Evidence map›Paper›PMID 24682277›Full record

ReviewWorld journal of surgery2014

Reducing the burden of postoperative ileus: evaluating and implementing an evidence-based strategy.

Jeffrey F Barletta, Anthony J Senagore

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04747691 (Assessing Gastric Motility and Distention in Postoperative Gastrointestinal Surgery Using Bedside Gastric Ultrasound), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT04747691 completednot on this mapstarted 2021, after this paper: background citation

Assessing Gastric Motility and Distention in Postoperative Gastrointestinal Surgery Using Bedside Gastric Ultrasound: Predicting Risk of Aspiration Pneumonia, Ileus, Return of Bowel Function

Typeobservational_patient_registrySponsorEric SchwenkRan2021 to 2021Enrolled22ConditionsPostoperative Ileus, Postoperative Nausea, Postoperative Complications, Postoperative Nausea and VomitingArmsBedside gastric ultrasound
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  4. Chewing gum for postoperative recovery of gastrointestinal function.The Cochrane database of systematic reviews · 2015
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  18. Effects of Sugammadex on Time of First Postoperative Bowel Movement: A Retrospective Analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019
    Article
  19. Risk factors for ileus after hip and knee arthroplasty.International journal of colorectal disease · 2019
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  20. 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

2 authors at 2 institutions in 1 country.

Jeffrey F BarlettaDepartment of Pharmacy Practice, College of Pharmacy-Glendale, Midwestern University, 19555 N 59th Avenue, Glendale, AZ, 85308, USA, jbarle@midwestern.edu.
Anthony J Senagore
Central Michigan University · USMidwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative ileus remains a significant clinical and economic burden to the health care system. Over the last decade, several advances in both medical and surgical therapies have been made to reduce the incidence and severity of postoperative ileus. Despite these advances, though, the incidence of ileus remains high. This narrative review focuses on interventions aimed to prevent and treat postoperative ileus while presenting a step-by-step process for implementation of an evidenced-based strategy.

methodsA literature search was performed using Medline/PubMed, and articles related to postoperative ileus were identified. The bibliographies of all retrieved articles were reviewed to obtain additional articles of relevance.

resultsThere are many factors that can influence gastrointestinal recovery that can be categorized as management-, drug-, or surgery-related. While several strategies exist to improve gastrointestinal recovery, few have been shown to reduce length of hospital stay. These strategies are described here, along with a structured approach organized by preoperative, intraoperative, and postoperative considerations.

conclusionsPostoperative ileus is associated with a significant clinical and economic burden to the health care system. Strategies such as the development of a multidisciplinary team and the creation of a multimodal protocol are encouraged with continuous quality assurance to assess outcomes at the local level.

Indexed as

Outcome Assessment, Health CareAnesthesia, EpiduralAnti-Inflammatory Agents, Non-SteroidalClinical ProtocolsCost of IllnessDigestive System Surgical ProceduresEvidence-Based MedicineHumansIleusLaparoscopyLength of StayPostoperative ComplicationsAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID24682277
OpenAlexW2087700273

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.