Evidence map›Paper›PMID 32415631›Full record

ArticleObesity surgery2020

Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?

Patrick Ziemann-Gimmel, Roman Schumann, Wayne English, John Morton, Anupama Wadhwa

Abstract read
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In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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  4. Observational
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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

5 authors at 5 institutions in 1 country.

Patrick Ziemann-GimmelAssociate Professor of Anesthesiology, University of Central Florida, Orlando, FL, USA. pziemann@yahoo.com.ORCID http://orcid.org/0000-0002-9447-5036
Roman SchumannAnesthesiology and Surgery, Tufts University School of Medicine, Boston, USA.
Wayne EnglishSurgery, Vanderbilt University Medical Center, Nashville, USA.
John MortonBariatric and Minimally Invasive Surgery, Yale School of Medicine, New Haven, USA.
Anupama WadhwaAssociate Professor of Anesthesiology, University of California, San Diego, CA, USA.
Outcomes Research Consortium · USTufts University · USUniversity of Central Florida · USVanderbilt University Medical Center · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative nausea and vomiting (PONV) is a frequent side effect in patients undergoing bariatric procedures. The simplified Apfel score is an attractive and frequently used tool to assess PONV risk in the general surgical population. Despite applying the recommendations based on the Apfel risk prediction score, several studies show that up to 82% of patients undergoing metabolic and bariatric surgery suffer from PONV in the PACU. A combination of multiple antiemetic drugs of different pharmacologic classes targeting a variety of receptors in addition to an intraoperative opioid-free TIVA technique should be considered in high-risk patients.

Indexed as

AntiemeticsBariatric SurgeryObesity, MorbidAnalgesics, OpioidHumansPostoperative Nausea and VomitingAnalgesics, OpioidAntiemeticsAntiemeticsBariatric surgeryMetabolic surgeryMorbid obesityNarcotic free anesthesiaPONV

Identifiers

PMID32415631
OpenAlexW3025611271

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.