Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

193 questions · 196 findings · 33 reviews

No studies found 21 · 10.7%GRADE not reported 16 · 8.2%Very low 43 · 21.9%Low 52 · 26.5%Moderate 49 · 25%High 15 · 7.7%

Epidural analgesia vs systemic analgesia

Atrial fibrillation or atrial flutter (0 to 2 weeks) · adult cardiac surgical patients

Epidural analgesia showed no clear difference in atrial fibrillation or atrial flutter (0 to 2 weeks) compared with systemic analgesia (moderate certainty).

1 finding from 1 review

Epidural analgesia vs systemic analgesia

Vomiting · children having undergone thoraco‐lumbar spine surgery. 3 trials included in the analysis contained participants older than 18 years:…

Epidural analgesia showed no clear difference in vomiting up to 48 hours after surgery compared with systemic analgesia (low certainty).

1 finding from 1 review

Epidural analgesia vs systemic analgesia

Return of gastrointestinal function · children having undergone thoraco‐lumbar spine surgery. 3 trials included in the analysis contained participants older than 18 years:…

It is very uncertain whether epidural analgesia changes return of gastrointestinal function compared with systemic analgesia (very low certainty).

1 finding from 1 review

Epidural analgesia vs systemic analgesia

Complications · children having undergone thoraco‐lumbar spine surgery. 3 trials included in the analysis contained participants older than 18 years:…

It is very uncertain whether epidural analgesia changes complications compared with systemic analgesia (very low certainty).

1 finding from 1 review

Epidural analgesia vs intravenous patient‐controlled analgesia

All‐cause mortality rate at 30 days · adults having abdominal surgery

Epidural analgesia showed no clear difference in all‐cause mortality rate at 30 days compared with intravenous patient‐controlled analgesia (low certainty).

1 finding from 1 review

Epidural analgesia vs intravenous patient‐controlled analgesia

Failure of analgesic technique requiring alternative approach (assessed at any time) · adults having abdominal surgery

Epidural analgesia probably leads to higher failure of analgesic technique requiring alternative approach… compared with intravenous patient‐controlled analgesia (moderate certainty).

1 finding from 1 review

Epidural analgesia vs intravenous patient‐controlled analgesia

Adverse events (assessed at any time during · adults having abdominal surgery

Epidural analgesia showed no clear difference in adverse events (assessed at any time during compared with intravenous patient‐controlled analgesia (low certainty).

1 finding from 1 review

Epidural pain relief vs systemic opioid‐based pain relief

Mortality in hospital or up to 30 days · people undergoing abdominal aortic surgery

Epidural pain relief showed no clear difference in mortality in hospital or up to 30 days compared with systemic opioid‐based pain relief (low certainty).

1 finding from 1 review