Evidence map›Paper›PMID 23881088›Full record

Trial reportWorld journal of surgery2013

Two-day hospital stay after laparoscopic colorectal surgery under an enhanced recovery after surgery (ERAS) pathway.

Gustavo Rossi, Hernán Vaccarezza, Carlos A Vaccaro, Ricardo E Mentz, Victor Im, Adrián Alvarez, Guillermo Ojea Quintana

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04461275 (ERAS 2.0 - Accelerated 23-hour ERAS Care for Colorectal Surgery), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% of its field
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.

NCT04461275 nacompletednot on this mapstarted 2020, after this paper: background citation

ERAS 2.0 - Accelerated 23-hour ERAS Care for Colorectal Surgery

TypeinterventionalSponsorZuyderland Medisch CentrumRan2020 to 2021Enrolled41ConditionsColorectal Cancer, Enhanced Recovery After SurgeryArmsERAS 2.0
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  2. Effectiveness of care transition strategies for colorectal cancer patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Gustavo RossiSection of Colorectal Surgery, Service of General Surgery, Hospital Italiano de Buenos Aires, 450 Gascón st, 1181 Buenos Aires, Argentina. gustavo.rossi@hospitalitaliano.org.ar
Hernán Vaccarezza
Carlos A Vaccaro
Ricardo E Mentz
Victor Im
Adrián Alvarez
Guillermo Ojea Quintana
Hospital Italiano de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study aims to examine the feasibility and safety of a two-day hospital stay after laparoscopic colorectal resection (LCR) under an enhanced recovery after surgery (ERAS) pathway.

methodsBetween 2003 and 2010, 882 consecutive patients undergoing LCR were analyzed. Patients were grouped and analyzed according to whether their hospital stay was 2 days (group A) or longer (group B). Demographic, surgical, and postoperative data were compared. To identify independent predictive factors related to a short hospital stay, a multivariate analysis was also performed.

resultsGroup A represented 10.3 % of this series (91 patients). There were no differences regarding age, gender, BMI, ASA, and previous abdominal surgeries between groups. Group A had a lower incidence of rectal cancer and anterior resections than group B (6.6 vs. 17.7 % [p = 0.006] and 14.3 vs. 23.4 % [p = 0.048]), respectively, and a lower mean operative time (170 min vs. 192 min; p = 0.002). Group A had a lower overall morbidity rate than group B (5.5 vs. 16.9 %; p = 0.004) and a lower incidence of surgery-related complications (5.5 vs. 14.9 %; p = 0.001). The overall conversion rate was 10 % (only one patient in group A required conversion), and the difference in conversion rate between groups was statistically significant (1.2 vs. 10.7 %; p = 0.003). Group A had a lower readmission rate (0 vs. 4.9 %; p = 0.089). Multivariate analysis showed that conversion, postoperative morbidity, and rectal prolapse were independently associated with the length of hospital stay.

conclusionsA two-day hospital stay after LCR is safe and feasible under an ERAS pathway, without compromising the readmission or complication rate.

Indexed as

AgedColectomyColonic DiseasesConversion to Open SurgeryCritical PathwaysDecision Support TechniquesFeasibility StudiesFemaleHumansIntention to Treat AnalysisLaparoscopyLength of StayMaleMiddle AgedModels, StatisticalMultivariate Analysis

Identifiers

PMID23881088
PMCPMC3755219
OpenAlexW2013872505

What OpenQuestion holds

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LicenceCC BY
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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.