Evidence map›Paper›PMID 27817086›Full record

SynthesisObesity surgery2017

Enhanced Recovery after Bariatric Surgery: Systematic Review and Meta-Analysis.

Piotr Małczak, Magdalena Pisarska, Major Piotr, Michał Wysocki, Andrzej Budzyński, Michał Pędziwiatr

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04847037 (Place of Connected Tools in the Follow-up of the Bariatric Patient), which is not on this map. Cited by 130 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 13 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.

NCT04847037 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Place of Connected Tools in the Follow-up of the Bariatric Patient: Can They Allow Rapid Management of Complications and Reduce Lost of Follow-up During Postoperative Period?

TypeinterventionalSponsorElsanRan2020 to 2025Enrolled200ConditionsBariatric Surgery CandidateArmsConnected tools
3 · Its place in the literature

Who cites it

130 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  6. [Enhanced recovery after surgery-Does the ERAS concept keep its promises].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
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  13. Meta-Analysis of Enhanced Recovery Protocols in Bariatric Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
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70 more citing papers are in PubMed but not listed here.

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.

Piotr Małczak2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Magdalena Pisarska2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Major Piotr2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Wysocki2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Andrzej Budzyński2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Michał Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland. michal.pedziwiatr@uj.edu.pl.ORCID 0000-0001-9073-2667

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced recovery after surgery (ERAS) protocol is well established in many surgical disciplines and leads to a decrease in the length of hospital stay and morbidity. Multimodal protocols have also been introduced to bariatric surgery. This review aims to evaluate the current literature on ERAS in obesity surgery and to conduct a meta-analysis of primary and secondary outcomes. MEDLINE, Embase, Scopus and Cochrane Library were searched for eligible studies. Key journals were hand-searched. We analysed data up to May 2016. Eligible studies had to contain four described ERAS protocol elements. The primary outcome was the length of hospital stay; the secondary outcomes included overall morbidity, specific complications, mortality, readmissions and costs. Random effect meta-analyses were undertaken. The initial search yielded 1151 articles. Thorough evaluation resulted in 11 papers, which were analysed. The meta-analysis of the length of stay presented a significant reduction standard mean difference (Std. MD) = -2.39 (-3.89, -0.89), p = 0.002. The analysis of overall morbidity, specific complications and Clavien-Dindo classification showed no significant variations among the study groups. ERAS protocol in bariatric surgery leads to the reduction of the length of hospital stay while maintaining no or low influence on morbidity.

Indexed as

Bariatric SurgeryComorbidityHumansLength of StayObesity, MorbidPostoperative ComplicationsRecovery of FunctionBariatric surgeryERASGastric bypassSleeve gastrectomy

Identifiers

PMID27817086
PMCPMC5187372

What OpenQuestion holds

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Registered trials

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.