Evidence map›Paper›PMID 34676283›Full record

ArticlePleura and peritoneum2021

Enhanced recovery after surgery (ERAS) in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC): a cross-sectional survey.

Geetu Bhandoria, Sohan Lal Solanki, Mrugank Bhavsar, Kalpana Balakrishnan, Cherukuri Bapuji, Nitin Bhorkar, Prashant Bhandarkar, Sameer Bhosale, Jigeeshu V Divatia, Anik Ghosh and 7 more

Abstract read
In one paragraph

Article in Pleura and peritoneum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

15 citing papers in PubMed.

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  5. Observational
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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

17 authors.

Geetu BhandoriaDepartment of Obstetrics & Gynecology, Command Hospital, Pune, India.ORCID https://orcid.org/0000-0002-6865-7856
Sohan Lal SolankiDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.ORCID https://orcid.org/0000-0003-4313-7659
Mrugank BhavsarDepartment of Critical Care Medicine, Zydus Hospital, Ahmedabad, India.
Kalpana BalakrishnanDepartment of Anaesthesiology, Cancer Institute (WIA), Chennai, India.
Cherukuri BapujiDepartment of Anaesthesiology, Apollo Hospital, Chennai, India.
Nitin BhorkarDepartment of Anaesthesiology, Saifee Hospital, Mumbai, India.
Prashant BhandarkarBhabha Atomic Research Centre (BARC) Hospital, Mumbai, India.
Sameer BhosaleDepartment of Anaesthesiology, Jehangir Hospital, Pune, India.
Jigeeshu V DivatiaDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India.
Anik GhoshDepartment of Gynecologic Oncology, Tata Medical Centre, Kolkata, India.ORCID https://orcid.org/0000-0003-3663-848X
Vikas MahajanDepartment of Surgical Oncology, Apollo Hospital, Chennai, India.
Abraham PeedicayilDepartment of Gynecologic Oncology, Christian Medical College, Vellore, India.
Praveen NathDepartment of Anaesthesiology, Kumaran Hospital, Chennai, India.
Snita SinukumarDepartment of Surgical Oncology, Jehangir Hospital, Pune, India.
Robin ThambudoraiDepartment of Surgical Oncology, Tata Medical Centre, Kolkata, India.
Ramakrishnan Ayloor SeshadriDepartment of Surgical Oncology, Cancer Institute (WIA), Chennai, India.
Aditi BhattDepartment of Surgical Oncology, Zydus Hospital, Ahmedabad, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEnhanced recovery after surgery (ERAS) protocols have been questioned in patients undergoing cytoreductive surgery (CRS) with/without hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal malignancies. This survey was performed to study clinicians' practice about ERAS in patients undergoing CRS-HIPEC.

methodsAn online survey, comprising 76 questions on elements of prehabilitation (n=11), preoperative (n=8), intraoperative (n=16) and postoperative (n=32) management, was conducted. The respondents included surgeons, anesthesiologists, and critical care specialists.

resultsThe response rate was 66% (136/206 clinicians contacted). Ninety-one percent of respondents reported implementing ERAS practices. There was encouraging adherence to implement the prehabilitation (76-95%), preoperative (50-94%), and intraoperative (55-90%) ERAS practices. Mechanical bowel preparation was being used by 84.5%. Intra-abdominal drains usage was 94.7%, intercostal drains by 77.9% respondents. Nasogastric drainage was used by 84% of practitioners. The average hospital stay was 10 days as reported by 50% of respondents. A working protocol and ERAS checklist have been designed, based on the results of our study, following recent ERAS-CRS-HIPEC guidelines. This protocol will be prospectively validated.

conclusionsMost respondents were implementing ERAS practices for patients undergoing CRS-HIPEC, though as an extrapolation of colorectal and gynecological guidelines. The adoption of postoperative practices was relatively low compared to other perioperative practices.

Indexed as

cytoreductive surgeryenhanced recovery after surgery (ERAS)hyperthermic intraperitoneal chemotherapy (HIPEC)perioperative managementperitoneal metastases

Identifiers

PMID34676283
PMCPMC8482448

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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.