Evidence map›Paper›PMID 33639957›Full record

SynthesisJournal of orthopaedic surgery and research2021

The efficacy and safety of fast track surgery (FTS) in patients after hip fracture surgery: a meta-analysis.

Mingyang Jiang, Siyi Liu, Huachu Deng, Xuzhi Liang, Zhandong Bo

Registry-linked trialAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05857462 (A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–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.

NCT05857462 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block (FICB) for Fast-track Surgery in Elderly Hip Fracture

TypeinterventionalSponsorMahidol UniversityRan2023 to 2026Enrolled420ConditionsHip Fractures, Pain, Acute, Hip Fracture Surgery, Delirium in Old AgeArmsPost-admission FICB
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture.Evidence-based complementary and alternative medicine : eCAM · 2021
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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.

Mingyang JiangDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Siyi LiuGuangxi Medical University, Nanning, Guangxi, China.
Huachu DengGuangxi Medical University, Nanning, Guangxi, China.
Xuzhi LiangGuangxi Medical University, Nanning, Guangxi, China.
Zhandong BoDepartment of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China. drrbozhandong@126.com.ORCID http://orcid.org/0000-0001-6827-4508

Funding

Natural Science Foundation of Guangxi Province 2017GXNSFAA198352
6 · The paper itself

Abstract

backgroundFast track surgery (FTS) has been gradually applied in perioperative management of orthopedic surgery, but there still some research suspected that the prognosis of patients is not as expected and the cost is high, the effect of the FTS still urgently needed for support by evidence-based medicine.

methodsWe retrieved RCTs from medical research literature databases. Risk ratios (RR), standard mean difference (SMD), and 95% confidence intervals (CI) were calculated to compare the primary and safety endpoints.

resultsOverall, a total of 8886 patients were retrieved from 57 articles, of which 4448 patients (50.06%) were randomized to experimental group whereas 4438 patients (49.94%) were randomized to control group. The result showed that FTS could significantly shorten the length of stay (LOS), decrease the visual analog scale (VAS), reduce the leaving bed time and the hospitalization costs, and improve Harris hip joint function score. The incidence of complications such as respiratory system infection, urinary system infection, venous thrombus embolism (VTE), pressure sore, incision infection, constipation, and prosthesis dislocation also has been decreased significantly. Meanwhile, FTS improved patients' satisfaction apparently.

conclusionsThis meta-analysis reveals that FTS could significantly shorten the length of stay, alleviate the pain, reduce the leaving bed time and the hospitalization costs, and improve hip function. The incidence of complications also has been decreased significantly. Meanwhile, FTS has been spoken highly in patients in terms of nursing satisfaction. Its efficacy and safety were proved to be reliable.

Indexed as

Enhanced Recovery After SurgeryEvidence-Based MedicineFemaleHip FracturesHospitalizationHumansLength of StayMalePatient SatisfactionPostoperative ComplicationsPostoperative PainRecovery of FunctionEnhanced recovery after surgery (ERAS)Fast track surgery (FTS)Hip replacementMeta-analysis

Identifiers

PMID33639957
PMCPMC7913454

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Registered trials

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.