Evidence map›Paper›PMID 26499320›Full record

ArticleJournal of anesthesia2016

Implementing enhanced recovery after bariatric surgery protocol: a retrospective study.

Monika Proczko, Lukasz Kaska, Pawel Twardowski, Pieter Stepaniak

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of anesthesia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
5.3field-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.

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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Meta-Analysis of Enhanced Recovery Protocols in Bariatric Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
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  17. Immunomodulatory effects of anesthetics in obese patients.World journal of critical care medicine · 2017
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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

4 authors at 1 institution in 1 country.

Monika ProczkoGeneral Surgical Clinical Hospital for Endocrinology and Transplantology at the Gdansk University of Medicine in Poland, Gdansk, Poland.
Lukasz KaskaGeneral Surgical Clinical Hospital for Endocrinology and Transplantology at the Gdansk University of Medicine in Poland, Gdansk, Poland.
Pawel TwardowskiDepartment of Clinical Anesthesiology and Intensive Therapy at the Gdansk University of Medicine in Poland, Gdansk, Poland.
Pieter StepaniakGeneral Surgical Clinical Hospital for Endocrinology and Transplantology at the Gdansk University of Medicine in Poland, Gdansk, Poland. Pieter.stepaniak@gmail.com.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While the demand for bariatric surgery is increasing, hospital capacity remains limited. The ERABS (Enhanced Recovery After Bariatric Surgery) protocol has been implemented in a number of bariatric centers. We retrospectively compared the operating room logistics and postoperative complications between pre-ERABS and ERABS periods in an academic hospital. The primary endpoint was the length of stay in hospital. The secondary endpoints were turnover times-the time required for preparing the operating room for the next case, induction time (from induction of anesthesia until a patient is ready for surgery), surgical time (duration of surgery), procedure time (duration of stay in the operating room), and the incidence of re-admissions, re-operations and complications during admission and within 30 days after surgery. Of a total of 374 patients, 228 and 146 received surgery following the pre-ERABS and ERABS protocols, respectively. The length of hospital stay was significantly shortened from 3.7 (95 % confidence interval [CI] 3.1-4.7) days to 2.1 (95 % CI 1.6-2.6) days (P < 0.001). Procedure (surgical) times were shortened by 15 (7) min and 12 (5) min for gastric bypass and gastric sleeve surgery, respectively (P < 0.001 for both), by introducing the ERABS protocol. Induction times were reduced from 15.2 (95 % CI 14.3-16.1) min to 12.5 (95 % CI 11.7-13.3) min (P < 0.001).Turnover times were shortened significantly from 38 (95 % CI 44-32) min to 11 (95 % CI 8-14) min. The incidence of re-operations, re-admissions and complications did not change.

Indexed as

AdultBariatric SurgeryFemaleGastric BypassHumansIncidenceLaparoscopyLength of StayMaleMiddle AgedObesity, MorbidOperating RoomsOperative TimePostoperative ComplicationsReoperationRetrospective StudiesBariatric surgeryEarly recovery after bariatric surgeryGastric bypassSleeve gastrectomy and morbid obesity

Identifiers

PMID26499320
PMCPMC4744256
OpenAlexW1845176440

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.