Evidence map›Paper›PMID 27599984›Full record

ArticleObesity surgery2017

Enhanced Recovery after Bariatric Surgery in the Severely Obese, Morbidly Obese, Super-Morbidly Obese and Super-Super Morbidly Obese Using Evidence-Based Clinical Pathways: a Comparative Study.

Aparna Sinha, Lakshmi Jayaraman, Dinesh Punhani, Pradeep Chowbey

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  18. Obesity And Obstetric Anesthesia: Current Insights.Local and regional anesthesia · 2019
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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

4 authors at 1 institution in 1 country.

Aparna SinhaMax Super Speciality Hospital, East Wing, 2 Press Enclave Road, Saket, New Delhi, 110017, India. apsin@hotmail.com.
Lakshmi JayaramanMax Super Speciality Hospital, East Wing, 2 Press Enclave Road, Saket, New Delhi, 110017, India.
Dinesh PunhaniMax Super Speciality Hospital, East Wing, 2 Press Enclave Road, Saket, New Delhi, 110017, India.
Pradeep ChowbeyMax Super Speciality Hospital, East Wing, 2 Press Enclave Road, Saket, New Delhi, 110017, India.
Max Super Speciality Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe discuss the anesthetic outcome in morbidly obese patients under the enhanced recovery after surgery (ERAS) protocol. Our evidence-based clinical pathways focused on prehabilitation and included interventions like aggressive preoperative optimization of medical comorbidities, familiarizing with perioperative protocols, thromboprophylaxis, opioid free multimodal analgesia, and early ambulation.

methodsWe did a retrospective analysis of prospectively collected data of 823 patients who underwent laparoscopic bariatric surgery. Our goal was to assess the effects of BMI on the recovery and anesthetic outcome parameters, under the categories of severely obese (SeO: BMI <39.9 kg/m

resultsRequirement for non-invasive ventilation (NIV) was the only significant predictor of TA and discharge readiness (DR); the DR was further affected by functional capacity and presence of chest pain. Our analysis indicated that each unit increase in BMI (kg/m

conclusionsAggressive preoperative optimization can avert effects of BMI on anesthetic outcome. Practice of prehabilitation and preoperative optimization of comorbidities using evidence-based clinical pathways can complement the principles of ERAS in patients undergoing bariatric surgery to facilitate their discharge readiness.

Indexed as

Body Mass IndexAdultAgedBariatric SurgeryComorbidityCritical PathwaysFemaleHumansMaleMiddle AgedMorbidityNoninvasive VentilationObesity, MorbidRetrospective StudiesTreatment OutcomeAnestheticBariatricEnhancedERASOutcomesPrehabilitationRecoverySuper obesitySuper-super obesity

Identifiers

PMID27599984
OpenAlexW2507575262

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.