Evidence map›Paper›PMID 34635985›Full record

ArticleUpdates in surgery2022

A combination of laparoscopic approach and ERAS pathway optimizes outcomes and cost for adrenalectomy.

Zhiwen He, Siming Chen, Mengxin Lu, Yongwen Luo, Tongzu Liu, Yu Xiao, Xinghuan Wang

Abstract read
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In one paragraph

Article in Updates in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Zhiwen He *Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Siming Chen *Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Mengxin LuDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yongwen LuoDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Tongzu LiuDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yu XiaoDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xinghuan WangDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China. wangxinghuan@whu.edu.cn.ORCID http://orcid.org/0000-0003-3497-0024
Wuhan University · CN

Funding

Fundamental Research Funds for the Central Universities 2042021kf1049Fundamental Research Funds for the Central Universities 2042021kf1050Improvement Project for Theranostic ability on Difficulty miscellaneous disease (Tumor) from National Health Commission of China ZLYNXM202006Medical Science Advancement Program (Clinical Medicine) of Wuhan University TFLC2018002Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences 2020-PT320-004
6 · The paper itself

Abstract

Enhanced recovery after surgery (ERAS) pathway comprises a set of comprehensive elements which have been reported to enhance patient postoperative prognosis. In the current study, we aimed to evaluate the effectiveness of the ERAS in patients undergoing laparoscopic adrenal resection. A retrospective review was performed to compare the outcomes of patients undergoing adrenalectomy for primary aldosteronism between the pre-ERAS period and the ERAS era. Data was generated from the traditional surgical period (September 1, 2019, to December 31, 2019) and the ERAS period (September 1, 2020, to December 31, 2020), respectively. Forty-seven adrenalectomy patients were enrolled (pre-ERAS, n = 21; ERAS, n = 26) in analysis. The results revealed that both total length of hospital stay and postoperative length of stay decreased in the ERAS period compared with the pre-ERAS period (14.19 ± 4.96 vs 11.27 ± 4.37, p = 0.015; 5.43 ± 1.08 vs 3.31 ± 0.97, p < 0.001). The medical expenses decreased significantly in the ERAS group (p < 0.05). While, the surgery-related complications, including urinary retention, retroperitoneal effusion and gastrointestinal discomfort, possessed no statistical difference. The ERAS pathway was safe and feasible for adrenalectomy in patients with primary aldosteronism. The ERAS could promote patients to quickly recover from the postoperative status to a physiological state, and decrease the length of hospitalization and medical cost after surgery.

Indexed as

Enhanced Recovery After SurgeryHyperaldosteronismLaparoscopyAdrenalectomyHumansLength of StayPostoperative ComplicationsRetrospective StudiesEnhanced recovery after surgery (ERAS)Laparoscopic adrenal resectionLength of hospital stayPrimary aldosteronism

Identifiers

PMID34635985
OpenAlexW3207222908

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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.