Evidence map›Paper›PMID 33902705›Full record

ArticlePerioperative medicine (London, England)2021

Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA.

Sunitha M Singh, Asha Liverpool, Jamie L Romeiser, Julie Thacker, Tong J Gan, Elliott Bennett-Guerrero

Abstract read
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Article in Perioperative medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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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

7 citing papers in PubMed.

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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

6 authors.

Sunitha M SinghDepartment of Anesthesiology, Stony Brook University Medical Center, 101 Nicholls Road, Health Science Center, L-4, 060, Stony Brook, NY, 11794-8480, USA. Sunitha.singh@stonybrookmedicine.edu.ORCID http://orcid.org/0000-0002-9418-9849
Asha LiverpoolDepartment of Anesthesiology, Stony Brook University Medical Center, 101 Nicholls Road, Health Science Center, L-4, 060, Stony Brook, NY, 11794-8480, USA.
Jamie L RomeiserDepartment of Anesthesiology, Stony Brook University Medical Center, 101 Nicholls Road, Health Science Center, L-4, 060, Stony Brook, NY, 11794-8480, USA.
Julie ThackerDepartment of Surgery, Duke University Medical Center, 10 Duke Medicine Circle, Durham, NC, 27710-1000, USA.
Tong J GanDepartment of Anesthesiology, Stony Brook University Medical Center, 101 Nicholls Road, Health Science Center, L-4, 060, Stony Brook, NY, 11794-8480, USA.
Elliott Bennett-GuerreroDepartment of Anesthesiology, Stony Brook University Medical Center, 101 Nicholls Road, Health Science Center, L-4, 060, Stony Brook, NY, 11794-8480, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced Recovery After Surgery (ERAS) programs have gained traction across US hospitals in the past two decades. Initially implemented for elective colorectal surgical procedures, ERAS has expanded to a variety of surgical service lines. There is little information regarding the extent to which various surgical service lines use ERAS.

methodsA survey was performed to describe the prevalence of ERAS programs across surgical service lines in the USA. The survey had questions regarding the number of ERAS programs, operating rooms (ORs) and presence of anesthesia and/or surgery residency program at an institution. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA.

resultsResponses were received from 88 unique institutions. The most commonly reported surgical service lines were colorectal (87%), gynecology (51%), orthopedic (49%), surgical oncology (39%), and urology (35%). A significant positive association was observed between the number of ORs and the number ERAS programs (Spearman's Rho 0.5, p<0.0001). Furthermore, institutions that reported an anesthesia and/or surgery residency program had more ERAS programs (mean 5.0 ± 3.2) compared to those that did not (mean 2.0 ± 2.0) (Wilcoxon rank sum p< 0.001).

conclusionsERAS has expanded to a large extent outside of the colorectal surgery service line with increases notable in orthopedic surgery, obstetric/gynecology, surgical oncology, and urology procedures. Institutions with a higher number of ORs and the presence of an anesthesia and/or surgery residency program are associated with an increased number of ERAS programs.

Indexed as

Enhanced recoveryERASERP

Identifiers

PMID33902705
PMCPMC8077770

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