Evidence map›Paper›PMID 33673319›Full record

ArticleJournal of clinical medicine2021

A Propensity Score-Matched Analysis to Assess the Outcomes in Pre- and Post-Fast-Track Hip and Knee Elective Prosthesis Patients.

Luigi U Romano, Marta Rigoni, Emanuele Torri, Marilena Nella, Monica Morandi, Piergiorgio Casetti, Giandomenico Nollo

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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 at 2 institutions in 1 country.

Luigi U RomanoAzienda Provinciale per i Servizi Sanitari, Ospedale di Tione, 38079 Trento, Italy.
Marta RigoniFondazione Bruno Kessler, Healthcare Research and Implementation Program, 38123 Trento, Italy.ORCID 0000-0002-0530-9491
Emanuele TorriDipartimento Salute e Politiche Sociali, Provincia autonoma of Trento, 38121 Trento, Italy.
Marilena NellaAzienda Provinciale per i Servizi Sanitari, Ospedale di Tione, 38079 Trento, Italy.
Monica MorandiAzienda Provinciale per i Servizi Sanitari, Ospedale di Tione, 38079 Trento, Italy.
Piergiorgio CasettiAzienda Provinciale per i Servizi Sanitari, Ospedale di Tione, 38079 Trento, Italy.
Giandomenico NolloFondazione Bruno Kessler, Healthcare Research and Implementation Program, 38123 Trento, Italy.
Provincia Autonoma di Trento · ITUniversity of Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fast-track surgery is a multimodal evidence-based approach to perioperative care aimed at reducing complications and recovery time. We compared a fast-track protocol to standard care in the setting of a small Italian general hospital. Propensity score estimation before and after the study was performed to compare pre-fast-track (pre-FT; January 2013-March 2014) and fast-track (FT; January 2016-December 2016) patients undergoing elective hip and knee replacement surgery with a three-year follow-up (up to January 2020). The primary endpoints were the mean hemoglobin drop, mean predischarge hemoglobin, transfusion and reinfusion rates, pain, ambulation day, hospital length of stay (LOS), and discharge to home/outpatient care or rehabilitation hospital center. The secondary endpoints were the adherence measures to the FT protocol, namely, tourniquet and surgical times, use of drains and catheters, type of anesthesia administered, and complications within three years. The risk difference (RD) and the adjusted odds ratio (aOR) were calculated for each outcome. After the propensity score estimation, we analyzed 59 patients in the pre-FT and 122 in the FT categories. The FT patients, with respect to the pre-FT patients, ameliorated their mean hemoglobin drop from 3.7 to 3.1 g/dl (

Indexed as

enhanced recovery after surgeryfast-trackhip arthroplastyknee arthroplastyorthopedic care pathwaypropensity score

Identifiers

PMID33673319
PMCPMC7918409
OpenAlexW3131619516

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.