Evidence map›Paper›PMID 28948012›Full record

ArticlePerioperative medicine (London, England)2017

Enhanced recovery protocols for colorectal surgery and postoperative renal function: a retrospective review.

Charles R Horres, Mohamed A Adam, Zhifei Sun, Julie K Thacker, Richard E Moon, Timothy E Miller, Stuart A Grant

Open access · goldAbstract 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. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Impact of a kidney-adjusted ERASLangenbeck's archives of surgery · 2024
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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

7 authors at 1 institution in 1 country.

Charles R HorresDepartment of Anesthesiology, Duke University, DUMC 3094, Durham, NC 27710 USA.
Mohamed A AdamDepartment of Surgery, Duke University, Durham, USA.
Zhifei SunDepartment of Surgery, Duke University, Durham, USA.
Julie K ThackerDepartment of Surgery, Duke University, Durham, USA.
Richard E MoonDepartment of Anesthesiology, Duke University, DUMC 3094, Durham, NC 27710 USA.
Timothy E MillerDepartment of Anesthesiology, Duke University, DUMC 3094, Durham, NC 27710 USA.
Stuart A GrantDepartment of Anesthesiology, Duke University, DUMC 3094, Durham, NC 27710 USA.
Duke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile enhanced recovery protocols (ERPs) reduce physiologic stress and improve outcomes in general, their effects on postoperative renal function have not been directly studied.

methodsPatients undergoing major colorectal surgery under ERP (February 2010 to March 2013) were compared with a traditional care control group (October 2004 October 2007) at a single institution. Multivariable regression models examined the association of ERP with postoperative creatinine changes and incidence of postoperative acute kidney dysfunction (based on the Risk, Injury, Failure, Loss, and End-stage renal disease criteria).

resultsIncluded were 1054 patients: 590 patients underwent surgery with ERP and 464 patients without ERP. Patient demographics were not significantly different. Higher rates of neoplastic and inflammatory bowel disease surgical indications were found in the ERP group (81 vs. 74%,

conclusionsERP in colorectal surgery is not associated with a clinically significant increase in postoperative creatinine or incidence of postoperative kidney injury. Our results support the safety of ERPs in colorectal surgery and may promote expanding implementation of these protocols.

trial registrationNot applicable, prospective data collection and retrospective chart review only.

Indexed as

Enhanced recoveryGoal-directed fluid therapyPerioperative acute kidney injuryRIFLE criteria

Identifiers

PMID28948012
PMCPMC5609048
OpenAlexW2758630256

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Registered trials

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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.