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. 2018 Jun 21;2018(6):CD007105. doi: 10.1002/14651858.CD007105.pub4

Comparison 1. Local or regional anaesthesia for the prevention of persistent postoperative pain (inclusive analysis).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 PPP three to 18 months after thoracotomy 7 499 Odds Ratio (M‐H, Random, 95% CI) 0.52 [0.32, 0.84]
2 PPP three to six months after cardiac surgery 2 116 Mean Difference (IV, Random, 95% CI) ‐0.76 [‐1.73, 0.21]
3 PPP three to twelve months after breast cancer surgery 18 1297 Odds Ratio (M‐H, Random, 95% CI) 0.43 [0.28, 0.68]
3.1 Paravertebral block 6 419 Odds Ratio (M‐H, Random, 95% CI) 0.61 [0.39, 0.97]
3.2 Intravenous lidocaine 2 97 Odds Ratio (M‐H, Random, 95% CI) 0.24 [0.08, 0.69]
3.3 Multimodal block 4 402 Odds Ratio (M‐H, Random, 95% CI) 0.76 [0.32, 1.77]
3.4 Local infiltration 6 379 Odds Ratio (M‐H, Random, 95% CI) 0.29 [0.12, 0.73]
4 PPP three to eight months after caesarean section 4 551 Odds Ratio (M‐H, Random, 95% CI) 0.46 [0.28, 0.78]
5 Pain score three to six months after caesarean section 2 110 Std. Mean Difference (IV, Random, 95% CI) 0.14 [‐0.34, 0.61]
6 PPP three to 55 months after Iliac crest bone graft 3 123 Odds Ratio (M‐H, Random, 95% CI) 0.20 [0.04, 1.09]
7 PPP six to 12 months after amputation 2 108 Odds Ratio (M‐H, Random, 95% CI) 0.53 [0.21, 1.33]
8 PPP six to 12 months after laparotomy 2   Odds Ratio (M‐H, Random, 95% CI) Totals not selected
9 PPP three to 12 months after hernia repair 2   Odds Ratio (M‐H, Random, 95% CI) Totals not selected
10 Pain score three months after prostatectomy 2 150 Std. Mean Difference (IV, Random, 95% CI) 0.06 [‐0.26, 0.38]
11 SF‐36 bodily pain score at three to six months after hysterectomy 3 297 Mean Difference (IV, Random, 95% CI) 1.70 [‐1.06, 4.46]