Evidence map›Paper›PMID 26682875›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2016

Patient experiences of perioperative nutrition within an Enhanced Recovery After Surgery programme for colorectal surgery: a qualitative study.

V Short, C Atkinson, A R Ness, S Thomas, S Burden, E Sutton

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03529019 (Perioperative Nutritional Optimization in Patients With Critical Limb Ischemia), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT03529019 early_phase1recruitingnot on this mapstarted 2018, after this paper: background citation

Perioperative Nutritional Optimization in Patients With Critical Limb Ischemia

TypeinterventionalSponsorBoston Medical CenterRan2018 to 2026Enrolled30ConditionsCritical Limb Ischemia, Malnutrition, Nutritional SupplementsArmsEnsure Surgery Immunonutrition Shake, Ensure Enlive Advanced Nutrition Shake
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

V ShortNIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, University Hospitals Bristol Education Centre, Bristol, UK.
C AtkinsonNIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, University Hospitals Bristol Education Centre, Bristol, UK.
A R NessNIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, University Hospitals Bristol Education Centre, Bristol, UK.
S ThomasHead and Neck Surgery, University Hospitals Bristol NHS Trust, Bristol, UK.
S BurdenSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
E SuttonNIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, University Hospitals Bristol Education Centre, Bristol, UK.
NIHR Bristol Biomedical Research Centre · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimNutrition is an important element of the Enhanced Recovery After Surgery (ERAS) programme. Patients have previously indicated that nutrition is a key component of ERAS that requires improvement. Our aim was to explore the perioperative nutrition experiences of colorectal surgical patients to identify barriers and facilitators to the integration of nutrition within ERAS.

methodSixteen individuals undergoing colorectal surgery participated in a semi-structured interview between postoperative day three and hospital discharge. The topic guide was developed iteratively throughout the study; topics included preoperative counselling, carbohydrate loading, fasting and postoperative nutrition. A constant comparison technique was employed during coding, and an inductive thematic analysis was used. Validity was ensured by double coding a sample of transcripts.

resultsFindings are presented in the context of the following clinical themes: preoperative information, preoperative fasting, carbohydrate loading and nutritional drinks, postoperative diet and discharge. Individuals received too much general information which was repetitive, contradictory and not disease specific; this formed a key barrier affecting nutrition. Other barriers were negative experiences of nutritional drinks, stoma management, nausea and vomiting, and challenges from the hospital environment. Facilitators included interactions with staff, food accessibility and choice, and motivation for discharge.

conclusionThe key barrier to adherence of perioperative nutrition protocols was poor provision of information. Targeted information regarding postoperative diet, stoma management and coping with nausea and vomiting would be beneficial for colorectal surgical patients. Easily accessible food provided by ward staff was considered a facilitator.

Indexed as

Colorectal SurgeryAdultAgedAged, 80 and overDigestive System Surgical ProceduresFemaleHumansMaleMiddle AgedNutrition TherapyPatient DischargePerioperative CarePerioperative PeriodPreoperative CareQualitative Researchcolorectal surgeryEnhanced Recovery After Surgerypatient experiencesQualitative research

Identifiers

PMID26682875
PMCPMC4755035
OpenAlexW2199163119

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.