{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:43:16Z","timestamp":1784889796520,"version":"3.55.0"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.com.au","clinicalkey.es","americanjournalofsurgery.com","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2024,6]]},"DOI":"10.1016\/j.amjsurg.2024.01.032","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T05:42:40Z","timestamp":1706852560000},"page":"31-44","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"special_numbering":"C","title":["Effectiveness of erector spinae plane block in reducing opioid consumption after colorectal surgery: A comprehensive meta-analysis"],"prefix":"10.1016","volume":"232","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0850-9033","authenticated-orcid":false,"given":"Syed Muhammad","family":"Muneeb Akhtar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5906-9852","authenticated-orcid":false,"given":"Areeba","family":"Fareed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9738-7378","authenticated-orcid":false,"given":"Urwah","family":"Afzal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6705-2030","authenticated-orcid":false,"given":"Muhammad Sohaib","family":"Asghar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2186-3444","authenticated-orcid":false,"given":"Munazza","family":"Mumtaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6993-7211","authenticated-orcid":false,"given":"Fatima","family":"Faraz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9758-1342","authenticated-orcid":false,"given":"Huda","family":"Naeem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0384-700X","authenticated-orcid":false,"given":"Rayyan","family":"Vaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjsurg.2024.01.032_bib1","series-title":"Ultrasound-guided erector spinae plane block versus trocar site local anesthetic infiltration for Laparoscopic colorectal resection: a prospective, randomized study. annalsmedres [Internet]","author":"Ates","year":"2022"},{"issue":"10","key":"10.1016\/j.amjsurg.2024.01.032_bib2","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.2147\/JPR.S144066","article-title":"Poorly controlled postoperative pain: prevalence, consequences, and prevention","volume":"10","author":"Gan","year":"2017","journal-title":"Journal of Pain Research [Internet]"},{"issue":"2","key":"10.1016\/j.amjsurg.2024.01.032_bib3","doi-asserted-by":"crossref","first-page":"197","DOI":"10.3109\/15360288.2012.678473","article-title":"Relieving PAIN in America: a blueprint for transforming prevention, care, education, and research","volume":"26","author":"Simon","year":"2012","journal-title":"J\u00a0Pain Palliat Care Pharmacother"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib4","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s00268-018-4844-y","article-title":"Guidelines for perioperative care in elective colorectal surgery: enhanced recovery after surgery (ERAS\u00ae) society recommendations: 2018","volume":"43","author":"Gustafsson","year":"2018","journal-title":"World J Surg"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib5","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s12630-020-01875-2","article-title":"Mechanisms of action of the erector spinae plane (ESP) block: a narrative review","volume":"68","author":"Chin","year":"2021","journal-title":"Canadian Journal of Anesthesia\/Journal canadien d\u2019anesth\u00e9sie."},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib6","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4097\/kja.d.19.00012","article-title":"The erector spinae plane block: a narrative review","volume":"72","author":"Kot","year":"2019","journal-title":"Korean Journal of Anesthesiology"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib7","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"Forero","year":"2016","journal-title":"Reg Anesth Pain Med"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib8","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1111\/anae.15164","article-title":"Efficacy of erector spinae plane block for analgesia in breast surgery: a systematic review and meta-analysis","volume":"76","author":"Leong","year":"2020","journal-title":"Anaesthesia"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib9","first-page":"1611","article-title":"Erector spinae plane block for lumbar spinal surgery: a systematic review","volume":"13","author":"Qiu","year":"2020","journal-title":"J\u00a0Pain Res"},{"issue":"2","key":"10.1016\/j.amjsurg.2024.01.032_bib10","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/AAP.0000000000000545","article-title":"Essentials of our current understanding","volume":"42","author":"Chin","year":"2017","journal-title":"Reg Anesth Pain Med"},{"issue":"2","key":"10.1016\/j.amjsurg.2024.01.032_bib11","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/0310057X0703500213","article-title":"Changing from epidural to multimodal analgesia for colorectal laparotomy: an audit","volume":"35","author":"Chilvers","year":"2007","journal-title":"Anaesth Intensive Care"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib12","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1097\/AAP.0b013e31825735c6","article-title":"Epidural technique for postoperative pain","volume":"37","author":"Rawal","year":"2012","journal-title":"Reg Anesth Pain Med"},{"issue":"8","key":"10.1016\/j.amjsurg.2024.01.032_bib13","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1007\/s12630-009-9110-1","article-title":"Transversalis fascia plane block, a novel ultrasound-guided abdominal wall nerve block","volume":"56","author":"Hebbard","year":"2009","journal-title":"Canadian Journal of Anesthesia\/Journal canadien