Evidence map›Paper›PMID 33205367›Full record

ArticleObesity surgery2021

Bariatric Enhanced Recovery Protocol: a Community Quality Perspective.

Nicholas Gastaldo, Ryan Fitzgerald, Kelly Bahr, Joseph N Gabra, Lance Talmage, Walter Chlysta, Christopher R Daigle

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Nicholas GastaldoDepartment of General Surgery, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA. gastaln@ccf.org.ORCID http://orcid.org/0000-0003-2659-9034
Ryan FitzgeraldDepartment of General Surgery, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA.
Kelly BahrDepartment of Care Management, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA.
Joseph N GabraDepartment of Research, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA.
Lance TalmageDepartment of Anesthesiology, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA.
Walter ChlystaDepartment of Bariatric and General Surgery, Western Reserve Hospital, 1900 23rd St, Cuyahoga Falls, OH, USA.
Christopher R DaigleDepartment of General Surgery, Cleveland Clinic Akron General, 1 Akron General Ave, Akron, OH, USA.
Cleveland Clinic · USWestern Reserve Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric enhanced recovery protocols can decrease length of stay (LOS) and hospital costs without compromising patient safety. Increased data is needed to compare patient outcomes before and after application of enhanced recovery pathways. We present a bariatric enhanced recovery protocol (BERP) at a community hospital. The objectives were to decrease hospital LOS and reduce schedule II substance use (medications with a high potential for abuse, potentially resulting in psychological or physical dependence), without compromising patient safety.

methodsThis was a combined retrospective and prospective analysis of all patients undergoing bariatric surgery by two surgeons from September 2016 to April 2018. Mann-Whitney U, Pearson chi-square, and Fisher's exact tests were used to compare demographics, comorbidities, and outcomes.

resultsTwo hundred patients were evaluated. Overall median (interquartile range) age was 43.0 (36.0-54.0) years and body mass index (BMI) was 45.0 (40.6-50.3) kg/m

conclusionCommunity hospitals can reduce length of stay and narcotic prescribing without compromising safety-related outcomes. Significant reductions in the amount of schedule II medications can be achieved when using multimodal enhanced recovery protocol approaches.

Indexed as

Bariatric SurgeryObesity, MorbidAdultHumansLength of StayMiddle AgedPostoperative ComplicationsProspective StudiesRetrospective StudiesBariatric surgeryEnhanced recovery protocolLength of stayOpiate use reduction

Identifiers

PMID33205367
OpenAlexW3104443509

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.