Evidence map›Paper›PMID 22081917›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2011

Fast-track programmes for hepatopancreatic resections: where do we stand?

Lidewij Spelt, Daniel Ansari, Christian Sturesson, Bobby Tingstedt, Roland Andersson

Abstract readSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 6 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

19 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Fast-Track Programs for Liver Surgery: A Meta-Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015
    Pooled it
  3. Enhanced recovery after pancreatic surgery: a systematic review of the evidence.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015
    Pooled it
  4. Enhanced recovery following liver surgery: a systematic review and meta-analysis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014
    Pooled it
  5. Pooled it
  6. A systematic review of outcomes in patients undergoing liver surgery in an enhanced recovery after surgery pathways.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2013
    Pooled it
  7. Article
  8. County-Level Variation in Utilization of Surgical Resection for Early-Stage Hepatopancreatic Cancer Among Medicare Beneficiaries in the USA.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Effects of introducing an enhanced recovery after surgery programme for patients undergoing open hepatic resection.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2013
    Article
  18. A survey in the hepatopancreatobiliary community on ways to enhance patient recovery.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2012
    Article
  19. Article
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.

Lidewij SpeltDepartment of Surgery, Clinical Sciences Lund, Skåne University Hospital Lund and Lund University, Sweden.
Daniel Ansari
Christian Sturesson
Bobby Tingstedt
Roland Andersson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFast-track (FT) programmes represent a series of multimodal concepts that may reduce surgical stress and speed up convalescence after surgery. The aim of this systematic review was to evaluate FT programmes for patients undergoing hepatopancreatic surgery.

methodsPubMed, Embase and the Cochrane Library databases were searched for studies of FT vs. conventional recovery strategies for liver and pancreatic resections.

resultsFor liver surgery, three cohort studies were included. Primary hospital stay was significantly reduced after FT care in two of the three studies. There were no significant differences in rates of readmission, morbidity and mortality. For pancreatic surgery, three cohort studies and one case-control study were included. Primary hospital stay was significantly shorter after FT care in three out of the four studies. One study reported a significantly decreased readmission rate (7% vs. 25%; P= 0.027), and another study showed lower morbidity (47.2% vs. 58.7%; P < 0.01) in favour of the FT group. There was no difference in mortality between the FT and control groups.

conclusionsFT rehabilitation for liver and pancreatic surgical patients is feasible. Future investigation should focus on optimizing individual elements of the FT programme within the context of liver and pancreatic surgery.

Indexed as

HepatectomyPancreatectomyHumansLength of StayLiver DiseasesPancreatic DiseasesPatient DischargePatient ReadmissionProgram DevelopmentProgram EvaluationTime FactorsTreatment Outcome

Identifiers

PMID22081917
PMCPMC3244621

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.