and the global testeretest intra-class coefficient was 0.98 (0.95e0.99). Conclusions: The QoR-15F is a valid and reliable tool to measure postoperative quality of recovery in French-speaking patients. The psychometric properties to measure postoperative quality of recovery were similar to the seminal English version. Clinical trial registration: NCT03578068.

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Section: Discussionmentioning

confidence: 99%

Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population

Demumieux

Ludes

Diemunsch

et al. 2020

British Journal of Anaesthesia

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“…Participants were reported to be blinded in 13 trials (24% of the trials reporting on participant blinding, n = 54), 2 , 5 , 7 , 8 , 18 , 23 , 29 , 38 , 44 , 82 , 119 , 123 , 127 providers in 4 (7%, n = 55), 2 , 5 , 44 , 127 and outcome assessors in 45 trials (90%, n = 50). Only 5 studies reported unblinded assessment (Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Across our sample of included studies, there was a significant difference in attrition between groups (t(56) = 7.16, P < 0.001) and a third of studies reported differential attrition (19; 33%, n = 57). Where there was differential attrition, it was almost as often into the direction of the control group (9 cases 5 , 16 , 81 , 84 , 97 , 101 , 117 , 127 ) as it was into the direction of the intervention group (11 cases 7 , 9 , 20 , 67 , 81 , 82 , 85 , 87 , 94 , 111 , 118 , 123 ), with intervention groups losing an average of 14.9% (SD 12.9) and control groups losing an average of 14.8% (SD 12.8) of participants until the point of primary follow-up (t(112) = 0.032, P = 0.97), possibly accounting for the fact that both groups were of active interventions in most cases.…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, the results of this trial are clearly relevant to clinical decision making given that decompression surgery is (still) common practice. It seems therefore that a pragmatic intention is compatible with elements of mechanistic, explanatory studies but that these instances should be clearly highlighted alongside PRECIS-2 ratings to understand the reasoning behind the trial design (also see Ref. 82 ).…”

Section: Discussionmentioning

confidence: 99%

“…It seems therefore that a pragmatic intention is compatible with elements of mechanistic, explanatory studies but that these instances should be clearly highlighted alongside PRECIS-2 ratings to understand the reasoning behind the trial design (also see Ref. 82).…”

Section: Discussionmentioning

confidence: 99%

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Pragmatic trials of pain therapies: a systematic review of methods

Hohenschurz-Schmidt

Kleykamp

Draper-Rodi³

et al. 2021

Pain

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Effects of Systemic Lidocaine Versus Dexmedetomidine on the Recovery Quality and Analgesia After Thyroid Cancer Surgery: A Randomized Controlled Trial

Shu

et al. 2022

Pain Ther

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Introduction Surgical management is commonly used for thyroid cancer. We evaluated the effects of systemic lidocaine versus dexmedetomidine on the recovery quality and analgesia after thyroid cancer surgery. Methods A total of 120 patients with thyroid cancer were randomly allocated to group L (received lidocaine 1.5 mg/kg loading, continuously infused 1.5 mg/kg per hour), group D (received dexmedetomidine 0.5 µg/kg loading, continuously infused 0.5 µg/kg per hour) and group C (received normal saline), with 40 cases in each group. Anaesthesia induction and maintenance were performed using target-controlled infusions (TCIs) of propofol and remifentanil. The primary outcome of the quality of recovery-15 (QoR-15) score was recorded on the day before surgery and postoperative day 1 (POD1). Secondary outcomes included the consumption of remifentanil during surgery, time to first required rescue analgesia, number of patients requiring rescue analgesia, postoperative cumulative consumption of tramadol, visual analogue scale (VAS) pain score, incidence of postoperative nausea or vomiting (PONV) and side effects. Results The total score of the QoR-15 at POD1 (median, IQR) was higher in group L (128.0, 122.0–132.8) and group D (127.5, 122.5–132.5) compared to group C (118.5, 113.0–123.5) ( P = 0.000). Compared to group C, systemic lidocaine and dexmedetomidine reduced cumulative consumption of remifentanil and VAS pain score ( P = 0.000). The time to first required rescue analgesia (mean, SD) was longer in group L (8.1 h, 1.2 h) and group D (8.5 h, 1.9 h) than group C (5.9 h, 0.9 h) ( P = 0.000). The number of patients requiring rescue analgesia was lower in group L (8/40, 20%) and group D (6/40, 15%) than group C (16/40, 40%) ( P = 0.029), and cumulative consumption of tramadol (mean, SD) was lower in group L (44.0 mg, 17.1 mg) and group D (51.7 mg, 14.1 mg) than group C (73.9 mg, 18.4 mg) ( P = 0.000). The incidence of PONV in group L (7/40, 17.5%) and group D (9/40, 22.5%) was lower than group C (18/40, 45.0%) ( P = 0.016). Bradycardia (heart rate less than 50 beats/min or lower) was noted in 25 patients (25/40, 62.5%), which was reversed by intravenous administration of atropine 0.5 mg. Conclusion Systemic lidocaine and dexmedetomidine had similar effects on enhancing the quality of recovery, alleviating the intensity of pain and reducing the incidence of PONV after thyroid cancer surgery. However, dexmedetomidine may result in bradycardia. Therefore, lidocaine was superior to dexmedetomidine. Trial registration ChiCTR.org.cn (ChiCTR2000038442). Registered on September 22, 2020.

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Efficacy of acupressure on quality of recovery after surgery

Cited by 16 publications

References 27 publications

Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population

Validation of the translated Quality of Recovery-15 questionnaire in a French-speaking population

Pragmatic trials of pain therapies: a systematic review of methods

Effects of Systemic Lidocaine Versus Dexmedetomidine on the Recovery Quality and Analgesia After Thyroid Cancer Surgery: A Randomized Controlled Trial

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