Evidence map›Paper›PMID 33521878›Full record

ArticleWorld journal of surgery2021

Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery.

Sameer A Hirji, Rawn Salenger, Edward M Boyle, Judson Williams, V Seenu Reddy, Michael C Grant, Subhasis Chatterjee, Alexander J Gregory, Rakesh Arora, Daniel T Engelman

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 2 countries.

Sameer A HirjiDivision of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5032-675X
Rawn SalengerDivision of Cardiac Surgery, University of Maryland Saint Joseph Medical Center, Towson, MD, USA.
Edward M BoyleDepartment of Cardiac Surgery, St. Charles Medical Center, Bend, OR, USA.
Judson WilliamsDepartment of Cardiothoracic Surgery, WakeMed Heart Center, WakeMed Clinical Research Institute, Raleigh, NC, USA.
V Seenu ReddyTriStar Cardiovascular Surgery, Nashville, TN, USA.
Michael C GrantDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institution, Baltimore, MD, USA.
Subhasis ChatterjeeMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Alexander J GregoryDepartment of Anesthesiology, Perioperative and Pain Medicine Program, Cumming School of Medicine and Libin Cardiovascular Institute, University of Calgary, Foothills Medical Center, Calgary, AB, Canada.
Rakesh AroraDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, St. Boniface Hospital, Winnipeg, MB, Canada. rakeshcarora@gmail.com.
Daniel T EngelmanHeart and Vascular Program, Baystate Health, Springfield, MA, USA.
Baylor College of Medicine · USBaystate Health · USBrigham and Women's Hospital · USChildren’s Hospital at TriStar Centennial · USClinical Research Institute · USJohns Hopkins University · USSt. Boniface Hospital · CASt. Charles Medical Center · USSt. Joseph Medical Center · USUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the emergence of Enhanced Recovery Protocols (ERPs) in cardiac surgery, there is no consensus on the essential elements for data reporting for quality improvement efforts, as well as accountability and standardization of outcome reporting across institutions. The aim of this study was to establish a consensus on essential data elements for cardiac ERAS®.

methodsA 2-round modified Delphi technique was utilized based on existing recommendations from the recently published ERAS® cardiac surgery consensus guidelines. Round 1 included a steering committee of 10 experts who oversaw formulation of a focused list of data elements into 3 main areas: Preoperative, intraoperative and postoperative. Round 2 consisted of a multidisciplinary, multinational, heterogenous group of 50 voting experts from across the United States and Europe. All participants evaluated their level of agreement with each data element using a 5-point Likert scale with consensus threshold of 70%.

resultsIn round 1, 17 data elements were considered essential (consensus >  = 70%, either positive or negative) and 6 were considered marginal (consensus <  = 70%, either positive or negative). In round 2, positive consensus was achieved for 15/17 (88.2%) data elements in the essential category, and all six data elements (100%) in the marginal category, indicating a high level of overall agreement.

conclusionThis initial study, which identified 21 key data elements for collection in an ERAS® cardiac program, will aid clinicians in establishing a framework for evaluating the quality of their contemporary ERP processes and will allow acquisition of data to help benchmark performance metrics between hospitals.

Indexed as

Cardiac Surgical ProceduresDelphi TechniqueEuropeHumansPostoperative Period

Identifiers

PMID33521878
OpenAlexW3126767661

What OpenQuestion holds

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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.