Evidence map›Paper›PMID 40859968›Full record

Trial reportDrug design, development and therapy2025

Effects of Glycopyrronium Bromide as an Adjuvant Treatment in the Prevention of Nausea and Vomiting After Abdominal, Thyroid, and Breast Surgery: A Multicenter Randomized Controlled Trial.

Jie Chen, Guangxi Piao, Guohui Luan, Yunming Yu, Wei Zheng, Yue Li, Chao Zhang, Yunzhen Duan, Min Zhao, Yong Zhang and 5 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05331651 (Effect of Glycopyrronium in Combination With Tropisetron in Anti-postoperative Nausea and Vomiting), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05331651 phase4completednot on this map

Effect of Glycopyrronium in Combination With Tropisetron in Anti-postoperative Nausea and Vomiting

TypeinterventionalSponsorThe Second Affiliated Hospital of Chongqing Medical UniversityRan2022 to 2023Enrolled480ConditionsPostoperative Nausea and VomitingArmsGlycopyrronium in Combination With Tropisetron, Normal Saline in Combination With Tropisetron
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jie Chen *Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
Guangxi Piao *Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
Guohui LuanDepartment of Anesthesiology, Qijiang District People's Hospital, Chongqing, People's Republic of China.
Yunming YuDepartment of Anesthesiology, Three Gorges Hospital of Chongqing University, Chongqing, People's Republic of China.
Wei ZhengDepartment of Anesthesiology, People's Hospital of Yunyang County, Chongqing, People's Republic of China.
Yue LiDepartment of Anesthesiology, Qianjiang Central Hospital of Chongqing, Chongqing, People's Republic of China.
Chao ZhangDepartment of Anesthesiology, People's Hospital of Shapingba District, Chongqing, People's Republic of China.
Yunzhen DuanDepartment of Anesthesiology, People's Hospital of Chongqing Hechuan, Chongqing, People's Republic of China.
Min ZhaoDepartment of Anesthesiology, People's Hospital of Wulong District, Chongqing, People's Republic of China.
Yong ZhangDepartment of Anesthesiology, People's Hospital of Jiulongpo District, Chongqing, People's Republic of China.
Wei XiangDepartment of Anesthesiology, People's Hospital of High-Tech Zone District, Chongqing, People's Republic of China.
Lu ChengDepartment of Anesthesiology, People's Hospital of Xiushan County, Chongqing, People's Republic of China.
Chengcheng JiDepartment of Anesthesiology, Chongqing Jiangbei Hospital of Traditional Chinese Medicine, Chongqing, People's Republic of China.
Guangyou DuanDepartment of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
He HuangDepartment of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China.ORCID 0000-0002-1180-3111

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective methods for the prevention of postoperative nausea and vomiting remain to be found. Building upon previous evidence, we examined whether glycopyrrolate bromide had a preventive effect on nausea and vomiting when used as an adjuvant treatment. Methods: In 11 participating hospitals, patients who were scheduled to receive gynecological (n=123), gastrointestinal (n=201), thyroid (n=93), and breast surgery (n=51) under general anesthesia and received postoperative opioids were randomly allocated to receive 4 mg dexamethasone and 4 mg tropisetron (Group C) or 4 mg dexamethasone and 4 mg tropisetron combined with 0.2 mg glycopyrrolate bromide (Group G). The primary outcome of postoperative nausea and vomiting was assessed. The secondary outcomes included the incidences of significant nausea and vomiting (defined based on a rating scale of intensity ≥ 4), vomiting, and extra intervention. Results: In total, 471 patients (234 in Group G and 237 in Group C) were included in the final analysis. The incidence of postoperative nausea and vomiting in Group G was lower than that in Group C (27.8% vs 43.0%, odds rate=0.65, 95% confidence interval =0.50-0.83, Conclusion: The intravenous administration of 0.2 mg glycopyrronium bromide at the end of surgery can be an effective adjuvant treatment strategy for prevention of nausea and vomiting in patients undergoing surgery under general anesthesia and receiving postoperative opioids. Trial Registration: The Hospital Ethics Committee of the Second Affiliated Hospital, Chongqing Medical University (Approval ID: 2022-14-1) approved this study. This trial was registered with Identifier NCT05331651 on ClinicalTrials.gov.

Indexed as

AntiemeticsGlycopyrrolatePostoperative Nausea and VomitingAbdomenAdultAgedBreastFemaleHumansMiddle AgedThyroid GlandAntiemeticsGlycopyrrolategeneral anesthesia. postoperative opioidsglycopyrronium bromidenauseavomit

Identifiers

PMID40859968
PMCPMC12374710

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.