Evidence map›Paper›PMID 32670568›Full record

ArticlePerioperative medicine (London, England)2020

Using provider-focused education toolkits can aid enhanced recovery programs to further reduce patient exposure to opioids.

Ankit Sarin, Elizabeth Lancaster, Lee-Lynn Chen, Sima Porten, Lee-May Chen, Jeanette Lager, Elizabeth Wick

Open access · goldAbstract read
In one paragraph

Article in Perioperative medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Ankit SarinDepartment of Surgery, University of California San Francisco, 550 16th Street, 6th Floor, San Francisco, CA 94158 USA.ORCID 0000-0001-5671-2267
Elizabeth LancasterDepartment of Surgery, University of California San Francisco, 550 16th Street, 6th Floor, San Francisco, CA 94158 USA.
Lee-Lynn ChenDepartment of Anesthesia & Perioperative Medicine, University of California San Francisco, 505 Parnassus Ave. M917, San Francisco, CA 94143-0624 USA.
Sima PortenDepartment of Urology, University of California San Francisco, 1825 4th Street, Fourth Floor, San Francisco, CA 94158 USA.
Lee-May ChenDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, 550 16th Street, 7th Floor, San Francisco, CA 94158 USA.
Jeanette LagerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, 550 16th Street, 7th Floor, San Francisco, CA 94158 USA.
Elizabeth WickDepartment of Surgery, University of California San Francisco, 550 16th Street, 6th Floor, San Francisco, CA 94158 USA.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based perioperative analgesia is an important tactic for reducing patient exposure to opioids in the perioperative period and potentially preventing new persistent opioid use. STUDY

designWe assessed the impact of a multifaceted optimal analgesia program implemented in the setting of a mature surgical pathway program at an academic medical center. Using existing multidisciplinary workgroups established for continuous process improvement in three surgical pathway areas ((colorectal, gynecology, and urologic oncology (cystectomy)), we developed an educational toolkit focused on implementation strategies for multimodal analgesia and non-pharmacologic approaches for managing pain with the goal of reducing opioid exposure in hospitalized patients. We analyzed prospectively collected data from pathway patients before dissemination of the toolkit (July 2016-June 2017;

resultsMultivariate regression demonstrated that the program was associated with significant decreases in intraoperative OME (14.5 ± 2.4 mEQ (milliequivalents) reduction;

conclusionOur multifaceted optimal analgesia program to manage perioperative pain in the hospital was effective and further improved analgesia in the setting of a mature enhanced recovery program.

Indexed as

ERASOpioid reductionPostoperativeProvider educationSurgical pathways

Identifiers

PMID32670568
PMCPMC7346381
OpenAlexW3041304096

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.