Evidence map›Paper›PMID 31098181›Full record

ArticleFuture hospital journal2016

Perioperative medicine, interventions in surgical care: the role of replacing the late-night review with daytime leadership.

Mevan Gooneratne, Kate Grailey, Monty Mythen, David Walker

Abstract read
In one paragraph

Article in Future hospital journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Whither or wither the medical registrar?Future hospital journal · 2017
    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

4 authors.

Mevan GooneratneUniversity College London Hospitals NHS Foundation Trust, London, UK.
Kate GraileyBarts Health NHS Trust, London, UK.
Monty MythenNIAA Health Services Research Centre, Royal College of Anaesthetists; UCLH Surgical Outcomes Research Centre/UCLH/UCL NIHR Biomedical Research Centre; University College London Hospitals NHS Foundation Trust; London Centre for Anaesthesia, University College London, London, UK.
David WalkerUniversity College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the ambitions of surgery have continued to develop, it has resulted in medical advancements that challenge the current paradigms of hospital medicine. Patients previously deemed unsuitable for surgery are now undergoing potentially lifesaving treatments, but are nonetheless still being managed within a model of care that fails to meet their individual needs. Termed 'high risk', these patients, who are frequently elderly or with multiple comorbidities, embark on a surgical journey that is often fragmented and disjointed. Such patients contribute a startlingly high mortality and morbidity rate for non-cardiac elective surgery during the perioperative period, and as a result provide an added demand on already strained hospital resources. 'Perioperative medicine' has been proposed as a possible solution to this problem as it attempts to create a bespoke patient-centric model of care from the moment the need for surgery is identified, through to patient recovery. It is envisaged that the role of a perioperative physician would be to oversee this journey, uniting varying specialties along the way to ensure the best possible patient outcomes.

Indexed as

high-risk patientHigh-risk surgeryperioperative medicineperioperative physician

Identifiers

PMID31098181
PMCPMC6465859

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.