d\u2019anesth\u00e9sie"},{"issue":"71","key":"10.1016\/j.amjsurg.2024.01.032_bib14","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Br Med J"},{"issue":"343","key":"10.1016\/j.amjsurg.2024.01.032_bib15","first-page":"343","article-title":"The Cochrane Collaboration's tool for assessing risk of bias in randomised trials","author":"Higgins","year":"2011","journal-title":"BMJ"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib16","series-title":"R: A Language and Environment for Statistical Computing","year":"2021"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib17","series-title":"How to Perform a Meta-Analysis with R: A Practical Tutorial","first-page":"153","author":"Balduzzi","year":"2019"},{"issue":"18","key":"10.1016\/j.amjsurg.2024.01.032_bib18","doi-asserted-by":"crossref","first-page":"2641","DOI":"10.1002\/sim.1221","article-title":"A\u00a0graphical method for exploring heterogeneity in meta-analyses: application to a meta-analysis of 65 trials","volume":"21","author":"Baujat","year":"2002","journal-title":"Stat Med"},{"issue":"2","key":"10.1016\/j.amjsurg.2024.01.032_bib19","first-page":"534","article-title":"P-Curve: a key to the file-drawer","volume":"143","author":"Simonsohn","year":"2014","journal-title":"J\u00a0Exp Psychol"},{"issue":"6","key":"10.1016\/j.amjsurg.2024.01.032_bib20","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1177\/1745691614553988","article-title":"P-curve and effect size: correcting for publication bias using only significant results","volume":"9","author":"Simonsohn","year":"2014","journal-title":"Perspect Psychol Sci"},{"issue":"6","key":"10.1016\/j.amjsurg.2024.01.032_bib21","first-page":"1146","article-title":"Better P-curves: making P-curve analysis more robust to errors, fraud, and ambitious P-hacking, a reply to ulrich and miller (2015)","volume":"144","author":"Simonsohn","year":"2015","journal-title":"J\u00a0Exp Psychol"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib22","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1002\/jrsm.11","article-title":"Outlier and influence diagnostics for meta-analysis","volume":"1","author":"Viechtbauer","year":"2010","journal-title":"Res Synth Methods"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib23","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1080\/00401706.1988.10488400","article-title":"Graphical display of estimates having differing standard errors","volume":"30","author":"Galbraith","year":"1988","journal-title":"Technometrics"},{"issue":"8","key":"10.1016\/j.amjsurg.2024.01.032_bib24","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1002\/sim.4780070807","article-title":"A\u00a0note on graphical presentation of estimated odds ratios from several clinical trials","volume":"7","author":"Galbraith","year":"1988","journal-title":"Stat Med"},{"issue":"428","key":"10.1016\/j.amjsurg.2024.01.032_bib25","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1080\/01621459.1994.10476864","article-title":"Some applications of radial plots","volume":"89","author":"Galbraith","year":"1994","journal-title":"J\u00a0Am Stat Assoc"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib26","doi-asserted-by":"crossref","DOI":"10.1186\/s44158-022-00073-4","article-title":"Analgesic efficacy of the bilateral erector spinae plane block for colorectal surgery: a randomized controlled trial","volume":"2","author":"Kekul","year":"2022","journal-title":"Journal of Anesthesia, Analgesia and Critical Care"},{"issue":"10","key":"10.1016\/j.amjsurg.2024.01.032_bib27","article-title":"Effect of erector spinae plane block on postoperative pain after laparoscopic colorectal surgery: a randomized controlled study","volume":"12","author":"Choi","year":"2022","journal-title":"J\u00a0Personalized Med"},{"issue":"Suppl 2","key":"10.1016\/j.amjsurg.2024.01.032_bib28","first-page":"224","article-title":"Ultrasound-guided bilateral erector spinae plane block in Laparoscopic colon cancer surgery","volume":"71","author":"Li","year":"2021","journal-title":"Anaesthesist"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib29","doi-asserted-by":"crossref","first-page":"12056","DOI":"10.1038\/s41598-023-39265-5","article-title":"Erector spinae plane block in Laparoscopic colorectal surgery for reducing opioid requirement and facilitating early ambulation: a double-blind, randomized trial","volume":"13","author":"Park","year":"2023","journal-title":"Scientific Reports [Internet]"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib30","series-title":"Pre-operative erector spinae plane block should be considered a viable option for Laparoscopic colectomies. Surgical Endoscopy [Internet]","author":"Wan","year":"2023"},{"issue":"2","key":"10.1016\/j.amjsurg.2024.01.032_bib31","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1007\/s40122-021-00329-x","article-title":"Comparison of ultrasound-guided erector spinae plane block and oblique subcostal transverse abdominis plane block for postoperative analgesia in elderly patients after laparoscopic colorectal surgery: a prospective randomized study","volume":"10","author":"Qi-hong","year":"2021","journal-title":"Pain Ther. [Internet]"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib32","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1186\/s12871-021-01474-8","article-title":"A\u00a0comparison of ultrasound guided bilateral single injection shot Erector Spinae Plane blocks versus wound infiltration for post-operative analgesia in Laparoscopic assisted colonic surgery- a prospective randomised study","volume":"21","author":"Rao Kadam","year":"2021","journal-title":"BMC anesthesiology [Internet]"},{"issue":"23","key":"10.1016\/j.amjsurg.2024.01.032_bib33","first-page":"7465","article-title":"The effectiveness of ultrasound-guided, continuous, bilateral erector spinae