{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:32:52Z","timestamp":1787653972643,"version":"build-2736575974"},"reference-count":51,"publisher":"Bioscientifica","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>To compare anesthesia techniques (WALANT (wide-awake anesthesia no tourniquet), locoregional anesthesia, local anesthesia with tourniquet or sedation) for carpal tunnel release (CTR).<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A comprehensive literature search was conducted on PubMed, MEDLINE, Embase and the Cochrane Library up to May 2023. Two independent reviewers selected the studies and extracted the data. The primary outcomes included the pain experienced at the moment of anesthesia and during the surgery and the mean morphine equivalents (MME) administered following the surgery and overall patient satisfaction. Our secondary outcomes consisted of the mean room occupancy time and the mean duration of the procedure, followed by the complication rate. The review process was conducted according to PRISMA guidelines.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A total of 3166 studies were identified, which included 23 studies comparing various anesthesia types and 28,748 CTR surgeries. The WALANT group experienced significantly lower pain levels during anesthesia (\u22122.67 (95% CIs: 0.12\u20134.99)) and surgery (\u22122.04 (95% CIs: 0.08\u20134.07)) compared to the local anesthesia group. There was no difference in the use of MME for pain relief among different anesthesia techniques. Satisfaction rates were comparable, but WALANT exhibited the highest probability for utmost satisfaction. The mean room occupancy time was lower in patients receiving local anesthesia compared with when sedation was added, with a mean difference of \u221227.16 (95% CIs: \u221252.03 to \u22121.85).<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>The WALANT technique for CTR reported better outcomes for pain (during anesthesia and surgery), higher satisfaction and low probability to expand the operating room occupancy time.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Level II of evidence.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1530\/eor-2024-0014","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T10:27:51Z","timestamp":1735900071000},"page":"3-13","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":5,"title":["Network meta-analysis comparing WALANT, locoregional, local and general anesthesia techniques in carpal tunnel release"],"prefix":"10.1530","volume":"10","author":[{"given":"Laurentiu-Cosmin","family":"Focsa","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery at Bichat-Beaujon Hospitals, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Alban","family":"Bouch\u00e9","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery at Lariboisi\u00e8re Hospital, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Apard","sequence":"additional","affiliation":[{"name":"Centre d\u2019\u00e9chochirurgie, Versailles, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphn\u00e9","family":"Querel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery at Lariboisi\u00e8re Hospital, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Antoine","family":"Rousseau","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery at Bichat-Beaujon Hospitals, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3662-9903","authenticated-orcid":true,"given":"Jules","family":"Descamps","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery at Lariboisi\u00e8re Hospital, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"StatPearls","article-title":"Carpal tunnel syndrome","author":"Sevy JO","year":"2023","unstructured":"Sevy JO & Varacallo M. Carpal tunnel syndrome. In StatPearls. Treasure Island (FL): StatPearls Publishing, 2023. (available at: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448179\/)"},{"key":"bib2","series-title":"Hand","first-page":"214","article-title":"WALANT