Evidence map›Paper›PMID 28852843›Full record

ArticlePediatric surgery international2017

Enhancing recovery after minimally invasive repair of pectus excavatum.

Cristen N Litz, Sandra M Farach, Allison M Fernandez, Richard Elliott, Jenny Dolan, Will Nelson, Nebbie E Walford, Christopher Snyder, Jeffrey P Jacobs, Ernest K Amankwah and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Enhanced recovery in children: how could we go further?World journal of pediatric surgery · 2021
    Article
  6. Article
  7. Article
  8. 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

12 authors.

Cristen N LitzDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, St. Petersburg, FL, 33701, USA. clitz@health.usf.edu.
Sandra M FarachDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, St. Petersburg, FL, 33701, USA.
Allison M FernandezDivision of Anesthesia, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Richard ElliottDivision of Anesthesia, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Jenny DolanDivision of Anesthesia, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Will NelsonDivision of Anesthesia, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Nebbie E WalfordDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, St. Petersburg, FL, 33701, USA.
Christopher SnyderDivision of Cardiothoracic Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Jeffrey P JacobsDivision of Cardiothoracic Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Ernest K AmankwahClinical and Translational Research Organization, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Paul D DanielsonDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, St. Petersburg, FL, 33701, USA.
Nicole M ChandlerDivision of Pediatric Surgery, Outpatient Care Center, Johns Hopkins All Children's Hospital, 601 5th Street South, Dept 70-6600, 3rd Floor, St. Petersburg, FL, 33701, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are variations in the perioperative management of patients who undergo minimally invasive repair of pectus excavatum (MIRPE). The purpose is to analyze the change in resource utilization after implementation of a standardized practice plan and describe an enhanced recovery pathway.

methodsA standardized practice plan was implemented in 2013. A retrospective review of patients who underwent MIRPE from 2012 to 2015 was performed to evaluate the trends in resource utilization. A pain management protocol was implemented and a retrospective review was performed of patients who underwent repair before (2010-2012) and after (2014-2015) implementation.

resultsThere were 71 patients included in the review of resource utilization. After implementation, there was a decrease in intensive care unit length of stay (LOS), and laboratory and radiologic studies ordered. There were 64 patients included in the pain protocol analysis. After implementation, postoperative morphine equivalents (3.3 ± 1.4 vs 1.2 ± 0.5 mg/kg, p < 0.01), urinary retention requiring catheterization (33 vs 14%, p = 0.07), and LOS (4 ± 1 vs 2.8 ± 0.8 days, p < 0.01) decreased.

conclusionThe implementation of an enhanced recovery pathway is a feasible and effective way to reduce resource utilization and improve outcomes in pediatric patients who undergo minimally invasive repair of pectus excavatum.

Indexed as

AdolescentChildFunnel ChestHumansLength of StayMinimally Invasive Surgical ProceduresPain ManagementPostoperative CareRetrospective StudiesEnhanced recoveryMIRPENussPain managementPectus excavatumQuality improvement

Identifiers

PMID28852843

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.