Evidence map›Paper›PMID 29270803›Full record

ArticleSurgical endoscopy2018

Early outcomes of an enhanced recovery protocol for open repair of ventral hernia.

Evan Stearns, Margaret A Plymale, Daniel L Davenport, Crystal Totten, Samuel P Carmichael, Charles S Tancula, John Scott Roth

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2018. 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
–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

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

  1. Pooled it
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  11. Enhanced recovery after surgical repair of incisional hernias.Hernia : the journal of hernias and abdominal wall surgery · 2020
    Review
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.

Evan StearnsUniversity of Kentucky College of Medicine, Lexington, KY, USA.
Margaret A PlymaleDivision of General Surgery, University of Kentucky, Lexington, KY, USA.
Daniel L DavenportDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Crystal TottenDivision of General Surgery, University of Kentucky, Lexington, KY, USA.
Samuel P CarmichaelDivision of General Surgery, University of Kentucky, Lexington, KY, USA.
Charles S TanculaDivision of General Surgery, University of Kentucky, Lexington, KY, USA.
John Scott RothDivision of General Surgery, University of Kentucky, Lexington, KY, USA. s.roth@uky.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery (ERAS) protocols are evidence-based quality improvement pathways reported to be associated with improved patient outcomes. The purpose of this study was to compare short-term outcomes for open ventral hernia repair (VHR) before and after implementation of an ERAS protocol.

methodsAfter obtaining IRB approval, surgical databases were searched for VHR cases for two years prior and eleven months after protocol implementation for retrospective review. Groups were compared on perioperative characteristics and clinical outcomes using chi-square, Fisher's exact, or Mann-Whitney U test, as appropriate.

resultsOne hundred and seventy-one patients underwent VHR (46 patients with ERAS protocol in place and 125 historic controls). Age, gender, ASA Class, comorbidities, and smoking status were similar between the two groups. Body mass index was lower among ERAS patients (p = .038). ERAS patients had earlier return of bowel function (median 3 vs. 4 days) (p = .003) and decreased incidence of superficial surgical site infection (SSI) (7 vs. 25%) (p = .008) than controls.

conclusionAn ERAS protocol for VHR demonstrated improved patient outcomes. A system-wide culture focused on enhanced recovery is needed to ensure improved patient outcomes.

Indexed as

Clinical ProtocolsPerioperative CareRecovery of FunctionFemaleHernia, VentralHistorically Controlled StudyHumansKentuckyMaleMiddle AgedRetrospective StudiesSurgical Wound InfectionClinical outcomesEnhanced recoveryProcess evaluationSurgical site infectionVentral hernia repair

Identifiers

PMID29270803

What OpenQuestion holds

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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.