Evidence map›Paper›PMID 35477446›Full record

ArticlePerioperative medicine (London, England)2022

Controversies in enhanced recovery after cardiac surgery.

Andrew D Shaw, Nicole R Guinn, Jessica K Brown, Rakesh C Arora, Kevin W Lobdell, Michael C Grant, Tong J Gan, Daniel T Engelman, Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigators

Abstract readEditorial
PubMed Full text at PMC Publisher
In one paragraph

Article in Perioperative medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
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

9 authors.

Andrew D ShawDepartment of Intensive Care and Resuscitation, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. shawa8@ccf.org.ORCID http://orcid.org/0000-0002-0566-8005
Nicole R GuinnDepartment of Anesthesiology, Duke University Medical Center, Box 3094, 2301 Erwin Road, Durham, NC, USA.
Jessica K BrownDepartment of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rakesh C AroraCardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Kevin W LobdellEducation and Research, Atrium Health, Charlotte, NC, USA.
Michael C GrantDepartments of Anesthesiology/Critical Care Medicine and Surgery, The Johns Hopkins Medical Institutions, 1800 Orleans Street, Baltimore, MD, USA.
Tong J GanDepartment of Anesthesiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY, USA.
Daniel T EngelmanUniversity of Massachusetts Medical School-Baystate, Baystate Medical Center, 759 Chestnut St, Springfield, MA, USA.
Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in cardiac surgical operative techniques and myocardial protection have dramatically improved outcomes in the past two decades. An unfortunate and unintended consequence is that 80% of the preventable morbidity and mortality following cardiac surgery now originates outside of the operating room. Our hope is that a renewed emphasis on evidence-based best practice and standardized perioperative care will reduce overall morbidity and mortality and improve patient-centric care. The Perioperative Quality Initiative (POQI) and Enhanced Recovery After Surgery-Cardiac Society (ERAS® Cardiac) have identified significant evidence gaps in perioperative medicine related to cardiac surgery, defined as areas in which there is significant controversy about how best to manage patients. These five areas of focus include patient blood management, goal-directed therapy, acute kidney injury, opioid analgesic reduction, and delirium.

Indexed as

Acute kidney injuryDeliriumEnhanced recovery after surgeryOpioid analgesia reductionPatient blood management

Identifiers

PMID35477446
PMCPMC9047268

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.