Evidence map›Paper›PMID 27216584›Full record

ArticleSystematic reviews2016

Pre-admission interventions to improve outcome after elective surgery-protocol for a systematic review.

Rachel Perry, Lauren J Scott, Alison Richards, Anne M Haase, Jelena Savović, Andrew R Ness, Charlotte Atkinson, Jessica Harris, Lucy Culliford, Sanjoy Shah and 1 more

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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

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

  1. Guideline
  2. Pooled it
  3. Review
  4. Article
  5. Preoperative patient preparation in enhanced recovery pathways.Journal of anaesthesiology, clinical pharmacology · 2019
    Review
  6. Enhanced recovery after cardiac surgery.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2019
    Review
  7. Can Patients Forecast Their Postoperative Disability and Pain?Clinical orthopaedics and related research · 2019
    Article
  8. Article
  9. 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

11 authors at 3 institutions in 1 country.

Rachel PerryBiomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
Lauren J ScottClinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.
Alison RichardsNIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.
Anne M HaaseCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, 8 Priory Road, Bristol, BS8 1TZ, UK.
Jelena SavovićNIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.
Andrew R NessBiomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
Charlotte AtkinsonBiomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
Jessica HarrisClinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.
Lucy CullifordClinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.
Sanjoy ShahPreoperative Assessment Clinic, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, BS2 8HW, UK.
Maria PufuleteClinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK. Maria.Pufulete@bristol.ac.uk.
Bristol Royal Infirmary · GBUniversity of Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundPoor physical health and fitness increases the risk of death and complications after major elective surgery. Pre-admission interventions to improve patients' health and fitness (referred to as prehabilitation) may reduce postoperative complications, decrease the length of hospital stay and facilitate the patient's recovery. We will conduct a systematic review of RCTs to examine the effectiveness of different types of prehabilitation interventions in improving the surgical outcomes of patients undergoing elective surgery.

methodsThis review will be conducted and reported according to the Cochrane and PRISMA reporting guidelines. MEDLINE, EMBASE, CENTRAL, CINAHL, PsycINFO, ISI Web of Science and clinical trial registers will be searched for any intervention administered before any elective surgery (including physical activity, nutritional, educational, psychological, clinical or multicomponent), which aims to improve postoperative outcomes. Reference lists of included studies will be searched, and grey literature including conference proceedings, theses, dissertations and preoperative assessment protocols will be examined. Study quality will be assessed using Cochrane's risk of bias tool, and meta-analyses for trials that use similar interventions and report similar outcomes will be undertaken where possible. DISCUSSION: This systematic review will determine whether different types of interventions administered before elective surgery are effective in improving postoperative outcomes. It will also determine which components or combinations of components would form the most effective prehabilitation intervention. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015019191.

Indexed as

Elective Surgical ProceduresExerciseLength of StayNutritional SupportPatient Education as TopicHumansPhysical FitnessPostoperative ComplicationsPreoperative CareSystematic Reviews as TopicElective surgeryImproving fitness before surgeryPhysical activityPrehabilitationPreoperative nutritionSystematic review

Identifiers

PMID27216584
PMCPMC4878054
OpenAlexW2397106055

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.