Evidence map›Paper›PMID 34992820›Full record

ArticleJournal of thoracic disease2021

Implication of a novel postoperative recovery protocol to increase day 1 discharge rate after anatomic lung resection.

Severin Schmid, Mohamad Kaafarani, Gabriele Baldini, Alexander Amir, Florin Costescu, Danielle Shafiepour, Jonathan Cools-Lartigue, Sara Najmeh, Christian Sirois, Lorenzo Ferri and 2 more

Open access · diamondAbstract 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 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 18% 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, 10 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

12 authors at 2 institutions in 2 countries.

Severin Schmid *Division of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Mohamad Kaafarani *Division of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Gabriele BaldiniDepartment of Anesthesia, McGill University Health Centre, Montreal, QC, Canada.
Alexander AmirDepartment of Anesthesia, McGill University Health Centre, Montreal, QC, Canada.
Florin CostescuDepartment of Anesthesia, McGill University Health Centre, Montreal, QC, Canada.
Danielle ShafiepourDepartment of Anesthesia, McGill University Health Centre, Montreal, QC, Canada.
Jonathan Cools-LartigueDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Sara NajmehDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Christian SiroisDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Lorenzo FerriDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
David MulderDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Jonathan SpicerDivision of Thoracic Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
McGill University Health Centre · CAUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChest-tube drainage and prolonged air leak after anatomic lung resection (ALR) continue to drive admission days for most programs employing minimal access techniques. The aim of the study was to evaluate the impact of a novel postoperative recovery protocol with revised chest tube management strategies to target discharge on post-operative day 1 (POD1) after ALR.

methodsThis is a pilot study investigating a novel enhanced recovery protocol which either allowed chest tube removal on POD1 or ambulatory management with indwelling chest tube using a portable closed drainage system. We included all patients undergoing video-assisted thoracoscopic surgery (VATS)-ALR; exclusion criteria were open surgery, non-anatomic or extended resections.

resultsA total of 139 patients were included in the study [N=29 portable drainage (PD), N=110 standard pathway (SP)]. POD1 discharge rate was 72% in PD

conclusionsOur results indicate that POD1 discharge rates of 72% after VATS-ALR can be safely achieved by a well-developed perioperative care pathway and simple chest tube drainage interventions. Based on these findings we are currently drafting a follow-up study to investigate the possibility of performing ALRs as day surgery.

Indexed as

anatomic lung resection (ALR)enhanced recoveryenhanced recovery after surgery (ERAS)Lobectomyportable drainage

Identifiers

PMID34992820
PMCPMC8662496
OpenAlexW3210416267

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.