Evidence map›Paper›PMID 32789252›Full record

ArticleProgress in rehabilitation medicine2019

Clinical Impact of the Introduction of an Early Rehabilitation Protocol on Infectious Complications in Patients after Gastrointestinal Cancer Surgery.

Yasuhisa Fukawa, Wataru Kakuda, Seiya Yoshida, Masashi Zenta, Osamu Itano, Risa Kiko, Hiroaki Tani, Akira Kubo

Open access · diamondAbstract read
In one paragraph

Article in Progress in rehabilitation medicine, 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
0.4field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

8 authors at 1 institution in 1 country.

Yasuhisa FukawaDepartment of Rehabilitation Medicine, International University of Health and Welfare Ichikawa Hospital, Ichikawa, Chiba, Japan.
Wataru KakudaDepartment of Rehabilitation Medicine, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Seiya YoshidaDepartment of Rehabilitation Medicine, International University of Health and Welfare Ichikawa Hospital, Ichikawa, Chiba, Japan.
Masashi ZentaDepartment of Rehabilitation Medicine, International University of Health and Welfare Ichikawa Hospital, Ichikawa, Chiba, Japan.
Osamu ItanoDepartment of Hepato-Biliary-Pancreatic Gastrointestinal Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Risa KikoDepartment of Rehabilitation Medicine, International University of Health and Welfare Ichikawa Hospital, Ichikawa, Chiba, Japan.
Hiroaki TaniDepartment of Physical Therapy, Faculty of Health Science, International University of Health and Welfare, Otawara, Tochigi, Japan.
Akira KuboDepartment of Physical Therapy, Faculty of Health Science, International University of Health and Welfare, Otawara, Tochigi, Japan.
International University of Health and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical importance of postoperative rehabilitation for cancer patients has recently attracted much attention. However, it remains uncertain whether early rehabilitation can prevent infectious complications in patients undergoing gastrointestinal cancer surgery.

methodsThe study group consisted of 259 patients who underwent laparoscopic or open surgery for gastrointestinal cancer at our institution between December 2012 and November 2016. Our department proposed a new early rehabilitation protocol for such patients to encourage physical activity after surgery. The protocol was clinically introduced on July 21, 2015. We divided the study subjects into two groups: those who were admitted before the introduction of the new protocol and those admitted after. The frequency of infectious complications, including respiratory infections, and the length of hospital stay after surgery were compared between the two groups.

resultsNo adverse cardiovascular event associated with the early rehabilitation protocol was experienced. After the protocol was introduced, more than 80% of patients started exercising on the first day after surgery. For patients undergoing open surgery, the frequency of infectious complications was significantly reduced with the introduction of the protocol (p<0.05). Moreover, when open surgery was performed, the protocol significantly shortened the length of hospital stay (p<0.05).

conclusionOur proposed early rehabilitation protocol for patients who have undergone gastrointestinal cancer surgery was considered to be safe and feasible. The protocol may prevent infectious complications and shorten the hospital stay after such surgery.

Indexed as

cancer surgeryearly rehabilitationgastrointestinal cancerinfectious complicationpostoperative rehabilitation

Identifiers

PMID32789252
PMCPMC7365245
OpenAlexW2912593005

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.