technique versus sedation for endoscopic carpal tunnel release","volume":"18","author":"Wellington I","year":"2023","unstructured":"Wellington I, Cusano A, Ferreira JV, et al. WALANT technique versus sedation for endoscopic carpal tunnel release. Hand 2023 18 214\u2013221. (https:\/\/doi.org\/10.1177\/15589447211003180)"},{"key":"bib3","series-title":"No Shinkei Geka","first-page":"1306","article-title":"[Carpal tunnel syndrome:diagnosis and treatment]","volume":"49","author":"Kokubo R","year":"2021","unstructured":"Kokubo R & Kim K. [Carpal tunnel syndrome:diagnosis and treatment]. No Shinkei Geka 2021 49 1306\u20131316. (https:\/\/doi.org\/10.11477\/mf.1436204516)"},{"key":"bib4","article-title":"Syndrome du canal carpien","author":"Sante Publique France","year":"2019","unstructured":"Sante Publique France Syndrome du canal carpien, 2019. (https:\/\/www.santepubliquefrance.fr\/maladies-et-traumatismes\/maladies-liees-au-travail\/troubles-musculo-squelettiques\/donnees\/syndrome-du-canal-carpien)"},{"key":"bib5","series-title":"Plast Reconstr Surg Glob Open","first-page":"e2692","article-title":"Carpal tunnel syndrome surgery: what you should know","volume":"8","author":"Tulipan JE","year":"2020","unstructured":"Tulipan JE & Ilyas AM. Carpal tunnel syndrome surgery: what you should know. Plast Reconstr Surg Glob Open 2020 8 e2692. (https:\/\/doi.org\/10.1097\/gox.0000000000002692)"},{"key":"bib6","series-title":"Muscle & Nerve","first-page":"497","article-title":"Carpal tunnel release: lifetime prevalence, annual incidence, and risk factors","volume":"58","author":"Pourmemari M","year":"2018","unstructured":"Pourmemari M, Heli\u00f6vaara M, Viikari-Juntura E, et al. Carpal tunnel release: lifetime prevalence, annual incidence, and risk factors. In Muscle & Nerve, vol 58, pp 497\u2013502. Wiley Online Library, 2018. (https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.26145)"},{"key":"bib7","series-title":"Orthop Traumatol Surg Res","first-page":"103134","article-title":"The impact of WALANT anesthesia and office-based settings on patient satisfaction after carpal tunnel release: a patient reported outcome study","volume":"109","author":"Moscato L","year":"2023","unstructured":"Moscato L, Helmi A, Kouyoumdjian P, et al. The impact of WALANT anesthesia and office-based settings on patient satisfaction after carpal tunnel release: a patient reported outcome study. Orthop Traumatol Surg Res 2023 109 103134. (https:\/\/doi.org\/10.1016\/j.otsr.2021.103134)"},{"key":"bib8","series-title":"Folia Morphol","first-page":"851","article-title":"Carpal tunnel syndrome: state-of-the-art review","volume":"81","author":"Osiak K","year":"2022","unstructured":"Osiak K, Elnazir P, Walocha JA, et al. Carpal tunnel syndrome: state-of-the-art review. Folia Morphol 2022 81 851\u2013862. (https:\/\/doi.org\/10.5603\/fm.a2021.0121)"},{"key":"bib9","series-title":"Hand","first-page":"606","article-title":"Prospective evaluation of opioid consumption following hand surgery performed wide awake versus with sedation","volume":"12","author":"Miller A","year":"2017","unstructured":"Miller A, Kim N & Ilyas AM. Prospective evaluation of opioid consumption following hand surgery performed wide awake versus with sedation. Hand 2017 12 606\u2013609. (https:\/\/doi.org\/10.1177\/1558944716677536)"},{"key":"bib10","series-title":"Bone Joint Res","first-page":"429","article-title":"[RETRACTED] Fixation of distal radius fractures using wide-awake local anaesthesia with no tourniquet (WALANT) technique: a randomized control trial of a cost-effective and resource-friendly procedure","volume":"9","author":"Tahir M","year":"2020","unstructured":"Tahir M, Chaudhry EA, Zaffar Z, et al. [RETRACTED] Fixation of distal radius fractures using wide-awake local anaesthesia with no tourniquet (WALANT) technique: a randomized control