Evidence map›Paper›PMID 27663124›Full record

ArticleJournal of pediatric surgery2016

Preparing enhanced recovery after surgery for implementation in pediatric populations.

Ira L Leeds, Emily F Boss, Jessica A George, Valerie Strockbine, Elizabeth C Wick, Eric B Jelin

Abstract readLetter
In one paragraph

Article in Journal of pediatric surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. A Survey on Enhanced Recovery After Surgery (ERAS) Elements in Cleft Palate Repair.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Enhanced recovery after surgery in children.Translational gastroenterology and hepatology · 2021
    Review
  19. Article
  20. 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.

Ira L LeedsDepartment of Surgery, The Johns Hopkins Hospital and Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 618, Baltimore, MD 21287.
Emily F BossDepartment of Otolaryngology-Head and Neck Surgery and Health Policy & Management, Johns Hopkins University School of Medicine and Bloomberg School of Public Health, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287.
Jessica A GeorgeDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Children's Center and Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD 21287.
Valerie StrockbineDepartment of Surgery, Johns Hopkins Bloomberg Children's Center and Johns Hopkins University School of Medicine, 1800 Orleans Street, Bloomberg 7323, Baltimore, MD 21287.
Elizabeth C WickDepartment of Surgery, The Johns Hopkins Hospital and Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 618, Baltimore, MD 21287.
Eric B JelinDepartment of Surgery, Johns Hopkins Bloomberg Children's Center and Johns Hopkins University School of Medicine, 1800 Orleans Street, Bloomberg 7323, Baltimore, MD 21287. Electronic address: ejelin1@jhmi.edu.

Funding

Clinical and Laboratory Research Training for Surgical OncologistsT32CA126607 · NCI · JOHNS HOPKINS UNIVERSITY · PI CAMERON, ANDREW M. · 2008 to 2024
$6.0M
Shared Decision-Making and Outcomes in Pediatric Sleep-Disordered BreathingK08HS022932 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI BOSS, EMILY FRANCES · 2014 to 2018
$787k
AHRQ HHS K08 HS022932NCI NIH HHS T32 CA126607
6 · The paper itself

Abstract

Standardization in perioperative care has led to major improvements in surgical outcomes during the last two decades. Enhanced recovery after surgery (ERAS) programs are one example of a clinical pathway impacting both surgical outcomes and efficiency of care, but these programs have not yet been widely adapted for surgery in children. In adults, ERAS pathways have been shown to reduce length of stay, reduce complication rates, and improve patient satisfaction. These pathways improve outcomes through standardization of existing evidence-based best practices. Currently, the direct evidence for adapting ERAS pathways to pediatric surgery patients is limited. Challenges for implementation of ERAS programs for children include lack of direct translatability of adult evidence as well as varying levels acceptability of ERAS principles among pediatric providers and patients' families. We describe our newly implemented ERAS program for pediatric colorectal surgery patients in an era of limited direct evidence and discuss what further issues need to be addressed for broader implementation of pediatric ERAS pathways. LEVEL OF EVIDENCE: Level 5.

Indexed as

ChildCritical PathwaysDigestive System Surgical ProceduresHumansPerioperative CareEnhanced recovery after surgeryErasImplementationPediatricSurgery

Identifiers

PMID27663124
PMCPMC5373552

What OpenQuestion holds

Textmetadata
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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.