Evidence map›Paper›PMID 34200140›Full record

ArticleNutrients2021

Enhanced Recovery after Surgery (ERAS) Protocol Is a Safe and Effective Approach in Patients with Gastrointestinal Fistulas Undergoing Reconstruction: Results from a Prospective Study.

Stanislaw Klek, Jerzy Salowka, Ryszard Choruz, Tomasz Cegielny, Joanna Welanyk, Mariusz Wilczek, Kinga Szczepanek, Magdalena Pisarska-Adamczyk, Michal Pedziwiatr

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04771832 (Enhanced Recovery After Surgery), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT04771832 completednot on this map

Enhanced Recovery After Surgery (ERAS) Protocol is a Safe and Effective Approach in Patients With Gastrointestinal Fistulas Undergoing Reconstruction: Results From a Prospective Study.

Typeobservational_patient_registrySponsorStanley Dudrick's Memorial HospitalRan2011 to 2020Enrolled100ConditionsFistula, Surgery Site FistulaArmsERAS
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  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

9 authors at 1 institution in 1 country.

Stanislaw KlekSurgical Oncology Clinic, National Cancer Institute, 31-115 Krakow, Poland.ORCID 0000-0002-7887-3464
Jerzy SalowkaGeneral Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, 32-082 Skawina, Poland.
Ryszard ChoruzGeneral Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, 32-082 Skawina, Poland.
Tomasz CegielnyGeneral Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, 32-082 Skawina, Poland.
Joanna WelanykSurgical Oncology Clinic, National Cancer Institute, 31-115 Krakow, Poland.
Mariusz WilczekSurgical Oncology Clinic, National Cancer Institute, 31-115 Krakow, Poland.
Kinga SzczepanekGeneral Surgery Unit with Intestinal Failure Center, Stanley Dudrick's Memorial Hospital, 32-082 Skawina, Poland.ORCID 0000-0002-7340-6293
Magdalena Pisarska-AdamczykDepartment of Medical Education, Jagiellonian University Medical College, 30-688 Krakow, Poland.ORCID 0000-0001-8936-1977
Michal Pedziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2, 30-688 Kraków, Poland.
Jagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAn enterocutaneous fistula (ECF) poses a major surgical problem. The definitive surgical repair of persistent fistulas remains a surgical challenge with a high rate of re-fistulation and mortality, and the reasons for that is not the surgical technique alone. Enhanced Recovery after Surgery (ERAS

methodsERAS protocol was used in all patients scheduled for surgery for ECF at the Stanley Dudrick's Memorial Hospital in Skawina between 2011 and 2020. A multidisciplinary team (MDT) was in charge of the program and performed annual audits. A consecutive series of 100 ECF patients (44 females, 56 males, mean age 54.1 years) were evaluated. Postoperative complications rate, readmission rate, length of hospital stay, prevalence of postoperative nausea and vomiting were assessed. Registered under ClinicalTrials.gov Identifier no. NCT04771832.

resultsERAS protocol was successfully introduced for ECF surgeries; however, eight modifications to the ERAS program was performed in 2015. They led to improvement of surgical outcomes: reduction of postoperative nausea and vomiting (15 vs. 17% patients,

conclusionsERAS protocol can be successfully used for ECF patients. Prescheduled audits can contribute to the improvement of care.

Indexed as

Enhanced Recovery After SurgeryIntestinal FistulaPlastic Surgery ProceduresPostoperative ComplicationsFemaleHumansMaleMiddle AgedProspective StudiesERASgastrointestinal surgeryGI tractreconstruction

Identifiers

PMID34200140
PMCPMC8229866
OpenAlexW3167865210

What OpenQuestion holds

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LicenceCC BY
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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.