Evidence map›Paper›PMID 28413629›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 1-from the preoperative period to PACU.

Matthew D McEvoy, Michael J Scott, 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

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
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. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 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.

NCT04110080 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Enhanced Recovery After Surgery in Living Donor Kidney Transplant Donors

TypeinterventionalSponsorThomas Jefferson UniversityRan2019 to 2023Enrolled42ConditionsOpioid Use, Kidney Diseases, Pain, Postoperative, Postoperative ComplicationsArmsmultimodal pain management, goal directed fluid management, preoperative carbohydrate loading, Donor nephrectomy, regional anesthesia
NCT05257941 phase1 / phase2terminatednot on this mapstarted 2022, after this paper: background citation

Randomized Prospective Study Comparison of Erector Spinae Plane Block and Intrathecal Opioid for Postoperative Analgesia After Laparoscopic Colorectal Surgery in an Enhanced Recovery Setting

TypeinterventionalSponsorIndiana UniversityRan2022 to 2024Enrolled116ConditionsSurgeryArmsIT Injection, ESP Block
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

11 authors.

Matthew D McEvoy *Department of Anesthesiology, CIPHER (Center for Innovation in Perioperative Health, Education, and Research) Vanderbilt University Medical Center, 2301VUH, Nashville, TN 37232 USA.
Michael J Scott *Anaesthesia & Intensive Care Medicine, Royal Surrey County NHS Foundation Hospital, Surrey, UK.
Debra B GordonHarborview Integrated Pain Care Program, Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, USA.
Stuart A GrantDivision of Regional Division, Department of Anesthesiology, Duke University Medical Center, Durham, USA.
Julie K M ThackerDivision of Advanced Oncologic and GI Surgery, Department of Surgery, Duke University Medical Center, Durham, USA.
Christopher L WuDepartment of Anesthesiology/Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, USA.
Tong J GanDepartment of Anesthesiology, Stony Brook University School of Medicine, Suffolk, USA.
Monty G MythenUCL/UCLH National Institute of Health Research Biomedical Research Centre, London, UK.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University, Nashville, USA.
Timothy E MillerDivision of General, Vascular and Transplant Anesthesia, Duke University Medical Center, Durham, USA.
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 multi-disciplinary, international group of clinicians, 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 ERP. The goal was two-fold: (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 from the preoperative period to the post-anesthesia care unit. 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

ColorectalEnhanced recovery pathwayMultimodalNon-opioid adjunctsOptimal analgesiaOutcomesPain managementPerioperativeQuality

Identifiers

PMID28413629
PMCPMC5390366

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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.