Evidence map›Paper›PMID 41013221›Full record

SynthesisBMC anesthesiology2025

The effect of sugammadex on postoperative urinary retention and recovery characteristics: a systematic review and meta-analysis.

Zhun Ni, Rui Sun, Quanmei Zhang, Ziling Zhu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

4 authors.

Zhun NiMedical Department of Zhejiang Xianju Pharmaceutical Trading CO.,Ltd, Hangzhou, Zhejiang, 310000, China. nizhun@xjpharma.com.
Rui SunMedical Department of Zhejiang Xianju Pharmaceutical Trading CO.,Ltd, Hangzhou, Zhejiang, 310000, China.
Quanmei ZhangMedical Department of Zhejiang Xianju Pharmaceutical Trading CO.,Ltd, Hangzhou, Zhejiang, 310000, China.
Ziling ZhuMedical Department of Zhejiang Xianju Pharmaceutical Trading CO.,Ltd, Hangzhou, Zhejiang, 310000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative urinary retention (POUR) is a frequent complication following general anesthesia. There is growing interest in whether sugammadex, a neuromuscular blockade (NMB) reversal agent that does not require anticholinergic coadministration, might reduce its incidence. This systematic review and meta-analysis aimed to evaluate the effects of sugammadex on POUR and other postoperative recovery outcomes, such as 30-day readmission rates and postoperative pain scores (POPS).

methodsPubMed, Cochrane, Embase, and Web of Science were comprehensively searched for studies published through June 3, 2024. Randomized controlled trials (RCTs) and cohort studies comparing sugammadex with conventional reversal agents or no reversal agents were included. Meta-analysis was performed using Stata 15.1 to synthesize the results.

resultsThe analysis ultimately included 25 studies involving a total of 163,367 patients: 84,362 received sugammadex, while 79,005 received neostigmine, or did not receive an antagonist.Meta-analysis revealed a significant reduction in the incidence of POUR with sugammadex use (Relative Risk (RR): 0.47, 95% Confidence Interval (CI): 0.34-0.64, P < 0.001). No meaningful differences were observed in POPS (Standardized Mean Difference (SMD): -0.01, 95% CI: -0.43-0.40, P = 0.945) or 30-day readmission rates (RR: 0.81, 95% CI: 0.65-1.01, P = 0.057).

conclusionThese findings suggest that sugammadex substantially reduces POUR incidence, with no significant impact on POPS or 30-day readmission rates. Further research is warranted to explore its role in diverse patient populations and surgical procedures and to investigate its potential influence on postoperative pain management and readmission rates.

Indexed as

Postoperative ComplicationsSugammadexUrinary RetentionAnesthesia, GeneralAnesthesia Recovery PeriodHumansNeostigmineNeuromuscular BlockadePatient ReadmissionPostoperative PainRandomized Controlled Trials as TopicNeostigmineSugammadex30-day readmission ratesMeta-analysisPostoperative pain scoresPostoperative urinary retentionSugammadex

Identifiers

PMID41013221
PMCPMC12466067

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.