Evidence map›Paper›PMID 36103170›Full record

ArticleJAMA surgery2022

Same-Day Home Recovery for Benign Foregut Surgery.

Swee H Teh, Samuel C Schecter, Edgar B Servais, Kingsway Liu, Jonathan Svahn, Lisa Yang, Monica Goodstein, Richard Parent, Edward Chau, Lynn Chang and 3 more

Open access · greenAbstract read
In one paragraph

Article in JAMA surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. A Path to High-Value Gastric Cancer Surgery Care Delivery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  4. 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

13 authors at 1 institution in 1 country.

Swee H TehThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Samuel C SchecterThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Edgar B ServaisTPMG Consulting Services, The Permanente Medical Group, Oakland, California.
Kingsway LiuThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Jonathan SvahnThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Lisa YangThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Monica GoodsteinThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Richard ParentThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Edward ChauThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Lynn ChangThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Minhoa ZhouThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Sharon ShiragaThe Permanente Benign Foregut Surgery Group, Northern California Kaiser Permanente, Oakland.
Michelle KnoxTPMG Consulting Services, The Permanente Medical Group, Oakland, California.
Kaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Same-day home recovery (SHR) is now the standard of care for many major surgical procedures and has the potential to become standard practice for benign foregut procedures (eg, hiatal hernia repair, fundoplication, and Heller myotomy). Objective: To determine whether SHR for patients undergoing benign foregut surgery is feasible, safe, and effective. Design, Setting, and Participants: This prospective cohort study took place across 19 medical centers within an integrated health care system in northern California from January 2019 through September 2021. Participants included consecutive patients undergoing elective benign foregut surgery. Exposures: Standardized SHR program. Main Outcomes and Measures: The primary end point was the rate of SHR. The secondary end points were 7-day and 30-day rates of postoperative emergency department visits, hospital readmissions, and reoperations. Results: Of 1248 patients who underwent benign foregut surgery from January 2017 through September 2021, 558 were patients before implementation of the SHR program and 690 were patients postimplementation. The mean age of patients was 60 years, and 759 (59%) were female. The preimplementation SHR rate was 64 of 558 patients (11.5%) in 2018 and increased to 82 of 113 patients (72.6%) by 2021 (94/350 [26.9%] in 2019 and 112/227 [49.3%] in 2020; P < .001). There were no statistical differences in the 7-day and 30-day rates of postoperative emergency visits, hospital readmissions, and reoperations or 30-day mortality in the SHR vs non-SHR groups in the postimplementation era. Conclusions and Relevance: In this study, implementation of a regional SHR program among patients undergoing elective benign foregut surgery was feasible, safe, and effective. The changes in perioperative care require comprehensive patient education and full multidisciplinary support. An SHR program for benign foregut procedures has the potential to improve patient care and cost-effectiveness in care delivery.

Identifiers

PMID36103170
PMCPMC9475440
OpenAlexW4295681701

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.