Evidence map›Paper›PMID 35142979›Full record

ArticleJournal of robotic surgery2022

An Enhanced Recovery After Surgery protocol for robotic-assisted laparoscopic nephrectomies utilizing a quadratus lumborum block.

Wesley Yip, Andrew B Chen, Cristin Malekyan, William Widjaja, Kevin Yan, Makela Stankey, Xue Sun, Akbar N Ashrafi, John N Graham, Shane C Dickerson and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 8 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

15 authors at 1 institution in 1 country.

Wesley YipUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA. wesleyyipmd@gmail.com.ORCID http://orcid.org/0000-0002-2389-3046
Andrew B ChenUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
Cristin MalekyanDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
William WidjajaDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Kevin YanDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Makela StankeyDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Xue SunDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Akbar N AshrafiUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
John N GrahamUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
Shane C DickersonDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Mohamed H EloustazDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
Mihir M DesaiUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
Inderbir S GillUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
Monish AronUSC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave, Los Angeles, CA, 90089, USA.
Michael P KimDepartment of Anesthesiology, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.
University of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) protocols have been developed in several fields to reduce hospitalization lengths and overall costs. There have also been developments in multimodal analgesia methods to curtail opioid usage after surgery. Herein, we present the results of our initiation of an ERAS protocol for robotic-assisted laparoscopic partial and radical nephrectomies, employing a quadratus lumborum (QL) regional anesthetic block. We retrospectively reviewed 614 patients in our Institutional Review Board approved database who underwent robotic-assisted laparoscopic partial or radical nephrectomies from January 2017 to February 2020. An ERAS protocol utilizing multimodal analgesia (acetaminophen and gabapentin) and a QL block was developed and introduced in February 2019. We then compared the opioid consumption and perioperative outcomes of patients before and after ERAS protocol initiation. 192 ERAS patients (February 2019 to February 2020) were compared to 422 non-ERAS patients (January 2017 to January 2019). Baseline characteristics and the proportion of preoperative opioids users were similar between the two groups. There were no statistically significant differences in surgery length, hospitalization length, or complication rates. There were statistically significant differences in our primary endpoint, opioid consumption, on post-operative days 0 (p < 0.001), 1 (p < 0.001), and 2 (p < 0.001). The total opioid requirements over the course of admission were lower in the ERAS group compared to the non-ERAS group (p = 0.03). The initiation of an ERAS protocol employing multimodal analgesia and a QL block, for patients undergoing robotic-assisted laparoscopic partial or radical nephrectomies, can decrease opioid requirements without compromising perioperative outcomes.

Indexed as

Enhanced Recovery After SurgeryLaparoscopyRobotic Surgical ProceduresAcetaminophenAnalgesics, OpioidGabapentinHumansLength of StayNephrectomyPostoperative PainRetrospective StudiesAcetaminophenAnalgesics, OpioidGabapentinKidney cancerNephrectomyNerve blockOpioid-sparingRobotic surgery

Identifiers

PMID35142979
OpenAlexW4211003537

What OpenQuestion holds

Textmetadata
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.