Evidence map›Paper›PMID 26559539›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2016

Enhanced recovery programme reduces opiate consumption in hip hemiarthroplasty.

Rupert Talboys, Mandy Mak, Nitin Modi, Nabil Fanous, Steven Cutts

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
1.5field-weighted citation impact, top 16% 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, 5 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  15. Enhanced recovery after surgery: An anesthesiologist's perspective.Journal of anaesthesiology, clinical pharmacology · 2019
    Review
  16. Review
  17. Hip fractures in 2016, where do we stand and have we made any progress?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Article
  18. Reduction of opioid use after orthopedic surgery: a scoping review.Canadian journal of surgery. Journal canadien de chirurgie
    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 at 1 institution in 1 country.

Rupert TalboysJames Paget University Hospital, Lowestoft, Great Britain. r.talboys@doctors.net.uk.ORCID http://orcid.org/0000-0003-0033-9939
Mandy MakJames Paget University Hospital, Lowestoft, Great Britain.
Nitin ModiJames Paget University Hospital, Lowestoft, Great Britain.
Nabil FanousJames Paget University Hospital, Lowestoft, Great Britain.
Steven CuttsJames Paget University Hospital, Lowestoft, Great Britain.
James Paget University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe enhanced recovery programme (ERP) is used to improve patient experience before, during and after an operation. Initially designed for colorectal surgery, it has now been adopted by many other disciplines, including orthopaedics. Where applicable, ERP has shown to be associated with less pain, reduced length of hospital stay and increased patient satisfaction in elective orthopaedic procedures. There is, however, a paucity of data regarding the use of ERP in fractured neck of femur (NOF) operations. Our aim was to investigate the effect of ERP on analgesic requirements and hospital length of stay during hemiarthroplasty.

methodConsecutive notes of 100 patients who received a hemiarthroplasty for a fractured NOF were reviewed retrospectively. In one group (n = 50), patients received routine pre- and post-operative care; the second (n = 50) were on the ERP. All patients were previously mobile with an abbreviated mental test score of more than eight and lived in their own home.

resultsWith ERP, oral opiate consumption fell dramatically in the first three post-operative days (4.7 vs. 14.0 mg, p > 0.005). The use of patient-controlled analgesia (PCA) was also significantly reduced (odds ratio 0.16, p > 0.05). Although ERP had no statistically significant effect on length of stay (7 vs. 8.5 days, p = 0.2), it saw a greater proportion of patients being discharged back to their own home (25 vs. 19 patients, p < 0.05).

conclusionThe ERP reduces post-operative oral opiates and PCA requirements in fractured NOF cases and by inference reduces pain. It does not appear to affect length of hospital stay in an acute unit.

Indexed as

AgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipFemaleHemiarthroplastyHumansMalePain ManagementPostoperative CarePostoperative PainRetrospective StudiesAnalgesics, OpioidEnhanced recoveryFracturedHemiarthroplastyHip

Identifiers

PMID26559539
OpenAlexW2277175486

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.