Evidence map›Paper›PMID 28620897›Full record

Observational studyUpdates in surgery2018

Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry.

Marco Braga, Luigi Beretta, Nicolò Pecorelli, Marianna Maspero, Umberto Casiraghi, Felice Borghi, Luca Pellegrino, Stefano Bona, Roberta Monzani, Gianluigi Ferrari and 12 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Updates in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
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

22 authors.

Marco BragaDepartment of Surgery, San Raffaele Hospital, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy. braga.marco@hsr.it.
Luigi BerettaDepartment of Anesthesiology, San Raffaele Hospital, Vita-Salute University, Milan, Italy.
Nicolò PecorelliDepartment of Surgery, San Raffaele Hospital, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
Marianna MasperoDepartment of Surgery, San Raffaele Hospital, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
Umberto CasiraghiDepartment of Surgery, San Raffaele Hospital, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
Felice BorghiDepartment of Surgery, Cuneo Hospital, Chicago, USA.
Luca PellegrinoDepartment of Surgery, Cuneo Hospital, Chicago, USA.
Stefano BonaDepartment of Surgery, Humanitas Hospital Milan, Milan, Italy.
Roberta MonzaniDepartment of Anesthesiology, Humanitas Hospital Milan, Milan, Italy.
Gianluigi FerrariDepartment of Surgery, Legnano Hospital, Legnano, Italy.
Danilo RadrizzaniDepartment of Anesthesiology, Legnano Hospital, Legnano, Italy.
Riccardo IulianiDepartment of Surgery, Cottolengo Hospital Turin, Turin, Italy.
Carlo BimaDepartment of Surgery, Cottolengo Hospital Turin, Turin, Italy.
Marco ScatizziDepartment of Surgery, Prato Hospital, Prato, Italy.
Giancarlo MissanaDepartment of Surgery, Casa di Cura Città di Udine, Udine, Italy.
Marco Azzola GuicciardiDepartment of Surgery, Cantù Hospital, Cantù, Italy.
Andrea MuratoreDepartment of Surgery, Candiolo Hospital, Turin, Italy.
Michele CrespiDepartment of Surgery, Luigi Sacco Hospital, Milan, Italy.
Hedayat BouzariDepartment of Surgery, Mauriziano Hospital Turin, Turin, Italy.
Andrea Pisani CerettiDepartment of Surgery, San Paolo Hospital, São Paulo, Brazil.
Ferdinando FicariDepartment of Surgery, Careggi Hospital, University of Florence, Florence, Italy.
PeriOperative Italian Society Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies reported that enhanced recovery pathway (ERP) is safe in elderly who did not require a specifically tailored protocol. In previous studies, elderly have been considered as a homogeneous cohort and the cut-off value to identify them was different. The aim of the present study is to assess the compliance to ERP and its impact on postoperative outcome in three subgroups of elderly patients with increasing ages. Prospectively collected data entered in an electronic Italian registry specifically designed for ERP were reviewed. 315 elderly patients undergoing elective colorectal resection were divided into three groups. Group 1: 71-75 years (n = 105), Group 2: 76-80 years (n = 117), Group 3: over 80 years (n = 93). Primary endpoints of the study were adherence to ERP and time to readiness for discharge (TRD). Compliance to ERP was similar in the three groups. No difference among groups was found for mortality, overall morbidity, major complications, reoperation rate and readmission rate. Median TRD and length of hospital stay (LOS) were progressively longer with increasing age (p = 0.018 and p = 0.078, respectively). Increasing age did not impact on adherence to ERP and postoperative morbidity, but delayed both TRD and LOS.

Indexed as

ColectomyAgedAged, 80 and overAge FactorsFollow-Up StudiesGuideline AdherenceHumansItalyLength of StayPatient ReadmissionPerioperative CarePostoperative ComplicationsPractice Guidelines as TopicRectumRegistriesReoperationColorectal surgeryElderlyEnhanced recovery after surgeryLength of stayPostoperative morbidity

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.