Evidence map›Paper›PMID 25386092›Full record

SynthesisWorld journal of gastroenterology2014

Safety of fast-track rehabilitation after gastrointestinal surgery: systematic review and meta-analysis.

Liu-Hua Wang, Fang Fang, Chun-Ming Lu, Dao-Rong Wang, Ping Li, Ping Fu

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. [Enhanced recovery after surgery-Does the ERAS concept keep its promises].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

6 authors at 1 institution in 1 country.

Liu-Hua WangLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Fang FangLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Chun-Ming LuLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Dao-Rong WangLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Ping LiLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Ping FuLiu-Hua Wang, Department of General Surgery, Yizheng People's Hospital, Yangzhou 211400, Jiangsu Province, China.
Northern Jiangsu People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the safety of fast-track rehabilitation protocols (FT) and conventional care strategies (CC), or FT and laparoscopic surgery (LFT) and FT and open surgery (OFT) after gastrointestinal surgery.

methodsWe searched MEDLINE, WHO International Trial Register, Embase and The Cochrane Central Register of Controlled Trials up to 2014 for randomized controlled trials (RCTs) comparing FT and CC or comparing LFT and OFT, with 10 or more randomized participants and about 30 d follow-up. Two reviewers independently extracted data on complications, anastomotic leak, obstruction, wound infection, re-admission between FT and CC or LFT and OFT after gastrointestinal surgery.

resultsTwenty-four RCTs of FT vs CC or LFT vs OFT were included. Compared with CC, FT reduced overall complications and wound infection. However, anastomotic leak, obstruction and re-admission were not significantly reduced. The pooled risk ratio (RR) of 0.69 (95%CI: 0.60-0.78; P < 0.001), pooled RR of 0.71 (95%CI: 0.57-0.88; P < 0.001), pooled RR of 0.93 (95%CI: 0.68-1.25; P > 0.05), a pooled RR of 0.87 (95%CI: 0.67-1.15; P > 0.05) and pooled RR of 0.94 (95%CI: 0.73-1.22; P > 0.05) respectively. Compared with OFT, LFT reduced complications, with a pooled RR of 0.66 (95%CI: 0.54-0.81; P < 0.001).

conclusionFTs are safe after gastrointestinal surgery. Additional large, prospective RCTs should be conducted to establish further the safety of this approach.

Indexed as

Chi-Square DistributionDigestive System Surgical ProceduresHumansLaparoscopyOdds RatioPatient ReadmissionPostoperative ComplicationsRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeAnastomotic leakComplicationsEnhanced recoveryFast-track rehabilitation protocolsGastrointestinal surgeryLaparoscopic surgeryObstructionOpen surgeryReadmissionWound infection

Identifiers

PMID25386092
PMCPMC4223277
OpenAlexW2008694649

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.