Regional anesthesia

Primary outcomes and anticipated effect sizes in randomised clinical trials assessing peripheral and truncal nerve blocks: a systematic scoping review

Br J AnaesthPublished Systematic scoping review of randomised clinical trials

Authors' conclusion

The presented outcomes and effect sizes from published trials on peripheral and truncal nerve block literature can be used in future trials to increase homogeneity in regional anaesthesia research.

Study context

Population
RCTs in 10 major anaesthesia journals of single-injection ultrasound-guided peripheral and truncal nerve blocks in adults undergoing surgery
Primary endpoint
Anticipated effect sizes for primary outcomes
Methodological detailsSearched Cochrane Library's CENTRAL, Medline, and Embase; English-language trials
  • Searched Cochrane Library's CENTRAL, Medline, and Embase; English-language trials

Primary result

As reported in the abstract

Median anticipated effect sizes

0-24 h opioid consumption (median)

9 mg i.v. morphine equivalents

Pain at rest and during movement, NRS 0-10 (median)

2 points

Quality of recovery, Quality of Recovery-40 scale (median)

10 points

Quality of recovery, QoR-15 (median)

8 points

Secondary outcomes

Adequate sample size calculations reported

Trials with continuous outcomes
85% (156/183)
Trials with dichotomous outcomes
91% (29/32)

Statistically significant primary outcomes below anticipated effect sizes

Trials failing to reach anticipated effect size
24% (24/99)
Trials addressing this disparity in the conclusion
1

Original publication

Primary outcomes and anticipated effect sizes in randomised clinical trials assessing peripheral and truncal nerve blocks: a systematic scoping review. Br J Anaesth. Published 4 December 2024. doi:10.1016/j.bja.2024.09.029

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