Evidence map›Paper›PMID 32618371›Full record

ArticleThe British journal of surgery2020

Enhanced recovery after surgery pathway in patients with soft tissue sarcoma.

H G Lyu, L V Saadat, M M Bertagnolli, J Wang, E H Baldini, M Stopfkuchen-Evans, R Bleday, C P Raut

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  9. Langenbeck's archives of surgery · 2023
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

H G LyuDepartments of Surgery, Boston, Massachusetts, USA.ORCID 0000-0001-7759-0799
L V SaadatDepartments of Surgery, Boston, Massachusetts, USA.
M M BertagnolliDepartments of Surgery, Boston, Massachusetts, USA.
J WangDepartments of Surgery, Boston, Massachusetts, USA.ORCID 0000-0002-7466-098X
E H BaldiniRadiation Oncology, Boston, Massachusetts, USA.
M Stopfkuchen-EvansAnesthesiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
R BledayDepartments of Surgery, Boston, Massachusetts, USA.
C P RautDepartments of Surgery, Boston, Massachusetts, USA.
Brigham and Women's Hospital · US

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

backgroundPatients undergoing surgery for soft tissue sarcoma have high morbidity rates, particularly after preoperative radiation therapy (RT). An enhanced recovery after surgery (ERAS) programme may improve perioperative outcomes in abdominal surgery. This study reported outcomes of an ERAS programme tailored to patients with soft tissue sarcoma.

methodsA prospective ERAS protocol was implemented in 2015 at a high-volume sarcoma centre. Patients treated within the ERAS programme from 2015 to 2018 were case-matched retrospectively with patients treated between 2012 and 2018 without use of the protocol, matched by surgical site, surgeon, sarcoma histology and preoperative RT treatment. Postoperative outcomes, specifically wound complications and duration of hospital stay, were reported.

resultsIn total, 234 patients treated within the ERAS programme were matched with 237 who were not. The ERAS group had lower wound dehiscence rates overall (2 of 234 (0·9 per cent) versus 31 of 237 (13·1 per cent); P < 0·001), after preoperative RT (0 of 41 versus 11 of 51; P = 0·004) and after extremity sarcoma surgery (0 of 54 versus 6 of 56; P = 0·040) compared with the non-ERAS group. Rates of postoperative ileus or obstruction were lower in the ERAS group (21 of 234 (9·9 per cent) versus 40 of 237 (16·9 per cent); P = 0·016) and in those with retroperitoneal sarcoma (4 of 36 versus 15 of 36; P = 0·007). Duration of hospital stay was shorter in the ERAS group (median 5 (range 0-36) versus 6 (0-67) days; P = 0·003).

conclusionTreatment within an ERAS protocol for patients with soft tissue sarcoma was associated with lower morbidity and shorter hospital stay.

Indexed as

Enhanced Recovery After SurgeryCritical PathwaysFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSarcoma

Identifiers

PMID32618371
PMCPMC7938834
OpenAlexW3040586289

What OpenQuestion holds

Textmetadata
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Registered trials

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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.