Evidence map›Paper›PMID 32696123›Full record

ArticlePediatric surgery international2020

The impact of an enhanced recovery perioperative pathway for pediatric pectus deformity repair.

Sabrina Mangat, Lyla Hance, Karene J Ricketts, Michael R Phillips, Sean E Mclean

Abstract read
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Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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.

Sabrina MangatDivision of Pediatric Surgery, Department of Surgery, University of North Carolina CB 7223, Chapel Hill, NC, 27599, USA.
Lyla HanceDepartment of Anesthesiology, University of North Carolina, N2198 UNC Hospitals CB 7010, Chapel Hill, NC, 27599, USA.
Karene J RickettsDepartment of Anesthesiology, University of North Carolina, N2198 UNC Hospitals CB 7010, Chapel Hill, NC, 27599, USA.
Michael R PhillipsDivision of Pediatric Surgery, Department of Surgery, University of North Carolina CB 7223, Chapel Hill, NC, 27599, USA.
Sean E McleanDivision of Pediatric Surgery, Department of Surgery, University of North Carolina CB 7223, Chapel Hill, NC, 27599, USA. sean_mclean@med.unc.edu.ORCID http://orcid.org/0000-0002-9880-9654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePediatric repair of chest wall deformities is associated with significant pain, morbidity, and resource utilization. We sought to determine outcomes of a perioperative enhanced recovery after surgery (ERAS) pathway for patients undergoing minimally invasive (Nuss) and traditional (Ravitch) corrective procedures.

methodsOur ERAS protocol was implemented in 2015. We performed a retrospective review of patients for Nuss or Ravitch procedures before and after ERAS implementation. Combined and procedure segregated bivariate analyses were conducted on postoperative outcomes and resource utilization.

resultsThere are 17 patients in the pre-intervention group (Nuss = 13 and Ravitch = 4) compared to 38 patients in the post-intervention group (Nuss = 28 and Ravitch = 10). Protocol implementation increased utilization of pre-operative non-narcotic medication. The combined and Nuss post-intervention groups had a significant decrease in epidural duration and time to enteral medications, but had increased total postoperative opioid usage. The Ravitch post-intervention group had a significant decrease in intra-operative narcotics and discharge pain scores. There were no differences in length of stay or complications.

conclusionImplementation of our ERAS protocol standardized pectus perioperative care, but did not improve postoperative opioid usage, complications, or resource utilization. Alterations in the protocol may lead to achieving desired goals of better pain management and decreased resource utilization.

Indexed as

Enhanced Recovery After SurgeryChildFemaleFunnel ChestHumansLength of StayMalePlastic Surgery ProceduresPostoperative CarePostoperative PeriodRetrospective StudiesThoracoplastyEnhanced recoveryERASMIRPENussPectusRavitch

Identifiers

PMID32696123

What OpenQuestion holds

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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.