Evidence map›Paper›PMID 31576444›Full record

ArticleSurgical endoscopy2020

Enhanced value with implementation of an ERAS protocol for ventral hernia repair.

Chris Harryman, Margaret A Plymale, Evan Stearns, Daniel L Davenport, Wayne Chang, J Scott Roth

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  12. Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Review
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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

6 authors at 2 institutions in 1 country.

Chris HarrymanCollege of Medicine, University of Kentucky, Lexington, USA.
Margaret A PlymaleDepartment of Surgery, Division of General Surgery, University of Kentucky, C 241, Chandler Medical Center, 800 Rose Street, Lexington, KY, 40536, USA. mplym0@uky.edu.ORCID 0000-0002-0416-7671
Evan StearnsCollege of Medicine, University of Kentucky, Lexington, USA.
Daniel L DavenportDepartment of Surgery, University of Kentucky, Lexington, USA.
Wayne ChangDepartment of Surgery, Division of General Surgery, University of Kentucky, C 241, Chandler Medical Center, 800 Rose Street, Lexington, KY, 40536, USA.
J Scott RothDepartment of Surgery, Division of General Surgery, University of Kentucky, C 241, Chandler Medical Center, 800 Rose Street, Lexington, KY, 40536, USA.
Albert B. Chandler Hospital · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen ventral hernia repair (VHR) is associated with postoperative complications and hospital readmissions. A comprehensive Enhanced Recovery after Surgery (ERAS) protocol for VHR contributes to improved clinical outcomes including the rapid return of bowel function and reduced infections. The purpose of this study was to compare hospital costs for patients cared for prior to ERAS implementation with patients cared for with an ERAS protocol.

methodsWith IRB approval, clinical characteristics and postoperative outcomes data were obtained via retrospective review of consecutive VHR patients 2 years prior to and 14 months post ERAS implementation. Hospital cost data were obtained from the cost accounting system inclusive of index hospitalization. Clinical data and hospital costs were compared between groups.

resultsData for 178 patients (127 pre-ERAS, 51 post-ERAS) were analyzed. Preoperative and operative characteristics including gender, ASA class, comorbidities, and BMI were similar between groups. ERAS patients had faster return of bowel function (p = 0.001) and decreased incidence of superficial surgical site infection (p = 0.003). Hospital length of stay did not vary significantly pre and post ERAS implementation. Inpatient pharmacy costs were increased in ERAS group ($2673 vs. $1176 p < 0.001), but total hospital costs (14,692 vs. 15,151, p = 0.538) were similar between groups.

conclusionsStandardization of hernia care via ERAS protocol improves clinical outcomes without impacting total costs.

Indexed as

Enhanced Recovery After SurgeryHospital CostsAgedFemaleHernia, VentralHerniorrhaphyHospitalizationHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesUnited StatesEnhanced recoveryHospital costsPharmacy costsSurgical site infectionVentral hernia repair

Identifiers

PMID31576444
OpenAlexW2977633843

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.