Outcome | Studies included | ESPB, mean (SD) or n/N | Control, mean (SD) or n/N | Mean difference or OR (95% CI) | P value for statistical significance | P value for heterogeneity | I2 Test for heterogeneity | Quality of evidence (GRADE) |
Rest pain at 1 hour (PACU) (cm) | 11 | 1.72 (1.61) | 2.78 (1.75) | −1.17 (-1.68 to -0.66) | <0.00001 (Pc=0.005) | <0.00001 | 83% | ⊕⊕⊕⊝ |
Rest pain at 6 hours (cm) | 11 | 1.67 (1.47) | 2.76 (2.11) | −1.17 (-1.67 to -0.66) | <0.00001 (Pc=0.006) | <0.00001 | 82% | ⊕⊕⊕⊝ |
Rest pain at 12 hours (cm) | 9 | 1.62 (1.61) | 2.39 (2.00) | −0.85 (-1.53 to -0.16) | 0.02 (Pc=0.010) | <0.00001 | 89% | ⊕⊕⊕⊝ |
Rest pain at 24 hours (cm) | 11 | 1.42 (1.43) | 2.11 (1.75) | −0.72 (-1.15 to -0.28) | 0.001 (Pc=0.006) | <0.00001 | 88% | ⊕⊕⊕⊝ |
Rest pain at 36 hours (cm)* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Rest pain at 48 hours (cm) | 2 | 2.88 (1.51) | 3.94 (1.33) | −1.40 (-2.97 to 0.17) | 0.08 (Pc=0.012) | <0.00001 | 95% | ⊕⊕⊝⊝ |
Oral morphine consumption at 2 hours (PACU) (mg) | 4 | 2.82 (2.76) | 4.51 (4.13) | −1.54 (-3.53 to 0.45) | 0.13 (Pc=0.025) | <0.0001 | 86% | ⊕⊕⊕⊝ |
Oral morphine consumption at 24 to 48 hours (mg)* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Time to analgesic request (hours) | 2 | 23.80 (35.23) | 2.76 (5.44) | 21.19 (-20.72 to 63.10) | 0.32 (Pc=0.050) | <0.00001 | 96% | ⊕⊕⊝⊝ |
Opioid related side effects | 11 | 44/314 | 84/313 | 0.43 (0.28 to 0.66) | 0.0002 (Pc=0.007) | 0.73 | 0% | ⊕⊕⊕⊕ |
Block-related complications | 8 | 0/213 | N/A | N/A | N/A | N/A | N/A | N/A |
Patient satisfaction | 3 | 6.75 (1.27) | 5.10 (1.29) | 1.15 (-0.40 to 2.71) | 0.15 (Pc=0.016) | <0.00001 | 96% | ⊕⊕⊕⊝ |
Hospital discharge* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Persistent postsurgical pain* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Opioid dependence* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Health related quality of life* | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
⊕⊕⊕⊕, high quality evidence; ⊕⊕⊕⊝, moderate quality evidence; ⊕⊕⊝⊝, low quality evidence, ⊕⊝⊝⊝, very low-quality evidence.
*Outcome reported by less than three studies or was not measured.
cm, centimeter; ESPB, erector spinae plane block; GRADE, Grades of Recommendation, Assessment, Development, and Evaluation; mg, milligrams; N/A, not applicable; PACU, post-anesthesia care unit; ; Pc, corrected threshold of statistical significance.