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Efficacy of Palonosetron vs. Ramosetron for the Prevention of Postoperative Nausea and Vomiting: A Meta-Analysis of Randomized Controlled Trials.

DC FieldValueLanguage
dc.contributor.author김민수-
dc.contributor.author박진하-
dc.contributor.author신서경-
dc.contributor.author최용선-
dc.date.accessioned2018-07-20T07:36:22Z-
dc.date.available2018-07-20T07:36:22Z-
dc.date.issued2017-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/160327-
dc.description.abstractPURPOSE: This study was designed as a meta-analysis of randomized controlled trials (RCTs) that included the comparison of palonosetron and ramosetron for postoperative nausea and vomiting (PONV) prophylaxis. MATERIALS AND METHODS: A systematic search was conducted for the PubMed, EMBASE, Web of Science, CENTRAL, KoreaMed, and Google Scholar databases (PROSPERO protocol number CRD42015026009). Primary outcomes were the incidences of postoperative nausea (PON) and postoperative vomiting (POV) during the first 48 hrs after surgery. The total 48-hr period was further analyzed in time epochs of 0-6 hrs (early), 6-24 hrs (late), and 24-48 hrs (delayed). Subgroup analyses according to number of risk factors, sex, and type of surgery were also performed. RESULTS: Eleven studies including 1373 patients were analyzed. There was no difference in PON or POV between the two drugs for the total 48-hr period after surgery. However, palonosetron was more effective in preventing POV during the delayed period overall [relative risk (RR), 0.59; 95% confidence interval (CI), 0.39 to 0.89; p=0.013], as well as after subgroup analyses for females and laparoscopies (RR, 0.56; 95% CI, 0.36 to 0.86; p=0.009 and RR, 0.46; 95% CI, 0.23 to 0.94; p=0.033). Subgroup analysis for spine surgery showed that ramosetron was more effective in reducing POV during the total 48-hr (RR, 3.34; 95% CI, 1.46 to 7.63; p=0.004) and early periods (RR, 8.47; 95% CI, 1.57 to 45.72; p=0.013). CONCLUSION: This meta-analysis discovered no definite difference in PONV prevention between the two drugs. The significant findings that were seen in different time epochs and subgroup analyses should be confirmed in future RCTs.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAntiemetics/therapeutic use-
dc.subject.MESHBenzimidazoles/therapeutic use*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIsoquinolines/therapeutic use*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Nausea and Vomiting/chemically induced-
dc.subject.MESHPostoperative Nausea and Vomiting/drug therapy*-
dc.subject.MESHPostoperative Nausea and Vomiting/prevention & control*-
dc.subject.MESHPublication Bias-
dc.subject.MESHQuinuclidines/therapeutic use*-
dc.subject.MESHRandomized Controlled Trials as Topic*-
dc.subject.MESHRisk Factors-
dc.subject.MESHTreatment Outcome-
dc.titleEfficacy of Palonosetron vs. Ramosetron for the Prevention of Postoperative Nausea and Vomiting: A Meta-Analysis of Randomized Controlled Trials.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine-
dc.contributor.googleauthorMin-Soo Kim-
dc.contributor.googleauthorJin Ha Park-
dc.contributor.googleauthorYong Seon Choi-
dc.contributor.googleauthorSang Hun Park-
dc.contributor.googleauthorSeokyung Shin-
dc.identifier.doi10.3349/ymj.2017.58.4.848-
dc.contributor.localIdA00463-
dc.contributor.localIdA01704-
dc.contributor.localIdA02109-
dc.contributor.localIdA04119-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid28541001-
dc.subject.keywordPalonosetron-
dc.subject.keywordpostoperative nausea and vomiting-
dc.subject.keywordramosetron-
dc.contributor.alternativeNameKim, Min Soo-
dc.contributor.alternativeNamePark, Jin Ha-
dc.contributor.alternativeNameShin, Seo Kyung-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.affiliatedAuthorKim, Min Soo-
dc.contributor.affiliatedAuthorPark, Jin Ha-
dc.contributor.affiliatedAuthorShin, Seo Kyung-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.citation.volume58-
dc.citation.number4-
dc.citation.startPage848-
dc.citation.endPage858-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.58(4) : 848-858, 2017-
dc.identifier.rimsid40988-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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