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. 2023 Mar 7;16:707–724. doi: 10.2147/JPR.S396530

Table 2.

GRADE Summary of the Primary Outcomes

Outcomes Effects and Confidence in the Estimate of Effects (Network Meta‐Analysis)
ESP TEA SAP PVB ICN PEC
24-hour opioid requirement
Total studies: 29; total participants: 1780; number of treatments: 7 (6 block techniques, placebo)
Placebo MD= 20,
95% CI= 7.9 to 33
Rank 2 of 6 interventions
MD= 27
95% CI= 9.2 to 46
Rank 1 of 6 interventions
MD= 12
95% CI= −0.4 to 25
Rank 5 of 6 interventions
MD= 15
95% CI= 4.5 to 26
Rank 3 of 6 interventions
MD= 10.97
95% CI= −5.8 to 27.3
Rank 4 of 6 interventions
MD= 6.2
95% CI= −18 to 31
Rank 6 of 6 interventions
⊕⊕⊖⊖ Low
Publication bias and heterogeneity
⊕⊖⊖⊖ Very low
Publication bias heterogeneity, and sensitivity analysis findings
Not significantly effective ⊕⊕⊖⊖ Low
Publication bias and heterogeneity
Not significantly effective ⊕⊕⊖⊖ Low
Publication bias and heterogeneity
24-hour static pain score AUC
Total studies: 37; total participants: 2293; number of treatments: 7 (6 block techniques, placebo)
Placebo MD= 29
95% CI= 16 to 43
Rank 1 of 6 interventions
MD= 24
95% CI= 7.6 to 42
Rank 3 of 6 interventions
MD= 27
95% CI= 16 to 37
Rank 2 of 6 interventions
MD= 20
95% CI= 9.4 to 30
Rank 5 of 6 interventions
MD= 19
95% CI= −6.4 to 43
Rank 4 of 6 interventions
MD= 13
95% CI= −14 to 40
Rank 6 of 6 interventions
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias
⊕⊖⊖⊖ Very low
Publication bias and heterogeneity, high risk of bias

Abbreviations: AUC, area under the curve; CI, confidence interval; ESP, Erector Spinae Plane (block); ICN, Intercostal nerve (block); MD, mean difference; PEC, Pectoralis (block); PVB, Paravertebral Block; SAP, Serratus Anterior Plane (block); TEA, Thoracic Epidural analgesia.