Evidence map›Paper›PMID 31249624›Full record

ArticlePatient safety in surgery2019

Reducing routine laboratory tests in patients with isolated extremity fractures: a prospective safety and feasibility study in 246 patients.

Raj M Amin, Alexander E Loeb, Erik A Hasenboehler, Adam S Levin, Greg M Osgood, Robert S Sterling, Philip F Stahel, Babar Shafiq

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient safety in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Raj M Amin *1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.
Alexander E Loeb *1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.ORCID 0000-0003-0419-0107
Erik A Hasenboehler1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.
Adam S Levin1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.
Greg M Osgood1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.
Robert S Sterling1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.
Philip F Stahel2Department of Specialty Medicine, Rocky Vista University College of Osteopathic Medicine, 777 Bannock St., Denver, CO 80204 Parker USA.
Babar Shafiq1Department of Orthopaedic Surgery, The Johns Hopkins Medical Institutions, 601 N Caroline Street, 5th Floor, Baltimore, MD 21287 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaily routine laboratory testing is unnecessary in most admitted patients. The opportunity to reduce daily laboratory testing in orthopaedic trauma patients has not been previously investigated.

methodsA prospective observational study was performed based on a new laboratory testing reduction protocol for 12 months at two tertiary care trauma centers. Admitted patients with surgically treated isolated upper or lower extremity fractures were included (

resultsOf the 246 patients, there were 45 protocol fall outs due to provider deviation (

conclusionsIn patients with surgically treated fractures about the elbow and knee, obtaining a single set of laboratory tests on postoperative day 2 is safe and efficacious in terms of reducing inappropriate resource utilization.

trial registrationretrospectively registered.

Indexed as

High-value careLaboratory testingOrthopaedic trauma surgeryQuality improvement

Identifiers

PMID31249624
PMCPMC6570870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.