Evidence map›Paper›PMID 33709944›Full record

ArticleJMIR research protocols2021

The Impact of Enhanced Recovery After Surgery on Total Joint Arthroplasty: Protocol for a Systematic Review and Meta-analysis.

Siddharth Rele, Cade Shadbolt, Chris Schilling, Nicholas F Taylor, Michelle M Dowsey, Peter F M Choong

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
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

6 authors at 2 institutions in 1 country.

Siddharth ReleDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0003-2778-2893
Cade ShadboltDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-0937-2412
Chris SchillingDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-1747-7249
Nicholas F TaylorCollege of Science, Health and Engineering, La Trobe University, Melbourne, Australia.ORCID https://orcid.org/0000-0001-9474-2504
Michelle M DowseyDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9708-5308
Peter F M ChoongDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-3522-7374
The University of Melbourne · AULa Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of total joint arthroplasties (TJAs) being performed is increasing worldwide. To match this increasing demand, there has been focus on hastening patients' recovery of function. This effort has culminated in the formulation of enhanced recovery after surgery (ERAS) strategies. However, with evolving ERAS programs and new recommendations, a review of current evidence is required to provide clinicians with up-to-date information about its effect on outcomes for TJA.

objectiveThe objective of this study is to assess the utility of ERAS programs on patient, health service, and economic outcomes for primary, elective total hip arthroplasty (THA) and total knee arthroplasty (TKA).

methodsA systematic search will be conducted in Medline (Ovid), EMCARE (Ovid), EMBASE (Ovid), Web of Science, CINAHL, National Health Service Economic Evaluations Database, and the Cochrane Library. Analytical, observational, and experimental designs will be included in this systematic review. Only studies including patients undergoing primary TKA and THA comparing ERAS programs with conventional surgery and postoperative care will be included. Data related to patient outcomes, health service outcomes, safety, and economic evaluation will be extracted.

resultsThe search terms and primary database searches have been finalized. Findings will be reported in narrative and tabular form. Where appropriate, random effects meta-analyses will be conducted for each outcome, and heterogeneity quantified with Cochran Q test and I2 statistic. Measures of effect or mean differences will be reported with 95% confidence intervals. The results of this systematic review will be disseminated in a peer-reviewed journal.

conclusionsThis protocol will guide a systematic review assessing outcomes associated with ERAS surgery in primary THA and TKA.

trial registrationOpen Science Framework osf.io/y4bhs; https://osf.io/y4bhs. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/25581.

Indexed as

economic evaluationenhanced recovery after surgerymeta-analysispostoperative outcomessystematic reviewtotal hip arthroplastytotal knee arthroplasty

Identifiers

PMID33709944
PMCPMC7998324
OpenAlexW3127632200

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.