Evidence map›Paper›PMID 36872160›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2023

Making lemonade with lemons: a multicenter effort to improve outpatient sleeve gastrectomy amid the COVID-19 pandemic.

Theresa N Jackson, Gary G Grinberg, Emily L Siegler, Sanjoy K Dutta, Aaron G Baggs, Panduranga R Yenumula

Abstract readMulticenter Study
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 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
–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. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Comment on: Making lemonade with lemons: a multicenter effort to improve outpatient sleeve gastrectomy amid the COVID-19 pandemic.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Theresa N JacksonDepartment of Bariatric Surgery, Kaiser Permanente South Sacramento Medical Center, Sacramento, California. Electronic address: theresa.n.jackson@gmail.com.
Gary G GrinbergDepartment of Bariatric Surgery, Kaiser Permanente South Sacramento Medical Center, Sacramento, California.
Emily L SieglerCollege of Medicine, California Northstate University, Elk Grove, California.
Sanjoy K DuttaDepartment of Bariatric Surgery, Kaiser Permanente Fremont Medical Center, Fremont, California.
Aaron G BaggsDepartment of Surgery, Kaiser Permanente Richmond Medical Center, Richmond, California.
Panduranga R YenumulaDepartment of Bariatric Surgery, Kaiser Permanente South Sacramento Medical Center, Sacramento, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic impacted healthcare delivery worldwide. Resource limitations prompted a multicenter quality initiative to enhance outpatient sleeve gastrectomy workflow and reduce the inpatient hospital burden.

objectivesThis study aimed to determine the efficacy of this initiative, as well as the safety of outpatient sleeve gastrectomy and potential risk factors for inpatient admission.

settingA retrospective analysis of sleeve gastrectomy patients was conducted from February 2020 to August 2021.

methodsInclusion criteria were adult patients discharged on postoperative day 0, 1, or 2. Exclusion criteria were body mass index ≥60 kg/m

resultsAnalysis included 638 sleeve gastrectomy surgeries (427 outpatient, 211 inpatient). Significant differences between cohorts were age, co-morbidities, surgery date, facility, operative duration, and 30-day emergency department (ED) readmission. Monthly frequency of outpatient sleeve gastrectomy rose as high as 71% regionally. An increased number of 30-day ED readmissions was found for the inpatient cohort (P = .022). Potential risk factors for inpatient admission included age, diabetes, hypertension, obstructive sleep apnea, pre-COVID-19 surgery date, and operative duration.

conclusionOutpatient sleeve gastrectomy is safe and efficacious. Administrative support for extended postanesthesia care unit recovery was critical to successful protocol implementation for outpatient sleeve gastrectomy within this large multicenter healthcare system, demonstrating potential applicability nationwide.

Indexed as

Bariatric SurgeryCOVID-19LaparoscopyObesity, MorbidAdultAgedAmbulatory Surgical ProceduresGastrectomyHumansOutpatientsPandemicsPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAmbulatory surgeryCOVID-19 pandemicOutpatient surgerySame-day surgerySleeve gastrectomy

Identifiers

PMID36872160
PMCPMC9896885

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.