Evidence map›Paper›PMID 28120276›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

The Development, Application and Analysis of an Enhanced Recovery Programme for Major Oesophagogastric Resection.

Timothy J Underwood, F Noble, N Madhusudan, D Sharland, R Fraser, J Owsley, M Grant, J J Kelly, James P Byrne, South Coast Cancer Collaboration-Oesophago-Gastric (SC -OG)

Open access · hybridAbstract read
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
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

10 authors at 3 institutions in 1 country.

Timothy J UnderwoodDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK. tju@soton.ac.uk.
F NobleDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
N MadhusudanDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
D SharlandDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
R FraserDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
J OwsleyDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
M GrantDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
J J KellyDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
James P ByrneDepartment of Surgery, University Hospital Southampton, Tremona Road, Southampton, Hampshire, SO16 6YD, UK. james.byrne@uhs.nhs.uk.
South Coast Cancer Collaboration-Oesophago-Gastric (SC -OG)
University Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GBSouthampton General Hospital · GB

Funding

Cancer Research UKMedical Research Council G1002565
6 · The paper itself

Abstract

backgroundEnhanced recovery programmes improve outcomes in surgery, but their implementation after upper gastrointestinal resection has been limited. The aim of this study was to compare short-term outcomes for patients undergoing oesophagogastric surgery in an enhanced recovery programme (EROS).

methodsEROS was developed after a multidisciplinary meeting by multiple rounds of revision. EROS was applied to all patients undergoing major upper GI resection at a university teaching hospital in the UK from 20/9/13, with data reviewed at 18/09/15. EROS was assessed to identify predictors for compliance.

resultsOne hundred six patients underwent major upper GI resection including 81 oesophagectomies, 24 gastrectomies and 1 colonic interposition graft. Major complications (Clavien Dindo ≥3) occurred in 12 patients with 1 in-hospital death. Thirty-five patients (44%) were discharged on target day 8 of the EROS programme. Age and complications were independently associated with missing this discharge target.

conclusionEnhanced recovery is feasible and safe after major upper gastrointestinal surgery.

Indexed as

EsophagectomyGastrectomyAdultAgedAged, 80 and overAge FactorsColonEarly AmbulationFemaleHumansLength of StayMaleMiddle AgedPatient DischargePerioperative CareProgram DevelopmentEnhanced recoveryGastrectomyOesophageal surgeryOesophagectomySurgery

Identifiers

PMID28120276
PMCPMC5359364
OpenAlexW2579938323

What OpenQuestion holds

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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.