Evidence map›Paper›PMID 27648469›Full record

ArticleSurgery research and practice2016

Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter.

Timothy L Fitzgerald, Catalina Mosquera, Nicholas J Koutlas, Nasreen A Vohra, Kimberly V Edwards, Emmanuel E Zervos

Abstract read
In one paragraph

Article in Surgery research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. [Initial experiences with the implementation of the enhanced recovery after surgery (ERAS®) protocol].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  2. Article
  3. 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

6 authors.

Timothy L FitzgeraldEast Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA; East Carolina University Brody School of Medicine, Department of Surgery, Greenville, NC 27834, USA.ORCID 0000-0001-7350-1269
Catalina MosqueraEast Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA; East Carolina University Brody School of Medicine, Department of Surgery, Greenville, NC 27834, USA.ORCID 0000-0002-5211-6115
Nicholas J KoutlasEast Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA.ORCID 0000-0003-1246-5641
Nasreen A VohraEast Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA; East Carolina University Brody School of Medicine, Department of Surgery, Greenville, NC 27834, USA.
Kimberly V EdwardsVidant Medical Centre, Division of Dietetics and Nutrition, Greenville, NC 27834, USA.
Emmanuel E ZervosEast Carolina University Brody School of Medicine, Division of Surgical Oncology, Greenville, NC 27834, USA; East Carolina University Brody School of Medicine, Department of Surgery, Greenville, NC 27834, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.

Identifiers

PMID27648469
PMCPMC5014963

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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.