Evidence map›Paper›PMID 34207711›Full record

ArticleCancers2021

From Pathways to Practice: Impact of Implementing Mobilization Recommendations in Head and Neck Cancer Surgery with Free Flap Reconstruction.

Rosie Twomey, T Wayne Matthews, Steven C Nakoneshny, Christiaan Schrag, Shamir P Chandarana, Jennifer Matthews, David McKenzie, Robert D Hart, Na Li, Joseph C Dort and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

11 authors at 2 institutions in 1 country.

Rosie TwomeyOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0001-8313-6656
T Wayne MatthewsOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Steven C NakoneshnyOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0002-8920-0310
Christiaan SchragOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Shamir P ChandaranaOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Jennifer MatthewsOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
David McKenzieOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Robert D HartOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Na LiDepartment of Community Health Sciences, Surgery & Oncology, University of Calgary Cumming School of Medicine, 3D10, 3280 Hospital Drive NW Calgary, Calgary, AB T2N 4Z6, Canada.
Joseph C DortOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.ORCID 0000-0002-0858-187X
Khara M SauroOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of Medicine, 3280 Hospital Dr NW Calgary, Calgary, AB T2N 4Z6, Canada.
Alberta Health Services · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the foundational elements of enhanced recovery after surgery (ERAS) guidelines is early postoperative mobilization. For patients undergoing head and neck cancer (HNC) surgery with free flap reconstruction, the ERAS guideline recommends patients be mobilized within 24 h postoperatively. The objective of this study was to evaluate compliance with the ERAS recommendation for early postoperative mobilization in 445 consecutive patients who underwent HNC surgery in the Calgary Head and Neck Enhanced Recovery Program. This retrospective analysis found that recommendation compliance increased by 10% despite a more aggressive target for mobilization (from 48 to 24 h). This resulted in a decrease in postoperative mobilization time and a stark increase in the proportion of patients mobilized within 24 h (from 10% to 64%). There was a significant relationship between compliance with recommended care and time to postoperative mobilization (Spearman's

Indexed as

administrative datacare pathwaysclinical outcomes improvementclinical pathwaysclinical practice guidelinesearly mobilizationenhanced recoveryevidence-based medicinehead and neck surgeryimplementation sciencequality improvementregistry

Identifiers

PMID34207711
PMCPMC8228478
OpenAlexW3172355800

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.