Evidence map›Paper›PMID 35953683›Full record

ArticleSurgical endoscopy2022

Enhanced recovery after bariatric surgery: an Italian consensus statement.

Giuseppe Marinari, Mirto Foletto, Carlo Nagliati, Giuseppe Navarra, Vincenzo Borrelli, Vincenzo Bruni, Giovanni Fantola, Roberto Moroni, Luigi Tritapepe, Roberta Monzani and 3 more

Open access · hybridAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  15. Discrepancies Between Recommendations in Evidence-Based Guidelines for the Management of Obesity in Adolescents and Adults: An Evidence Map.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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

13 authors at 9 institutions in 1 country.

Giuseppe MarinariBariatric Surgery Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0001-5686-0067
Mirto FolettoBariatric Surgery Unit, Azienda Ospedale Università Padova, Padua, Italy.ORCID http://orcid.org/0000-0001-6594-4852
Carlo NagliatiDepartment of Surgery, San Giovanni di Dio Hospital, Gorizia, Italy.ORCID http://orcid.org/0000-0003-0477-4989
Giuseppe NavarraDepartment of Human Pathology, University of Messina, Messina, Italy.
Vincenzo BorrelliBariatric Surgery Unit, Humanitas Gavazzeni, Bergamo, Italy.
Vincenzo BruniBariatric Surgery Unit, Campus Bio Medico University of Rome, Rome, Italy.
Giovanni FantolaBariatric Surgery Unit, ARNAS, G. Brotzu Hospital, Cagliari, Italy.
Roberto MoroniBariatric Surgery Unit, Policlinico Sassarese, Sassari, Italy.ORCID http://orcid.org/0000-0002-0013-1997
Luigi TritapepeDepartment of Anesthesia and Intensive Care, San Camillo-Forlanini Hospital, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0003-0480-1705
Roberta MonzaniDepartment of Anesthesia and Intensive Care Units, Humanitas Research Hospital, Humanitas University Milan, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0002-8861-0801
Daniela SannaEmergency Department, Section of Anesthesiology and Intensive Care, ARNAS, G. Brotzu Hospital, Cagliari, Italy.
Michele CarronDepartment of Medicine-DIMED, Section of Anesthesiology and Intensive Care, University of Padua, Via V. Gallucci, 13, 35121, Padua, Italy. michele.carron@unipd.it.ORCID http://orcid.org/0000-0001-5104-4124
Rita CataldoUnit of Anesthesia, Intensive Care and Pain Management, Campus Bio Medico University of Rome, Rome, Italy.
Azienda Ospedaliera G. Brotzu · ITUniversità Campus Bio-Medico · ITCarlo Forlanini Hospital · ITHumanitas Gavazzeni · ITHumanitas University · ITIRCCS Humanitas Research Hospital · ITNuovo Ospedale San Giovanni di Dio · ITUniversity of Messina · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced recovery after bariatric surgery (ERABS) is an approach developed to improve outcomes in obese surgical patients. Unfortunately, it is not evenly implemented in Italy. The Italian Society for the Surgery of Obesity and Metabolic Diseases and the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care joined in drafting an official statement on ERABS.

methodsTo assess the effectiveness and safety of ERABS and to develop evidence-based recommendations with regard to pre-, intra-, and post-operative care for obese patients undergoing ERABS, a 13-member expert task force of surgeons and anesthesiologists from Italian certified IFSO center of excellence in bariatric surgery was established and a review of English-language papers conducted. Oxford 2011 Levels of Evidence and U.S. Preventive Services Task Force Grade Definitions were used to grade the level of evidence and the strength of recommendations, respectively. The supporting evidence and recommendations were reviewed and discussed by the entire group at meetings to achieve a final consensus.

resultsCompared to the conventional approach, ERABS reduces the length of hospital stay and does not heighten the risk of major post-operative complications, re-operations, and hospital re-admissions, nor does it increase the overall surgical costs. A total of 25 recommendations were proposed, covering pre-operative evaluation and care (7 items), intra-operative management (1 item, 11 sub-items), and post-operative care and discharge (6 items).

conclusionsERABS is an effective and safe approach. The recommendations allow the proper management of obese patients undergoing ERABS for a better outcome.

Indexed as

Bariatric SurgeryLaparoscopyObesity, MorbidHumansLanguageObesityAnesthesiaBariatric SurgeryEnhanced recovery after surgeryObesity

Identifiers

PMID35953683
PMCPMC9485178
OpenAlexW4291010381

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.