Evidence map›Paper›PMID 31451916›Full record

ReviewSurgical endoscopy2019

Enhanced recovery program implementation: an evidence-based review of the art and the science.

Thomas A Aloia, Deborah S Keller, Rebecca B Kowalski, Henry Lin, Margaret M Luciano, Jonathan A Myers, Prashant Sinha, Konstantinos Spaniolas, Tonia M Young-Fadok

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Thomas A AloiaDepartment of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit #1484, Houston, TX, 77030-4008, USA. taaloia@mdanderson.org.ORCID 0000-0001-8581-4529
Deborah S KellerNew York-Presbyterian Hospital Columbia University Medical Center, New York, NY, USA.
Rebecca B KowalskiNorthwell Health Lenox Hill Hospital, New York, NY, USA.
Henry LinNorthern Light Health - Eastern Maine Medical Center, Bangor, ME, USA.
Margaret M LucianoW. P. Carey School of Business at Arizona State University, Tempe, AZ, USA.
Jonathan A MyersRush University Medical Center, Chicago, IL, USA.
Prashant SinhaNYU Langone Health, New York, NY, USA.
Konstantinos SpaniolasStony Brook University, Stony Brook, NY, USA.
Tonia M Young-FadokMayo Clinic College of Medicine, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefits of enhanced recovery program (ERP) implementation include patient engagement, improved patient outcomes and satisfaction, better team relationships, lower per episode costs of care, lower public consumption of narcotic prescription pills, and the promise of greater access to quality surgical care. Despite these positive attributes, vast numbers of surgical patients are not treated on ERPs, and many of those considered "on pathway" are unlikely to be exposed to a majority of recommended ERP elements.

methodsTo explain the gap between ERP knowledge and action, this manuscript reviewed formal implementation strategies, proposed a novel change adoption model and focused on common barriers (and corollary solutions) that are encountered during the journey to a fully implemented and successful ERP. Given the nature of this review, IRB approval was not required/obtained.

resultsThe information reviewed indicates that implementation of best practice is both a science and an art. What many surgeons have learned is that the "soft" skills of emotional intelligence, leadership, team dynamics, culture, buy-in, motivation, and sustainability are central to a successful ERP implementation.

conclusionsTo lead teams toward achievement of pervasive and sustained adherence to best practices, surgeons need to learn new strategies, techniques, and skills.

Indexed as

Enhanced Recovery After SurgeryGeneral SurgeryEvidence-Based PracticeHumansQuality ImprovementSurgical Procedures, OperativeEnhanced recoveryImplementation scienceQuality and safety

Identifiers

PMID31451916

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.