Evidence map›Paper›PMID 34659810›Full record

ArticleJournal of thoracic disease2021

Enhanced recovery after surgery (ERAS

Fernando C Abrão, Sabrina Araujo de França, Igor R L B de Abreu, João Carlos das Neves Pereira, Emílio C Del Massa, Andréa Oliver, Maria Gabriela C Cavalcante

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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

7 authors.

Fernando C AbrãoThoracic Surgery Department, Hospital Santa Marcelina, São Paulo, Brazil.
Sabrina Araujo de FrançaIPSPAC Research Department - Instituto Paulista de Saúde para Alta Complexidade, Santo Andre, Brazil.
Igor R L B de AbreuThoracic Surgery Department, Hospital Santa Marcelina, São Paulo, Brazil.
João Carlos das Neves PereiraThoracic Surgery of Hospital Européen Georges Pompidou, Paris, France.
Emílio C Del MassaAnesthesiology Department, Hospital Santa Marcelina, São Paulo, Brazil.
Andréa OliverPhysiotherapy Department, Hospital Santa Marcelina, São Paulo, Brazil.
Maria Gabriela C CavalcanteThoracic Surgery Department, Hospital Santa Marcelina, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Low-Middle Income Countries (LMICs), resource optimization and infrastructure availability are recurrently in debate. In order to assist the development and implementation of guidelines, LMICs often exemplify from High-Income Countries protocols. At the final, it will be: content adaption is often needed. In this study, we demonstrated the preliminary analysis of the Brazilian experience by adapting the ERAS

methodsPatients' data were extracted from the surgical group database that operated in the city of Sao Paulo. Patients' data were organized for analysis after the institution's ethics committee gave their approval. Patients' variables were analyzed and compared to a control group. Subgroup analysis included patients without ICU Admission.

resultsPROSM patients had reduced ICU length of stay (LOS) (Mean of 0.3±0.58 days, 1.2±1.65 days, P=0.001), Hospital LOS (Mean of 1.6±1.32 days, 3.9±3.25 days, P=0.001) and Chest Drain duration (Median 1.0±1.00 days, 3.0±3.00 days, P=0.001). Analyses of patients that were not admitted to the ICU demonstrated reduced Hospital LOS and Chest drain duration. Cost analysis, such as procedure, daily, and post-surgical costs were also significantly lower towards PROSM group.

conclusionsThis study revealed important aspects for improvement of the delivered care quality and opportunity for expenditure management. We expect to assist more countries to improve knowledge under the implementation of enhanced protocols.

Indexed as

Enhanced recovery after surgery (ERAS)lobectomyperioperative managementpulmonary resectionthoracic surgery

Identifiers

PMID34659810
PMCPMC8482344

What OpenQuestion holds

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Registered trials

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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.