Evidence map›Paper›PMID 33464441›Full record

ArticleObesity surgery2021

Impact of Enhanced Recovery After Bariatric Surgery (ERABS) Protocol in Reducing Length of Stay and Hospitalization Costs: the Experience of a Philanthropic Hospital in Brazil.

Marcos Paulo Gouveia de Oliveira, Gustavo Fernandes, Juliana Fernandes Andrade, Danilo Pereira Barbosa, Pamela França Silva, Ana Carolina Franceschilli Bossi, Ana Beatriz Monteiro Correa da Costa E Silva

Abstract read
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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. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Enhanced recovery after surgery (ERASJournal of thoracic disease · 2021
    Article
  8. Application and Evaluation of a Care Plan for Enhanced Recovery After Thyroidectomy.Inquiry : a journal of medical care organization, provision and financing
    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.

Marcos Paulo Gouveia de OliveiraGastrointestinal Surgery Department, Santa Marcelina Itaquera Hospital, Rua Santa Marcelina, 177, 5 D, Vila Carmosina, São Paulo, SP, 08270-085, Brazil. marcosmed97@gmail.com.ORCID http://orcid.org/0000-0002-9434-4917
Gustavo FernandesGastrointestinal Surgery Department, Santa Marcelina Itaquera Hospital, Rua Santa Marcelina, 177, 5 D, Vila Carmosina, São Paulo, SP, 08270-085, Brazil.
Juliana Fernandes AndradeGastrointestinal Surgery Department, Santa Marcelina Itaquera Hospital, Rua Santa Marcelina, 177, 5 D, Vila Carmosina, São Paulo, SP, 08270-085, Brazil.
Danilo Pereira BarbosaMathematics and Statistics Centre, Federal Institute of the State of Goias, Rio Verde, GO, Brazil.
Pamela França SilvaSanta Marcelina Medical School, São Paulo, SP, Brazil.
Ana Carolina Franceschilli BossiSanta Marcelina Medical School, São Paulo, SP, Brazil.
Ana Beatriz Monteiro Correa da Costa E SilvaSanta Marcelina Medical School, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

overviewThe global prevalence of obesity and increase in bariatric surgeries are burdening the healthcare system. Enhanced recovery postoperative protocols are associated with a reduction in hospitalization costs and length of stay (LOS) and may be an alternative to reduce public health expenses.

objectiveTo assess the impact of implementing a customized Enhanced Recovery After Bariatric Surgery (ERABS) protocol on hospitalization costs (HC), LOS, and complication rates.

settingSanta Marcelina Hospital, São Paulo, Brazil.

methodsA retrospective electronic health record analysis of patients who underwent laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy and who were cared for within a clinical pathway (CP) protocol (Jan. 2016-Aug. 2018) or after implementation of an ERABS protocol (Aug. 2018-Jun. 2019). The LOS, HC, and complication, readmission, and reoperation rates were compared between the two groups.

resultsEighty-two patients were included in the study (CP, 56, 87.5% women; ERABS, 26, 92.3% women). Hospital LOS and total HC decreased significantly by 32.5% and 15.2%, respectively (both, p < 0.05), after implementation of ERABS. There were no significant differences in 30-day readmission, complication, or reoperation rates.

conclusionThe implementation of a standardized enhanced recovery program resulted in reduced LOS and HC without an increase in perioperative morbidity. The ERABS protocol is cost-effective and can help ease the healthcare burden.

Indexed as

Bariatric SurgeryGastric BypassLaparoscopyObesity, MorbidBrazilFemaleHospitalsHumansLength of StayMalePostoperative ComplicationsRetrospective StudiesBariatric surgeryClinical pathwayERABSERASFast-trackObesityRoux-en-Y gastric bypassSleeve gastrectomy

Identifiers

PMID33464441

What OpenQuestion holds

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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.