Evidence map›Paper›PMID 30937877›Full record

ArticleObesity surgery2019

First Successful Large-Scale Introduction of an Enhanced Recovery after Bariatric Surgery (ERABS) Program in the Middle East: The Results and Lessons Learned of Tawam Hospital/Johns Hopkins, a Tertiary Governmental Center in the UAE.

Guido H H Mannaerts, Rowaa E A Allatif, Fatima Y Al Hashmi, Arati Bhosale, Ahmad N Hammo, Sujoud H Isied, Warda A Qureshi, Omar S Al Hamad, Yasser Kayyal, Hmouda S T Al Afari

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Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  13. Perioperative Exercise Therapy in Bariatric Surgery: Improving Patient Outcomes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
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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

10 authors at 1 institution in 1 country.

Guido H H MannaertsDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates. dr.mannaerts@gmail.com.ORCID http://orcid.org/0000-0002-2927-6997
Rowaa E A AllatifDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Fatima Y Al HashmiDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Arati BhosaleDepartment of Anesthesia, Tawam Hospital/Johns Hopkins, Al Ain, United Arab Emirates.
Ahmad N HammoDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Sujoud H IsiedDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Warda A QureshiDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Omar S Al HamadDepartment of Anesthesia, Tawam Hospital/Johns Hopkins, Al Ain, United Arab Emirates.
Yasser KayyalDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Hmouda S T Al AfariDepartment of Surgery, Tawam Hospital/Johns Hopkins, P.O. Box 15258, Al Ain, United Arab Emirates.
Tawam Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough enhanced recovery after bariatric surgery (ERABS) has proven to be safe and cost-effective, this concept is relatively new in the Middle East.

methodsA retrospective analysis of consecutive registered cohorts of patients who underwent primary and purely laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB) were compared before introduction of ERABS (2010-2014) and after ERABS (2015-2017) at Tawam Hospital/Johns Hopkins, the UAE.

resultsA total of 462 eligible bariatric patients (LSG 414 and LRYGB 48) were operated on before and 1602 (LSG 1436 and LRYGB 166) after introduction of the ERABS. Significant improvements of mean patient time of the patient being within the OR for LSG (from 2:27 to 1:23 min, p = 0.000) and LRYGB (from 3:17 to 1:59 min, p = 0.000) were achieved when comparing pre-ERABS with after introduction of ERABS. Furthermore, there was a significant decrease in LOS in both LSG (from 3.2 to 1.5 days, p = 0.000) and in LRYGB (from 3.5 to 1.7 days, p = 0.000). Major (CD classification III-IV) complications decreased significantly in LSG (from 13.8 to 0.8%, p = 0.000) and were similar in LRYGB (from 4.2% to 3.0%, p = NS). The readmission rate for LSG (from 2.9 to 2.6%, p = NS) or LRYGB (from 0 to 4.8%, p = NS) and the reoperation rates after LSG (from 0.7 to 0.5%, p = NS) and LRYGB (from 0 to 2.4%, p = NS) did not differ between both groups following introduction of ERABS.

conclusionsImplementation of a standardized ERABS program in the Middle East is feasible and safe and leads to reduced LOS and OR times.

Indexed as

Enhanced Recovery After SurgeryAdultBariatric SurgeryCost-Benefit AnalysisEconomics, HospitalFemaleHospitalsHumansLaparoscopyMaleMiddle AgedMiddle EastObesity, MorbidPostoperative CarePostoperative ComplicationsProgram EvaluationBariatric surgeryCost-efficiencyEnhanced recoveryEnhanced recovery after surgeryERABSERASFast-trackGastric bypassLaparoscopicLessonsObesitySleeve gastrectomy

Identifiers

PMID30937877
OpenAlexW2927784366

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.