Evidence map›Paper›PMID 30443718›Full record

Observational studyObesity surgery2019

Enhanced Recovery in Bariatric Surgery: A Study of Short-Term Outcomes and Compliance.

Amlish B Gondal, Chiu-Hsieh Hsu, Federico Serrot, Andrea Rodriguez-Restrepo, Audriana N Hurbon, Carlos Galvani, Iman Ghaderi

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2019. 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
4.5field-weighted citation impact, top 5% 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, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. High compliance to ERAS protocol does not improve overall survival in patients treated for resectable advanced gastric cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  10. Article
  11. 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

7 authors at 3 institutions in 1 country.

Amlish B GondalBanner - University Medical Center, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, PO Box 245066, Tucson, AZ, 85724, USA.
Chiu-Hsieh HsuBanner - University Medical Center, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, PO Box 245066, Tucson, AZ, 85724, USA.
Federico SerrotDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Andrea Rodriguez-RestrepoBanner - University Medical Center, Department of Anesthesiology, University of Arizona, Tucson, AZ, USA.
Audriana N HurbonBanner - University Medical Center, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, PO Box 245066, Tucson, AZ, 85724, USA.
Carlos GalvaniDepartment of Surgery, Baylor College of Medicine, Houston, TX, USA.
Iman GhaderiBanner - University Medical Center, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, PO Box 245066, Tucson, AZ, 85724, USA. iman.ghaderi@gmail.com.
Banner - University Medical Center Tucson · USBaylor College of Medicine · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe implementation of Enhanced Recovery After Surgery (ERAS) guidelines has been widely studied among various surgical specialties. We aimed at comparing the perioperative outcomes and compliance with ERAS protocol in bariatric surgery at our center.

methodsAn observational review of a prospectively maintained database was performed. Patients who underwent primary bariatric surgery (gastric bypass or sleeve gastrectomy) between January 2011 and June 2018 were included. Patients were divided into pre- and post-ERAS groups. Data including basic demographic information, length of hospital stay, 30-day perioperative complications, and readmission rates were collected. Compliance with elements of ERAS was assessed using a combination of chart review and a prospectively implemented checklist. P < 0.05 was chosen to be statistically significant.

resultsA total of 435 patients were included: 239 patients in the pre-ERAS group and 196 patients in the post-ERAS group. There were no statistical differences in baseline demographics and major comorbidities between the 2 groups. The post-ERAS group had shorter length of hospital stay (2.23 vs 1.23, p < 0.001) and lower rates of 30-day postoperative morbidity (8.7 vs 4%, p = .04). There was no significant difference between the 2 groups with respect to readmissions rates. There was no mortality in either group. Overall compliance rates with ERAS elements were 85%; compliance increased significantly with the implementation of a checklist (p < 0.001).

conclusionsImplementation of ERAS program for bariatric surgery is safe and feasible. It reduces hospital stay and postoperative morbidity. Easy to implement strategies such as checklists should be encouraged in bariatric programs to aid in implementation and compliance with ERAS elements for perioperative care.

Indexed as

Bariatric SurgeryHumansLength of StayPostoperative ComplicationsTreatment OutcomeBariatricComplianceEnhanced recoveryOutcomesPerioperative care

Identifiers

PMID30443718
OpenAlexW2901740350

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.