Evidence map›Paper›PMID 37031041›Full record

ArticleAmerican journal of surgery2023

Preoperative history and physical update visits offer limited clinical value in colorectal surgery.

Jacqueline M Soegaard Ballester, Sara P Ginzberg, Jacob Stein, Heather Wachtel, Najjia N Mahmoud

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jacqueline M Soegaard BallesterDepartment of Surgery, Penn Medicine, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA, 19104, USA. Electronic address: jacqueline.soegaard@pennmedicine.upenn.edu.
Sara P GinzbergDepartment of Surgery, Penn Medicine, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA, 19104, USA. Electronic address: Sara.Ginzberg@pennmedicine.upenn.edu.
Jacob SteinDepartment of Surgery, Penn Medicine, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA, 19104, USA. Electronic address: Jacobstein1@mail.tau.ac.il.
Heather WachtelDepartment of Surgery, Penn Medicine, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA, 19104, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Electronic address: Heather.Wachtel@pennmedicine.upenn.edu.
Najjia N MahmoudDepartment of Surgery, Penn Medicine, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA, 19104, USA; University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Electronic address: Najjia.Mahmoud@pennmedicine.upenn.edu.

Funding

Institutional Clinical and Translational Science AwardKL2TR001879 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$13.7M
SURGICAL ONCOLOGY RESEARCH TRAINING PROGRAM AT PENNT32CA251063 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Ronald P. Dematteo · 2020 to 2026
$2.6M
A genotype-phenotype study of germline succinate dehydrogenase pathogenic variantsK08CA270385 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Heather Wachtel · 2022 to 2026
$967k
NCATS NIH HHS KL2 TR001879NCI NIH HHS K08 CA270385NCI NIH HHS T32 CA251063
6 · The paper itself

Abstract

backgroundUnited States regulations require a history and physical (H&P) ≤30 days before planned procedures. We evaluated the impact of H&P update visits in colorectal surgery.

methodsPreoperative H&P update visits conducted in colorectal clinics at our institution during 2019 were identified. Two independent reviewers assessed whether update visits identified interval changes to history, exam, or operative plan. Secondary outcomes included visit times, estimated travel times and distances.

resultsFor 132 visits, interval changes were identified in 39% of histories, but only 4.2% of exams and 6.8% of operative plans. When plans changed, visit goals could have been accomplished via telehealth in 77.8%. Median clinic and round-trip driving time were 61.5 and 62.2 min, respectively.

conclusionsH&P update visits conducted to satisfy the 30-day regulation rarely result in clinically relevant changes yet impose time and travel burdens on patients. Regulations should be revised to provide flexibility in H&P update modalities.

Indexed as

Colorectal SurgeryDigestive System Surgical ProceduresTelemedicineHumansUnited StatesHigh-value careHistory and physicalHistory and physical updatesRegulationsTelehealth

Identifiers

PMID37031041
PMCPMC10524396

What OpenQuestion holds

Textmetadata
LicenceTDM
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.