Evidence map›Paper›PMID 31827615›Full record

ArticlePatient safety in surgery2019

Standardization of early drain removal following pancreatic resection: proposal of the "Ottawa pancreatic drain algorithm".

Heather Smith, Fady K Balaa, Guillaume Martel, Jad Abou Khalil, Kimberly A Bertens

Open access · goldAbstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. PANCREATODUODENECTOMY IN PATIENT WITH VON HIPPEL-LINDAU DISEASE: A LITERATURE REVIEW.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Review
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

5 authors at 3 institutions in 1 country.

Heather SmithDivision of General Surgery, The Ottawa Hospital, University of Ottawa, 725 Parkdale Ave, Ottawa, ON K1Y4E9 Canada.
Fady K BalaaHepatopancreaticobiliary Subunit, Division of General Surgery, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Road, CCW 1667b, Ottawa, ON K1H 8L6 Canada.
Guillaume MartelHepatopancreaticobiliary Subunit, Division of General Surgery, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Road, CCW 1667b, Ottawa, ON K1H 8L6 Canada.
Jad Abou KhalilHepatopancreaticobiliary Subunit, Division of General Surgery, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Road, CCW 1667b, Ottawa, ON K1H 8L6 Canada.
Kimberly A BertensHepatopancreaticobiliary Subunit, Division of General Surgery, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Road, CCW 1667b, Ottawa, ON K1H 8L6 Canada.
Ottawa Hospital · CAOttawa Hospital Research InstituteUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly drain removal after pancreatic resection is encouraged for individuals with low postoperative day 1 drain amylase levels (POD1 DA) to mitigate associated morbidity. Although various protocols for drain management have been published, there is a need to assess the implementation of a standardized protocol.

methodsThe Ottawa pancreatic drain algorithm (OPDA), based on POD1 DA and effluent volume, was developed and implemented at our institution. A retrospective cohort analysis was conducted of all patients undergoing pancreatic resection January 1, 2016-October 30, 2017, excluding November and December 2016 (one month before and after OPDA implementation).

results42 patients pre-implementation and 53 patients post-implementation were included in the analysis. The median day of drain removal was significantly reduced after implementation of the OPDA (8 vs. 5 days;

conclusionsImplementing the OPDA was associated with earlier drain removal and decreased length of stay in patients undergoing distal pancreatectomy who did not develop POPF, without increased morbidity. Standardizing drain removal may help facilitate early drain removal after pancreatic resection at other institutions.

Indexed as

DrainagePancreatic resectionPost-operative pancreatic fistula

Identifiers

PMID31827615
PMCPMC6889288
OpenAlexW2993307808

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.