Evidence map›Paper›PMID 26605031›Full record

ArticleOrthopedic reviews2015

Prevention of Paralytic Ileus Utilizing Alvimopan Following Spine Surgery.

Kalpit N Shah, Gregory Waryasz, J Mason DePasse, Alan H Daniels

Open access · goldAbstract readCase Reports
In one paragraph

Article in Orthopedic reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Risk Factors for Postoperative Ileus after Scoliosis Surgery.Spine surgery and related research · 2018
    Article
  5. Article
  6. Review
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.

Kalpit N ShahDepartment of Orthopedic Surgery, Adult Spinal Deformity Service, Brown University Alpert Medical School , Rhode Island Hospital, Providence, RI, USA.
Gregory WaryaszDepartment of Orthopedic Surgery, Adult Spinal Deformity Service, Brown University Alpert Medical School , Rhode Island Hospital, Providence, RI, USA.
J Mason DePasseDepartment of Orthopedic Surgery, Adult Spinal Deformity Service, Brown University Alpert Medical School , Rhode Island Hospital, Providence, RI, USA.
Alan H DanielsDepartment of Orthopedic Surgery, Adult Spinal Deformity Service, Brown University Alpert Medical School , Rhode Island Hospital, Providence, RI, USA.
Brown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative ileus affects a substantial proportion of patients undergoing elective spine surgery, especially in cases of spinal deformity correction and where an anterior lumbar approach is utilized. Though the first line of treatment for postoperative ileus is conservative management, recent advances in pharmacology have yielded promising options for both treatment and prevention. We report a case of a patient who underwent a two-stage posterior spinal fusion. The patient suffered with a severe, prolonged ileus after her initial surgery. To prevent ileus following her second spinal surgery, alvimopan (a µ-opioid receptor antagonist) was administered and she had a rapid return of bowel function with no signs of ileus. Alvimopan, has been shown to reduce the rate of ileus in colorectal surgery patients, and may be useful for preventing ileus in high-risk orthopedic and spine surgery patients, although prospective studies will be needed to test this hypothesis.

Indexed as

ileuspost operative managementSpine surgery

Identifiers

PMID26605031
PMCPMC4592934
OpenAlexW1758395309

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.