trial of a cost-effective and resource-friendly procedure. Bone Joint Res 2020 9 429\u2013439. (https:\/\/doi.org\/10.1302\/2046-3758.97.bjr-2019-0315.r1)"},{"key":"bib11","series-title":"J Orthop Surg","first-page":"2309499017739499","article-title":"Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)\/tourniquet","volume":"25","author":"Gunasagaran J","year":"2017","unstructured":"Gunasagaran J, Sean ES, Shivdas S, et al. Perceived comfort during minor hand surgeries with wide awake local anaesthesia no tourniquet (WALANT) versus local anaesthesia (LA)\/tourniquet. J Orthop Surg 2017 25 2309499017739499. (https:\/\/doi.org\/10.1177\/2309499017739499)"},{"key":"bib50","series-title":"J Hand Surg","first-page":"1061","article-title":"A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand: the Dalhousie Project clinical phase","volume":"30","author":"Lalonde D","year":"2005","unstructured":"Lalonde D, Bell M, Benoit P, et al. A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand: the Dalhousie Project clinical phase. J Hand Surg 2005 30 1061\u20131067. (https:\/\/doi.org\/10.1016\/j.jhsa.2005.05.006)"},{"key":"bib51","series-title":"EFORT Open Reviews","first-page":"349","article-title":"WALANT surgery of the hand: state of the art","volume":"9","author":"Degreef I","year":"2024","unstructured":"Degreef I & Lalonde DH. WALANT surgery of the hand: state of the art. EFORT Open Reviews 2024 9 349\u2013356. (https:\/\/doi.org\/10.1530\/EOR-24-0033)"},{"key":"bib12","series-title":"Plast Reconstr Surg","first-page":"1532","article-title":"A cost analysis of carpal tunnel release surgery performed wide awake versus under sedation","volume":"142","author":"Alter TH","year":"2018","unstructured":"Alter TH, Warrender WJ, Liss FE, et al. A cost analysis of carpal tunnel release surgery performed wide awake versus under sedation. Plast Reconstr Surg 2018 142 1532\u20131538. (https:\/\/doi.org\/10.1097\/prs.0000000000004983)"},{"key":"bib13","series-title":"Hand","first-page":"348","article-title":"An economic analysis of MAC versus WALANT: a trigger finger release surgery case study","volume":"12","author":"Codding JL","year":"2017","unstructured":"Codding JL, Bhat SB & Ilyas AM. An economic analysis of MAC versus WALANT: a trigger finger release surgery case study. Hand 2017 12 348\u2013351. (https:\/\/doi.org\/10.1177\/1558944716669693)"},{"key":"bib14","series-title":"Orthop Traumatol Surg Res","first-page":"1645","article-title":"A randomized controlled trial of minor hand surgeries comparing wide awake local anesthesia no tourniquet and local anesthesia with tourniquet","volume":"106","author":"Ki Lee S","year":"2020","unstructured":"Ki Lee S, Gul Kim S & Sik Choy W. A randomized controlled trial of minor hand surgeries comparing wide awake local anesthesia no tourniquet and local anesthesia with tourniquet. Orthop Traumatol Surg Res 2020 106 1645\u20131651. (https:\/\/doi.org\/10.1016\/j.otsr.2020.03.013)"},{"key":"bib15","series-title":"J Hand Surg Asian Pac Vol","first-page":"389","article-title":"Wide awake local anesthesia No tourniquet: a pilot study for carpal tunnel release in the philippine orthopedic center","volume":"24","author":"Castro Magtoto IJ","year":"2019","unstructured":"Castro Magtoto IJ & Alagar DL. Wide awake local anesthesia No tourniquet: a pilot study for carpal tunnel release in the philippine orthopedic center. J Hand Surg Asian Pac Vol 2019 24 389\u2013391. (https:\/\/doi.org\/10.1142\/S2424835519500486)"},{"key":"bib16","series-title":"Orthop Traumatol Surg Res","first-page":"103427","article-title":"Wide-awake surgery in orthopaedics: \u2018Scoping review\u2019","volume":"109","author":"Camara-Cabrera J","year":"2023","unstructured":"Camara-Cabrera J, Berenguer A, Sanchez-Flo R, et al. Wide-awake surgery in orthopaedics: \u2018Scoping review\u2019. Orthop Traumatol Surg Res 2023 109 