Evidence map›Paper›PMID 20108171›Full record

Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010

Fast-track surgery improves postoperative recovery in patients with gastric cancer: a randomized comparison with conventional postoperative care.

Dongsheng Wang, Ying Kong, Bei Zhong, Xiaobin Zhou, Yanbing Zhou

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03257280 (Impact on the Hospital Stay, of an Early Oral Nutrition Protocol Applied to Gastric Cancer Patients After Total Gastrectomy), which is not on this map. Cited by 87 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 21 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.

NCT03257280 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Impact on the Hospital Stay, of an Early Oral Nutrition Protocol Applied to Gastric Cancer Patients After Total Gastrectomy: A Prospective Randomized Control Trial (DOPGT_2015)

TypeinterventionalSponsorHospital Universitari de BellvitgeRan2017 to 2023Enrolled84ConditionsEarly Oral Nutrition After Total Gastrectomy, Gastric CancerArmsEarly oral nutrition
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 21 syntheses or guidelines pooled it.

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  7. Enhanced recovery versus conventional care in gastric cancer surgery: a meta-analysis of randomized and non-randomized controlled trials.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
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  13. Systematic review of enhanced recovery after gastro-oesophageal cancer surgery.Annals of the Royal College of Surgeons of England · 2015
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27 more citing papers are in PubMed but not listed here.

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

5 authors.

Dongsheng WangDepartment of General Surgery, Affiliated Hospital of Qingdao University Medical College, Jiangsu Road 16#, Qingdao 266003, People's Republic of China.
Ying Kong
Bei Zhong
Xiaobin Zhou
Yanbing Zhou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFast-track surgery is a new, promising comprehensive program for surgical patients and is beneficial to recovery. Prospective randomized, controlled clinical trials involving fast-track surgery for gastric cancer are lacking. PATIENT AND

methodsNinety-two patients with gastric cancer were randomly divided into a fast-track surgery group (n = 45) and conventional surgery group (n = 47). We compared outcomes (duration of postoperative stay in hospital, fever, and flatus, complications, and medical costs); postoperative serum levels of tumor necrosis factor-alpha, interleukin-6, and C-reactive protein; and resting energy expenditure between two groups.

resultsCompared with the conventional surgery group, the fast-track surgery group had no more complications (P > 0.05) with a significantly shorter duration of fever, flatus, and hospital stay, and less medical costs as well as a higher quality of life score on hospital discharge (all P < 0.05). With a significantly lower resting energy expenditure (days 1 and 3) postoperatively (P < 0.05), the fast-track surgery group showed a lower serum level of tumor necrosis factor-alpha (days 1 and 3), interleukin-6 (days 1 and 3), and C-reactive protein (days 1, 3, and 7) than the conventional surgery group (all P < 0.05).

conclusionsFast-track surgery can lessen postoperative stress reactions and accelerate rehabilitation for patients with gastric cancer.

Indexed as

BiomarkersChi-Square DistributionC-Reactive ProteinEnergy MetabolismFemaleGastrectomyHumansInterleukin-6Length of StayMaleMiddle AgedPain MeasurementPostoperative CarePostoperative ComplicationsQuality of LifeStatistics, NonparametricBiomarkersC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID20108171

What OpenQuestion 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 OpenQuestion graph.