Evidence map›Paper›PMID 28270910›Full record

ArticlePerioperative medicine (London, England)2017

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on prevention of postoperative infection within an enhanced recovery pathway for elective colorectal surgery.

Stefan D Holubar, Traci Hedrick, Ruchir Gupta, John Kellum, Mark Hamilton, Tong J Gan, Monty G Mythen, Andrew D Shaw, Timothy E Miller, Perioperative Quality Initiative (POQI) I Workgroup

Abstract read
In one paragraph

Article in Perioperative medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Impact of a kidney-adjusted ERASLangenbeck's archives of surgery · 2024
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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

10 authors.

Stefan D HolubarDepartment of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH USA.
Traci HedrickDepartment of Surgery, University of Virginia Health System, Charlottesville, VA USA.
Ruchir GuptaDepartment of Anesthesiology, Stony Brook School of Medicine, Stony Brook, NY USA.
John KellumDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA USA.
Mark HamiltonDepartment of Intensive Care Medicine and Anaesthesia, St. George's Hospital and Medical School, London, UK.
Tong J GanDepartment of Anesthesiology, Stony Brook School of Medicine, Stony Brook, NY USA.
Monty G MythenDepartment of Anesthesia, UCL/UCLH National Institute of Health Research Biomedical Research Centre, London, UK.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University, Nashville, TN USA.
Timothy E MillerDepartment of Anesthesiology, Duke University Medical Center, Durham, NC USA.
Perioperative Quality Initiative (POQI) I Workgroup

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal surgery (CRS) patients are an at-risk population who are particularly vulnerable to postoperative infectious complications. Infectious complications range from minor infections including simple cystitis and superficial wound infections to life-threatening situations such as lobar pneumonia or anastomotic leak with fecal peritonitis. Within an enhanced recovery pathway (ERP), there are multiple approaches that can be used to reduce the risk of postoperative infections.

methodsWith input from a multidisciplinary, international group of experts and through a focused (non-systematic) review of the literature, and use of a modified Delphi method, we achieved consensus surrounding the topic of prevention of postoperative infection in the perioperative period for CRS patients. DISCUSSION: As a part of the first Perioperative Quality Initiative (POQI-1) workgroup meeting, we sought to develop a consensus statement describing a comprehensive, yet practical, approach for reducing postoperative infections, specifically for CRS within an ERP. Surgical site infection (SSI) is the most common postoperative infection. To reduce SSI, we recommend routine use of a combined isosmotic mechanical bowel preparation with oral antibiotics before elective CRS and that infection prevention strategies (also called bundles) be routinely implemented as part of colorectal ERPs. We recommend against routine use of abdominal drains. We also give consensus guidelines for reducing pneumonia, urinary tract infection, and central line-associated bloodstream infection (CLABSI).

Indexed as

Abdominal abscessAnastomotic leakCarepathCatheter or line-associated bloodstream infectionColorectal surgeryEnhanced recoveryEnhanced recovery pathwayEnhanced recovery protocolInfection preventionMechanical bowel preparationPelvic abscessPneumoniaSurgical site infectionUrinary tract infection

Identifiers

PMID28270910
PMCPMC5335800

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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.