103427. (https:\/\/doi.org\/10.1016\/j.otsr.2022.103427)"},{"key":"bib17","series-title":"Handchir Mikrochir Plast Chir","first-page":"175","article-title":"[The \u2018Wide Awake Approach\u2019 in hand surgery: a comfortable anaesthesia method without a tourniquet]","volume":"43","author":"Koegst WHH","year":"2011","unstructured":"Koegst WHH, W\u00f6lfle O, Thoele K, et al. [The \u2018Wide Awake Approach\u2019 in hand surgery: a comfortable anaesthesia method without a tourniquet]. Handchir Mikrochir Plast Chir 2011 43 175\u2013180. (https:\/\/doi.org\/10.1055\/s-0031-1280762)"},{"key":"bib18","series-title":"BMJ","first-page":"n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021 372 n71. (https:\/\/doi.org\/10.1136\/bmj.n71)"},{"key":"bib19","series-title":"Orthop Traumatol Surg Res","first-page":"103358","article-title":"Wide awake local anesthesia no tourniquet (WALANT) versus axillary brachial plexus block for carpal tunnel release in a French public university hospital: care pathways and operating room costs","volume":"109","author":"Boukebous B","year":"2023","unstructured":"Boukebous B, Maillot C, Castel LC, et al. Wide awake local anesthesia no tourniquet (WALANT) versus axillary brachial plexus block for carpal tunnel release in a French public university hospital: care pathways and operating room costs. Orthop Traumatol Surg Res 2023 109 103358. (https:\/\/doi.org\/10.1016\/j.otsr.2022.103358)"},{"key":"bib20","series-title":"Sao Paulo Med J","first-page":"576","article-title":"WALANT versus intravenous regional anesthesia for carpal tunnel syndrome: a randomized clinical trial","volume":"139","author":"Okamura A","year":"2021","unstructured":"Okamura A, de Moraes VY, Fernandes M, et al. WALANT versus intravenous regional anesthesia for carpal tunnel syndrome: a randomized clinical trial. Sao Paulo Med J 2021 139 576\u2013578. (https:\/\/doi.org\/10.1590\/1516-3180.2020.0583.r2.0904221)"},{"key":"bib21","series-title":"Plast Reconstr Surg","first-page":"1197","article-title":"Patients\u2019 perspective on carpal tunnel release with WALANT or intravenous regional anesthesia","volume":"145","author":"Ayhan E","year":"2020","unstructured":"Ayhan E & Akaslan F. Patients\u2019 perspective on carpal tunnel release with WALANT or intravenous regional anesthesia. Plast Reconstr Surg 2020 145 1197\u20131203. (https:\/\/doi.org\/10.1097\/prs.0000000000006741)"},{"key":"bib22","series-title":"J Hand Surg","first-page":"69.e1","article-title":"Prospective evaluation of surgical and anesthetic technique of carpal tunnel release in an orthopedic practice","volume":"46","author":"Aultman H","year":"2021","unstructured":"Aultman H, Roth CA, Curran J, et al. Prospective evaluation of surgical and anesthetic technique of carpal tunnel release in an orthopedic practice. J Hand Surg 2021 46 69.e1\u201369.e7. (https:\/\/doi.org\/10.1016\/j.jhsa.2020.07.023)"},{"key":"bib23","series-title":"J Hand Surg Glob Online","first-page":"129","article-title":"Open carpal tunnel release under WALANT \u2013 suitable for all ages?","volume":"3","author":"Lech L","year":"2021","unstructured":"Lech L, Leitsch S, Krug C, et al. Open carpal tunnel release under WALANT \u2013 suitable for all ages? J Hand Surg Glob Online 2021 3 129\u2013132. (https:\/\/doi.org\/10.1016\/j.jhsg.2021.02.002)"},{"key":"bib24","series-title":"Hand","first-page":"39","article-title":"Prospective evaluation of opioid consumption following carpal tunnel release surgery","volume":"12","author":"Chapman T","year":"2017","unstructured":"Chapman T, Kim N, Maltenfort M, et al. Prospective evaluation of opioid consumption following carpal tunnel release surgery. Hand 2017 12 39\u201342. (https:\/\/doi.org\/10.1177\/1558944716646765)"},{"key":"bib25","series-title":"J Med Assoc Thai","first-page":"106","article-title":"Wide awake technique versus local anesthesia with tourniquet application for minor orthopedic hand surgery: a prospective clinical trial","volume":"98","author":"Ruxasagulwong S","year":"2015","unstructured":"Ruxasagulwong S, Kraisarin J & Sananpanich K. Wide awake technique versus local anesthesia with tourniquet application for minor orthopedic hand surgery: a prospective clinical trial. J Med Assoc Thai 2015 98 106\u2013110."