Evidence map›Paper›PMID 36662629›Full record

SynthesisBJS open2023

Enhanced recovery after surgery in children undergoing abdominal surgery: meta-analysis.

Bte Azahari Hidayah, Zheng An Toh, Ling Jie Cheng, Bin Daud Syahzarin, Yi Zhu, Tarja Pölkki, Honggu He, Vidyadhar Padmakar Mali

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BJS open, 2023. 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
4.4field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
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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

8 authors at 5 institutions in 3 countries.

Bte Azahari HidayahAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zheng An TohAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0001-5835-0052
Ling Jie ChengNational University Health System, Singapore.ORCID 0000-0002-5338-578X
Bin Daud SyahzarinAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yi ZhuDepartment of Musculoskeletal Pain Rehabilitation, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Tarja PölkkiResearch Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
Honggu HeNational University Health System, Singapore.ORCID 0000-0001-8545-1123
Vidyadhar Padmakar MaliDepartment of Paediatric Surgery, National University Hospital, Singapore.ORCID 0000-0001-5328-7920
National University of Singapore · SGFifth Affiliated Hospital of Zhengzhou University · CNNational University Health System · SGNational University Hospital · SGOulu University Hospital · FI

Funding

National University Hospital, Singapore
6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery (ERAS) is a multimodal approach that streamlines patient processes before, during, and after surgery. The goal is to reduce surgical stress responses and improve outcomes; however, the impact of ERAS programmes in paediatric abdominal surgery remains unclear. The authors aimed to review the effectiveness of ERAS on clinical outcomes in children undergoing abdominal surgery.

methodCINAHL, CENTRAL, Embase, ProQuest, PubMed, and Scopus were searched for relevant studies published from inception until January 2021. The length of hospital stay (LOS), time to oral intake, time to stool, complication rates, and 30-day readmissions were measured. Meta-analyses and subgroup analyses were conducted using RevMan 5.4 with a random-effects model.

resultsAmong 2371 records from the initial search, 111 articles were retrieved for full-text screening and 12 were included for analyses. The pooled mean difference (MD) demonstrated reduced LOS (MD -1.96; 95 per cent c.i. -2.75 to -1.17), time to oral intake (MD -3.37; 95 per cent c.i. -4.84 to -1.89), and time to stool (MD -4.19; 95 per cent c.i. -6.37 to -2.02). ERAS reduced postoperative complications by half and 30-day readmission by 36 per cent. Subgroup analyses for continuous outcomes suggested that ERAS was more effective in children than adolescents.

conclusionERAS was effective in improving clinical outcomes for paediatric patients undergoing abdominal surgery.

Indexed as

Enhanced Recovery After SurgeryAbdomenAdolescentChildHumansLength of StayPostoperative ComplicationsRecovery of Function

Identifiers

PMID36662629
PMCPMC9856339
OpenAlexW4317567921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.