Evidence map›Paper›PMID 28413628›Full record

ArticlePerioperative medicine (London, England)2017

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2-From PACU to the Transition Home.

Michael J Scott, Matthew D McEvoy, Debra B Gordon, Stuart A Grant, Julie K M Thacker, Christopher L Wu, Tong J Gan, Monty G Mythen, Andrew D Shaw, Timothy E Miller and 1 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Trial
  2. Chemical stability and compatibility of acetaminophen injection with six common opioid drugs: implications for clinical use.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
  3. Drugs used for pain management in gastrointestinal surgery and their implications.World journal of gastrointestinal pharmacology and therapeutics · 2024
    Review
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  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Michael J Scott *Department of Anesthesiology, Virginia Commonwealth University Health System, 1200 East Broad Street, P.O. Box 980695, Richmond, Virginia 23298-0695 USA.
Matthew D McEvoy *CIPHER (Center for Innovation in Perioperative Health, Education, and Research), Vanderbilt University Medical Center, TN, USA.
Debra B GordonDepartment of Anesthesiology & Pain Medicine, Harborview Integrated Pain Care Program, University of Washington, Seattle, WA USA.
Stuart A GrantDepartment of Anesthesiology, Medical Student Education, Division of Regional Division, Duke University Medical Center, Durham, UK.
Julie K M ThackerDepartment of Surgery, Division of Advanced Oncologic and GI Surgery, Duke University Medical Center, Durham, UK.
Christopher L WuDepartment of Anesthesiology/Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD USA.
Tong J GanDepartment of Anesthesiology, Stony Brook University School of Medicine, Stony Brook, USA.
Monty G MythenUniversity College London Hospitals National Institute of Health Research Biomedical Research Centre, London, UK.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University, TN, USA.
Timothy E MillerDivision of General, Vascular and Transplant Anesthesia, Duke University Medical Center, Durham, UK.
Perioperative Quality Initiative (POQI) I Workgroup

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWithin an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver "optimal analgesia", which we define in this paper as a technique that optimizes patient comfort and facilitates functional recovery with the fewest medication side effects.

methodsWith input from a multidisciplinary, international group of experts and through a structured review of the literature and use of a modified Delphi method, we achieved consensus surrounding the topic of optimal analgesia in the perioperative period for colorectal surgery patients. DISCUSSION: As a part of the first Perioperative Quality Improvement (POQI) workgroup meeting, we sought to develop a consensus document describing a comprehensive, yet rational and practical, approach for developing an evidence-based plan for achieving optimal analgesia, specifically for a colorectal surgery within an ERP. The goal was twofold: (a) that application of this process would lead to improved patient outcomes and (b) that investigation of the questions raised would identify knowledge gaps to aid the direction for research into analgesia within ERPs in the years to come. This document details the evidence for a wide range of analgesic components, with particular focus on care in the post-anesthesia care unit, general care ward, and transition to home after discharge. The preoperative and operative consensus statement for analgesia was covered in Part 1 of this paper. The overall conclusion is that the combination of analgesic techniques employed in the perioperative period is not important as long as it is effective in delivering the goal of "optimal analgesia" as set forth in this document.

Indexed as

AnalgesiaColorectal surgeryEnhanced recovery pathwayMultimodalNon-opioid adjunctsOptimal analgesiaOutcomesPain managementPost-dischargePostoperativeQuality

Identifiers

PMID28413628
PMCPMC5390469

What OpenQuestion holds

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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.