},{"key":"bib26","series-title":"Hand","first-page":"47","article-title":"The patient\u2019s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study","volume":"8","author":"Davison PG","year":"2013","unstructured":"Davison PG, Cobb T & Lalonde DH. The patient\u2019s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study. Hand 2013 8 47\u201353. (https:\/\/doi.org\/10.1007\/s11552-012-9474-5)"},{"key":"bib27","series-title":"J Pain Res","first-page":"2725","article-title":"Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain","volume":"12","author":"Kang SW","year":"2019","unstructured":"Kang SW, Park HM, Park JK, et al. Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain. J Pain Res 2019 12 2725\u20132731. (https:\/\/doi.org\/10.2147\/jpr.s210366)"},{"key":"bib28","series-title":"J Hand Surg Glob Online","first-page":"7","article-title":"Wide-awake local anesthesia for minor hand surgery associated with lower opioid prescriptions, morbidity, and costs: a nationwide database study","volume":"2","author":"Lalchandani GR","year":"2020","unstructured":"Lalchandani GR, Halvorson RT, Rahgozar P, et al. Wide-awake local anesthesia for minor hand surgery associated with lower opioid prescriptions, morbidity, and costs: a nationwide database study. J Hand Surg Glob Online 2020 2 7\u201312. (https:\/\/doi.org\/10.1016\/j.jhsg.2019.09.011)"},{"key":"bib29","series-title":"J Anesth","first-page":"611","article-title":"Choice of loco-regional anesthetic technique affects operating room efficiency for carpal tunnel release","volume":"27","author":"Mariano ER","year":"2013","unstructured":"Mariano ER, Lehr MK, Loland VJ, et al. Choice of loco-regional anesthetic technique affects operating room efficiency for carpal tunnel release. J Anesth 2013 27 611\u2013614. (https:\/\/doi.org\/10.1007\/s00540-013-1578-8)"},{"key":"bib30","series-title":"J Neurosurg","first-page":"240","article-title":"Subcutaneous local anesthesia versus intravenous regional anesthesia for endoscopic carpal tunnel release: a randomized controlled trial: clinical article","volume":"114","author":"Nabhan A","year":"2011","unstructured":"Nabhan A, Steudel WI, Dedeman L, et al. Subcutaneous local anesthesia versus intravenous regional anesthesia for endoscopic carpal tunnel release: a randomized controlled trial: clinical article. J Neurosurg 2011 114 240\u2013244. (https:\/\/doi.org\/10.3171\/2008.2.17395)"},{"key":"bib31","series-title":"Hand","first-page":"59","article-title":"Tourniquet use in wide-awake carpal tunnel release","volume":"15","author":"Sasor SE","year":"2020","unstructured":"Sasor SE, Cook JA, Duquette SP, et al. Tourniquet use in wide-awake carpal tunnel release. Hand 2020 15 59\u201363. (https:\/\/doi.org\/10.1177\/1558944718787853)"},{"key":"bib32","series-title":"Hand","first-page":"785","article-title":"Comparison of local-only anesthesia versus sedation in patients undergoing staged bilateral carpal tunnel release: a randomized trial","volume":"15","author":"Via GG","year":"2020","unstructured":"Via GG, Esterle AR, Awan HM, et al. Comparison of local-only anesthesia versus sedation in patients undergoing staged bilateral carpal tunnel release: a randomized trial. Hand 2020 15 785\u2013792. (https:\/\/doi.org\/10.1177\/1558944719836237)"},{"key":"bib33","series-title":"PLoS One","first-page":"e0246863","article-title":"Efficacy of ultrasound-guided forearm nerve block versus forearm intravenous regional anaesthesia in patients undergoing carpal tunnel release: a randomized controlled trial","volume":"16","author":"Jalil H","year":"2021","unstructured":"Jalil H, Polfliet