{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:11:41Z","timestamp":1754161901608,"version":"3.41.2"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n            <jats:p>We investigated long-term pain and functionality outcomes following the supraclavicular and axillary brachial plexus block as regard to determine whether there are differences in outcomes following both blocks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN<\/jats:title>\n            <jats:p>Observational study<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SETTING<\/jats:title>\n            <jats:p>Patients scheduled for elective distal surgery of the upper extremity in 22 private hand surgery centres, between November 2011 and May 2016, were included.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>PATIENTS<\/jats:title>\n            <jats:p>A total of 6692 ASA 1\u20132 patients, undergoing elective day-case surgery on the upper extremity under either single shot supraclavicular or axillary brachial plexus regional anaesthesia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MAIN OUTCOME MEASURES<\/jats:title>\n            <jats:p>Rating-scales on pain and functionality were obtained preoperatively, at day 1, 6 weeks, and at 3 and 12\u200amonths postoperatively. In addition, patients time to return to work was obtained.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>No difference was detected in pain and functionality scores between supraclavicular and axillary block patients from 6\u200aweeks up to 12\u200amonths postoperatively, except for less pain following axillary block at day-one and during use at 6\u200aweeks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p>The current study reports no superiority of one block over the other in terms of long-term postoperative pain, functionality, and return-to-work outcome. Anaesthetists are therefore free to choose between the supraclavicular and axillary brachial plexus block based on personal preference.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>TRIAL REGISTRATION<\/jats:title>\n            <jats:p>The local research ethics committee approved and registered this study (registration number: MEC-2018-1088).<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ea9.0000000000000082","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T13:00:30Z","timestamp":1753794030000},"page":"e0082","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Impact of supraclavicular versus axillary brachial plexus block on long-term pain, functionality, and return-to-work outcomes in 6692 surgical procedures"],"prefix":"10.1097","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3726-569X","authenticated-orcid":false,"given":"Wouter","family":"Droog","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.W.","family":"van der Oest","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harm P.","family":"Slijper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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