Evidence map›Paper›PMID 30530586›Full record

ReviewBMJ open2018

Creation of an Enhanced Recovery After Surgery (ERAS) Guideline for neonatal intestinal surgery patients: a knowledge synthesis and consensus generation approach and protocol study.

Ashleigh C N Gibb, Megan A Crosby, Caraline McDiarmid, Denisa Urban, Jennifer Y K Lam, Paul W Wales, Megan Brockel, Mehul Raval, Martin Offringa, Erik D Skarsgard and 5 more

Abstract readReview
In one paragraph

Review in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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  14. Enhanced recovery in children: how could we go further?World journal of pediatric surgery · 2021
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  15. Article
  16. Article
  17. Review
  18. Embracing change: the era for pediatric ERAS is here.Pediatric surgery international · 2019
    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

15 authors.

Ashleigh C N GibbDepartment of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Megan A CrosbyDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Caraline McDiarmidDepartment of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Denisa UrbanDepartment of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Jennifer Y K LamDepartment of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Paul W WalesDepartment of Pediatric Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Megan BrockelDepartment of Pediatric Anesthesia, University of Colorado, Aurora, Colorado, USA.
Mehul RavalDepartment of Pediatric Anesthesia, University of Colorado, Aurora, Colorado, USA.
Martin OffringaDepartment of Neonatology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Erik D SkarsgardDepartment of Pediatric Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Tomas WesterDepartment of Pediatric Surgery, Karolinska University, Stockholm, Sweden.
Kenneth WongDepartment of Surgery, University of Hong Kong, Li Ka Shing Faculty of Medicine, Hong Kong, China.
David de BeerDepartment of Pediatric Anesthesia, Great Ormond Street Hospital, London, UK.
Gregg NelsonDepartment of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Mary E BrindleDepartment of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnhanced Recovery After Surgery (ERAS) guidelines integrate evidence-based practices into multimodal care pathways designed to optimise patient recovery following surgery. The objective of this project is to create an ERAS protocol for neonatal abdominal surgery. The protocol will identify and attempt to bridge the gaps between current practices and best evidence. Our study is the first paediatric ERAS protocol endorsed by the International ERAS Society.

methodsA research team consisting of international clinical and family stakeholders as well as methodological experts have iteratively defined the scope of the protocol in addition to individual topic areas. A modified Delphi method was used to reach consensus. The second phase will include a series of knowledge syntheses involving a rapid review coupled with expert opinion. Potential protocol elements supported by synthesised evidence will be identified. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system will be used to determine strength of recommendations and the quality of evidence. The third phase will involve creation of the protocol using a modified RAND/UCLA Appropriateness Method. Group consensus will be used to rate each element in relation to the quality of evidence supporting the recommendation and the appropriateness for guideline inclusion. This protocol will form the basis of a future implementation study. ETHICS AND DISSEMINATION: This study has been registered with the ERAS Society. Human ethics approval (REB 18-0579) is in place to engage patient families within protocol development. This research is to be published in peer-reviewed journals and will form the care standard for neonatal intestinal surgery.

Indexed as

AccelerationConsensusPractice Guidelines as TopicDelphi TechniqueDigestive System Surgical ProceduresEarly AmbulationEvidence-Based MedicineFemaleHumansInfant, NewbornInternationalityMalePediatricsPostoperative CareRecovery of FunctionSocieties, Medicaleraspaediatric surgery

Identifiers

PMID30530586
PMCPMC6303622

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.