plane block in perioperative pain management of patients undergoing colorectal surgery: a randomized, controlled, double blind, prospective trial","volume":"12","author":"Sifaki","year":"2023","journal-title":"J\u00a0Clin Med"},{"issue":"6","key":"10.1016\/j.amjsurg.2024.01.032_bib34","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/pds.3945","article-title":"A\u00a0synthesis of oral morphine equivalents (OME) for opioid utilisation studies","volume":"25","author":"Nielsen","year":"2015","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2020.109900","article-title":"Erector spinae plane block for postoperative analgesia in breast and thoracic surgery: a systematic review and meta-analysis","volume":"66","author":"Huang","year":"2020","journal-title":"J\u00a0Clin Anesth"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib36","doi-asserted-by":"crossref","first-page":"206","DOI":"10.3344\/kjp.2019.32.3.206","article-title":"Multimodal analgesia with multiple intermittent doses of erector spinae plane block through a catheter after total mastectomy: a retrospective observational study","volume":"32","author":"Hong","year":"2019","journal-title":"Korean J Pain"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib37","first-page":"132","article-title":"Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: a randomized controlled trial","volume":"31","author":"Aksu","year":"2019","journal-title":"Agri"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/LRA.S392307","article-title":"Postoperative outcomes of analgesic management with erector spine plane block at T5 level in pediatric patients undergoing cardiac surgery with sternotomy: a cohort study","volume":"16","author":"Cruz-Su\u00e1rez","year":"2023","journal-title":"Local Reg Anesth"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib39","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2022.110647","article-title":"Analgesic efficacy of erector spinae plane block in lumbar spine surgery: a systematic review and meta-analysis","volume":"78","author":"Oh","year":"2022","journal-title":"J\u00a0Clin Anesth"},{"issue":"4","key":"10.1016\/j.amjsurg.2024.01.032_bib40","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1080\/08941939.2021.1931574","article-title":"Comparison of ultrasound-guided erector spinae plane block and subcostal transversus abdominis plane block for postoperative analgesia after Laparoscopic cholecystectomy: a randomized, controlled trial","volume":"35","author":"Ozdemir","year":"2022","journal-title":"J\u00a0Invest Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12871-020-01016-8","article-title":"The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials","volume":"20","author":"Kendall","year":"2020","journal-title":"BMC Anesthesiol"},{"issue":"9","key":"10.1016\/j.amjsurg.2024.01.032_bib42","first-page":"2928","article-title":"The effects of erector spinae plane block in terms of postoperative analgesia in patients undergoing Laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials","volume":"9","author":"Koo","year":"2020","journal-title":"J\u00a0Clin Med"},{"issue":"3","key":"10.1016\/j.amjsurg.2024.01.032_bib43","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/papr.12953","article-title":"Bilateral erector spinae plane block for postoperative analgesia in Laparoscopic cholecystectomy: a systematic review and meta-analysis of randomized controlled trials","volume":"21","author":"Daghmouri","year":"2021","journal-title":"Pain Pract"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib44","first-page":"709","article-title":"Bilateral erector spinae plane blocks for open posterior lumbar surgery","volume":"13","author":"Zhang","year":"2020","journal-title":"J\u00a0Pain Res"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib45","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.sjpain.2017.08.013","article-title":"Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: a case series","volume":"17","author":"Forero","year":"2017","journal-title":"Scandinavian Journal of Pain"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib46","article-title":"Sacral erector spinae plane block provides surgical anesthesia in ambulatory anorectal surgery: two case reports","volume":"13","author":"Kaya","year":"2021","journal-title":"Cureus. [Internet]"},{"key":"10.1016\/j.amjsurg.2024.01.032_bib47","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.jclinane.2018.09.036","article-title":"The erector spinae plane (ESP) block: a pooled review of 242 cases","volume":"53","author":"Tsui","year":"2019","journal-title":"J\u00a0Clin Anesth"},{"issue":"1","key":"10.1016\/j.amjsurg.2024.01.032_bib48","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s00464-016-4941-7","article-title":"Effects of preoperative ultrasound-guided transversus abdominis plane block on pain after Laparoscopic surgery for colorectal cancer: a double-blind randomized controlled trial","volume":"31","author":"Oh","year":"2016","journal-title":"Surg Endosc"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961024000345?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961024000345?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T19:41:42Z","timestamp":1715456502000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961024000345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":48,"alternative-id":["S0002961024000345"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2024.01.032","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effectiveness of erector spinae plane block in reducing opioid consumption after colorectal surgery: A comprehensive meta-analysis","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2024.01.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}