F, Nijs K, et al. Efficacy of ultrasound-guided forearm nerve block versus forearm intravenous regional anaesthesia in patients undergoing carpal tunnel release: a randomized controlled trial. PLoS One 202116 e0246863. (https:\/\/doi.org\/10.1371\/journal.pone.0246863)"},{"key":"bib34","series-title":"J Hand Surg Eur","first-page":"808","article-title":"Pain and outcomes of carpal tunnel release under local anaesthetic with or without a tourniquet: a randomized controlled trial","volume":"43","author":"Iqbal HJ","year":"2018","unstructured":"Iqbal HJ, Doorgakant A, Rehmatullah NNT, et al. Pain and outcomes of carpal tunnel release under local anaesthetic with or without a tourniquet: a randomized controlled trial. J Hand Surg Eur 2018 43 808\u2013812. (https:\/\/doi.org\/10.1177\/1753193418778999)"},{"key":"bib35","series-title":"BMJ","first-page":"d5928","article-title":"The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins JPT","year":"2011","unstructured":"Higgins JPT, Altman DG, G\u00f8tzsche PC, et al. The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials. BMJ 2011 343 d5928. (https:\/\/doi.org\/10.1136\/bmj.d5928)"},{"key":"bib36","series-title":"BMC Med Res Methodol","first-page":"13","article-title":"Estimating the mean and variance from the median, range, and the size of a sample","volume":"5","author":"Hozo SP","year":"2005","unstructured":"Hozo SP, Djulbegovic B & Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 2005 5 13. (https:\/\/doi.org\/10.1186\/1471-2288-5-13)"},{"key":"bib37","series-title":"BMC Med Res Methodol","first-page":"25","article-title":"Dealing with missing standard deviation and mean values in meta-analysis of continuous outcomes: a systematic review","volume":"18","author":"Weir CJ","year":"2018","unstructured":"Weir CJ, Butcher I, Assi V, et al. Dealing with missing standard deviation and mean values in meta-analysis of continuous outcomes: a systematic review. BMC Med Res Methodol 2018 18 25. (https:\/\/doi.org\/10.1186\/s12874-018-0483-0)"},{"key":"bib38","series-title":"Stat Med","first-page":"3105","article-title":"Combination of direct and indirect evidence in mixed treatment comparisons","volume":"23","author":"Lu G","year":"2004","unstructured":"Lu G & Ades AE. Combination of direct and indirect evidence in mixed treatment comparisons. Stat Med 2004 23 3105\u20133124. (https:\/\/doi.org\/10.1002\/sim.1875)"},{"key":"bib39","series-title":"Front Vet Sci","first-page":"271","article-title":"How to conduct a Bayesian network meta-analysis","volume":"7","author":"Hu D","year":"2020","unstructured":"Hu D, O\u2019Connor AM, Wang C, et al. How to conduct a Bayesian network meta-analysis. Front Vet Sci 2020 7 271. (https:\/\/doi.org\/10.3389\/fvets.2020.00271)"},{"key":"bib40","series-title":"J Comput Graph Stat","first-page":"434","article-title":"General methods for monitoring convergence of iterative simulations","volume":"7","author":"Brooks SP","year":"1998","unstructured":"Brooks SP & Gelman A. General methods for monitoring convergence of iterative simulations. J Comput Graph Stat 1998 7 434\u2013455. (https:\/\/doi.org\/10.2307\/1390675)"},{"key":"bib41","series-title":"Med Decis Making","first-page":"641","article-title":"Evidence synthesis for decision making 4: inconsistency in networks of evidence based on randomized controlled trials","volume":"33","author":"Dias S","year":"2013","unstructured":"Dias S, Welton NJ, Sutton AJ, et al. Evidence synthesis for decision making 4: inconsistency in networks of evidence based on randomized controlled trials. Med Decis Making 2013 33 641\u2013656. (https:\/\/journals.sagepub.com\/doi\/10.1177\/0272989X12455847)"},{"key":"bib42","series-title":"Stat Med","first-page":"932","article-title":"Checking consistency in mixed treatment comparison meta-analysis","volume":"29","author":"Dias S","year":"2010","unstructured":"Dias S, Welton NJ, Caldwell DM, et al. Checking