Evidence map›Paper›PMID 27139706›Full record

ArticleSurgical endoscopy2016

A modified Delphi method toward multidisciplinary consensus on functional convalescence recommendations after abdominal surgery.

Daphne C R van Vliet, Eva van der Meij, Esther V A Bouwsma, Antonie Vonk Noordegraaf, Baukje van den Heuvel, Wilhelmus J H J Meijerink, W Marchien van Baal, Judith A F Huirne, Johannes R Anema

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In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Daphne C R van VlietDepartment of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Eva van der MeijDepartment of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Esther V A BouwsmaDepartment of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Antonie Vonk NoordegraafEMGO Institute for Health and Care Research, Amsterdam, The Netherlands.
Baukje van den HeuvelDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Wilhelmus J H J MeijerinkDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
W Marchien van BaalDepartment of Obstetrics and Gynaecology, Flevoziekenhuis, Almere, The Netherlands.
Judith A F HuirneDepartment of Obstetrics and Gynaecology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Johannes R AnemaEMGO Institute for Health and Care Research, Amsterdam, The Netherlands. h.anema@vumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based information on the resumption of daily activities following uncomplicated abdominal surgery is scarce and not yet standardized in medical guidelines. As a consequence, convalescence recommendations are generally not provided after surgery, leading to patients' insecurity, needlessly delayed recovery and prolonged sick leave. The aim of this study was to generate consensus-based multidisciplinary convalescence recommendations, including advice on return to work, applicable for both patients and physicians.

methodUsing a modified Delphi method among a multidisciplinary panel of 13 experts consisting of surgeons, occupational physicians and general practitioners, detailed recommendations were developed for graded resumption of 34 activities after uncomplicated laparoscopic cholecystectomy, laparoscopic and open appendectomy, laparoscopic and open colectomy and laparoscopic and open inguinal hernia repair. A sample of occupational physicians, general practitioners and surgeons assessed the recommendations on feasibility in daily practice. The response of this group of care providers was discussed with the experts in the final Delphi questionnaire round.

resultsOut of initially 56 activities, the expert panel selected 34 relevant activities for which convalescence recommendations were developed. After four Delphi rounds, consensus was reached for all of the 34 activities for all the surgical procedures. A sample of occupational physicians, general practitioners and surgeons regarded the recommendations as feasible in daily practice.

conclusionMultidisciplinary convalescence recommendations regarding uncomplicated laparoscopic cholecystectomy, appendectomy (laparoscopic, open), colectomy (laparoscopic, open) and inguinal hernia repair (laparoscopic, open) were developed by a modified Delphi procedure. Further research is required to evaluate whether these recommendations are realistic and effective in daily practice.

Indexed as

ConvalescenceDigestive System Surgical ProceduresAdultConsensus Statements as TopicDelphi TechniqueFemaleHumansMaleMiddle AgedPostoperative PeriodAppendectomyCholecystectomyColectomyConvalescence recommendationsHernia repairModified Delphi study

Identifiers

PMID27139706
PMCPMC5112288

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Registered trials

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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.