Evidence map›Paper›PMID 28445352›Full record

GuidelinePlastic and reconstructive surgery2017

Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations.

Claire Temple-Oberle, Melissa A Shea-Budgell, Mark Tan, John L Semple, Christiaan Schrag, Marcio Barreto, Phillip Blondeel, Jeremy Hamming, Joseph Dayan, Olle Ljungqvist and 1 more

4 registry-linked trialsOpen access · greenAbstract readConsensus StatementPractice GuidelineSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Plastic and reconstructive surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 125 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 4 pooled it
30.5field-weighted citation impact, top 1% 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.

NCT03456167 nacompletednot on this mapstarted 2019, after this paper: background citation

Mobile App Postoperative Home Monitoring After Enhanced Recovery Oncologic Surgery

TypeinterventionalSponsorAlberta Health Services, CalgaryRan2019 to 2021Enrolled72ConditionsBreast Cancer, Gynecologic CancerArmsRecoverWell mobile app for follow-up care
NCT06565910 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Bupivacaine Liposome Plus Bupivacaine or Ropivacaine for PENG Block on Post Operative Pain Management in Patients Undergoing Hip Arthroplasty: a Prospective, Randomized, Single Blind, Active Controlled Study

TypeinterventionalSponsorHuazhong University of Science and TechnologyRan2024 to 2026Enrolled60ConditionsFemoral Neck Fractures, Femur Head Necrosis, Hip FracturesArmsLiposomal bupivacaine plus bupivacaine, Ropivacaine
NCT07044583 narecruitingnot on this mapstarted 2025, after this paper: background citation

SAVE Trial: SAfe Opioid Use Video Education

TypeinterventionalSponsorUniversity of UtahRan2025 to 2027Enrolled68ConditionsBreast Reconstruction, Breast CancerArmsOpioid Educational Video
NCT07092475 phase3withdrawnnot on this mapstarted 2025, after this paper: background citation

The Impact of Intraoperative Methadone on Postoperative Opioid Use

TypeinterventionalSponsorUniversity of UtahRan2025 to 2025Enrolled0ConditionsBreast Cancer, Opioid UseArmsMethadon
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 4 syntheses or guidelines pooled it, 335 citations in OpenAlex.

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65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 2 countries.

Claire Temple-OberleCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Melissa A Shea-BudgellCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Mark TanCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
John L SempleCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Christiaan SchragCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Marcio BarretoCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Phillip BlondeelCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Jeremy HammingCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Joseph DayanCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
Olle LjungqvistCalgary, Alberta, and Toronto, Ontario, Canada; Duarte, Calif.; Recife, Pernambuco, Brazil; Ghent, Belgium; New York, N.Y.; and Örebro, Sweden.
ERAS Society
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundEnhanced recovery following surgery can be achieved through the introduction of evidence-based perioperative maneuvers. This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery and to provide evidence-based recommendations for an enhanced perioperative protocol.

methodsA systematic review of meta-analyses, randomized controlled trials, and large prospective cohorts was conducted for each protocol element. Smaller prospective cohorts and retrospective cohorts were considered only when higher level evidence was unavailable. The available literature was graded by an international panel of experts in breast reconstructive surgery and used to form consensus recommendations for each topic. Each recommendation was graded following a consensus discussion among the expert panel. Development of these recommendations was endorsed by the Enhanced Recovery after Surgery Society.

resultsHigh-quality randomized controlled trial data in patients undergoing breast reconstruction informed some of the recommendations; however, for most items, data from lower level studies in the population of interest were considered along with extrapolated data from high-quality studies in non-breast reconstruction populations. Recommendations were developed for a total of 18 unique enhanced recovery after surgery items and are discussed in the article. Key recommendations support use of opioid-sparing perioperative medications, minimal preoperative fasting and early feeding, use of anesthetic techniques that decrease postoperative nausea and vomiting and pain, use of measures to prevent intraoperative hypothermia, and support of early mobilization after surgery.

conclusionBased on the best available evidence for each topic, a consensus review of optimal perioperative care for patients undergoing breast reconstruction is presented. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Indexed as

MammaplastyFemaleHumansMeta-Analysis as TopicPerioperative CareProspective StudiesRandomized Controlled Trials as Topic

Identifiers

PMID28445352
PMCPMC9074892
OpenAlexW2748617594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.