consistency in mixed treatment comparison meta-analysis. Stat Med 2010 29 932\u2013944. (https:\/\/doi.org\/10.1002\/sim.3767)"},{"key":"bib43","series-title":"PLoS One","first-page":"e99682","article-title":"Evaluating the quality of evidence from a network meta-analysis","volume":"9","author":"Salanti G","year":"2014","unstructured":"Salanti G, Del Giovane C, Chaimani A, et al. Evaluating the quality of evidence from a network meta-analysis. PLoS One 2014 9 e99682. (https:\/\/doi.org\/10.1371\/journal.pone.0099682)"},{"key":"bib44","series-title":"Age","first-page":"9699","article-title":"The skeletal muscle satellite cell response to a single bout of resistance-type exercise is delayed with aging in men","volume":"36","author":"Snijders T","year":"2014","unstructured":"Snijders T, Verdijk LB, Smeets JSJ, et al. The skeletal muscle satellite cell response to a single bout of resistance-type exercise is delayed with aging in men. Age 2014 36 9699. (https:\/\/doi.org\/10.1007\/s11357-014-9699-z)"},{"key":"bib45","series-title":"Orthop Traumatol Surg Res","first-page":"103413","article-title":"Carpal tunnel release under wide awake local anesthesia with no tourniquet in hemodialysis patients with arteriovenous shunt","volume":"109","author":"Lee SK","year":"2023","unstructured":"Lee SK, Kim SG, Kim H, et al. Carpal tunnel release under wide awake local anesthesia with no tourniquet in hemodialysis patients with arteriovenous shunt. Orthop Traumatol Surg Res 2023 109 103413. (https:\/\/doi.org\/10.1016\/j.otsr.2022.103413)"},{"key":"bib46","series-title":"Plast Reconstr Surg","first-page":"468","article-title":"Discussion: an evaluation of safety and patient outcomes for hand surgery following prior breast cancer treatment: establishing new recommendations in lymphedema","volume":"145","author":"Lalonde D","year":"2020","unstructured":"Lalonde D. Discussion: an evaluation of safety and patient outcomes for hand surgery following prior breast cancer treatment: establishing new recommendations in lymphedema. Plast Reconstr Surg 2020 145 468\u2013469. (https:\/\/doi.org\/10.1097\/prs.0000000000006466)"},{"key":"bib47","series-title":"Plast Reconstr Surg","first-page":"459","article-title":"An evaluation of safety and patient outcomes for hand surgery following prior breast cancer treatment: establishing new recommendations in lymphedema","volume":"145","author":"Paton M","year":"2020","unstructured":"Paton M, Kovar A & Iorio ML. An evaluation of safety and patient outcomes for hand surgery following prior breast cancer treatment: establishing new recommendations in lymphedema. Plast Reconstr Surg 2020 145 459\u2013467. (https:\/\/doi.org\/10.1097\/prs.0000000000006438)"},{"key":"bib48","series-title":"J Hand Surg Asian Pac Vol","first-page":"469","article-title":"Wide-awake local anesthesia No tourniquet (WALANT) versus local or intravenous regional anesthesia with tourniquet in atraumatic hand cases in orthopedics: a systematic review and meta-analysis","volume":"24","author":"Evangelista TMP","year":"2019","unstructured":"Evangelista TMP, Pua JHC & Evangelista-Huber MTP. Wide-awake local anesthesia No tourniquet (WALANT) versus local or intravenous regional anesthesia with tourniquet in atraumatic hand cases in orthopedics: a systematic review and meta-analysis. J Hand Surg Asian Pac Vol 2019 24 469\u2013476. (https:\/\/doi.org\/10.1142\/s2424835519500619)"},{"key":"bib49","series-title":"Surgeon","first-page":"e13","article-title":"Distal radius fracture fixation using WALANT versus general and regional anesthesia: a systematic review and meta-analysis","volume":"21","author":"Rigney B","year":"2023","unstructured":"Rigney B, Casey C, McDonald C, et al. Distal radius fracture fixation using WALANT versus general and regional anesthesia: a systematic review and meta-analysis. Surgeon 2023 21 e13\u2013e22. 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