Evidence map›Paper›PMID 37199830›Full record

Observational studyObesity surgery2023

Complications in Patients Undergoing Laparoscopic Bariatric Surgery in an ERABS-optimized, High-Volume, Single Center During 2020 and 2021.

Katrine Stryhn, Lærke Alstrup, Claus Riber, Michael Ørting, Rakin Hadad, Jan Hvistendahl, Carsten Tollund, Niels Boye, Steen B Haugaard, Peter Funch-Jensen

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 5 institutions in 1 country.

Katrine StryhnDepartment of Surgery, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark.ORCID http://orcid.org/0000-0001-7818-8590
Lærke AlstrupDepartment of Surgery, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark.
Claus RiberDepartment of Surgery, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark.
Michael ØrtingDepartment of Surgery, Aleris Hospitals, Aarhus Department, Brendstrupgårdsvej 21, 8200, Aarhus, Denmark.
Rakin HadadDepartment of Cardiology, Bispebjerg University Hospital, Bispebjerg Bakke 23, 2400, Copenhagen, Denmark.
Jan HvistendahlDepartment of Anesthesiology, Aleris Hospitals, Aarhus Department, Brendstrupgårdsvej 21, 8200, Aarhus, Denmark.
Carsten TollundDepartment of Anesthesiology, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark.
Niels BoyeDepartment of Endocrinology, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark.
Steen B HaugaardInstitute of Clinical Medicine, Faculty of Health and Medical Science, University of Copenhagen, Blegdamsvej 3B, 2200, Copenhagen, Denmark.
Peter Funch-JensenDepartment of Surgery, Aleris Hospitals, Copenhagen Department, Gyngemose Parkvej 66, 2860, Søborg, Denmark. funchjensen@gmail.com.
University of Copenhagen · DKHospital South West Jutland · DKAarhus University · DKAarhus University Hospital · DKBispebjerg Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComplication rates after fast-track optimization in bariatric surgery are varying. The aim of this study was to identify short-term complications in patients undergoing laparoscopic sleeve gastrectomy (SG) in an ERABS (enhanced recovery after bariatric surgery) optimized setup. MATERIALS AND

methodsThis study is an observational analysis of a consecutive cohort of 1600 patients undergoing SG at an ERABS-optimized, private hospital during 2020 and 2021. Primary outcomes were length of stay, mortality, readmissions, reoperations, and complications according to the Clavien-Dindo classification (CDC) within postoperative day (POD) 30 and 90. Secondary outcomes were weight loss and quality of life (QoL) according to Moorehead-Ardelt questionnaires during the first postoperative year.

resultsPrimary outcomes: 99.1% of patients were discharged within POD 1. The 90-day mortality rate was zero. There were 1% readmissions and 1.2% reoperations within POD 30. Total 30-day complication rate was 4.6%, where 3.4% accounted for CDC grades ≤ II, and 1.3% accounted for CDC grade III. There were zero grade IV-V complications. SECONDARY OUTCOMES: One year after surgery, weight loss was substantial (p < 0.001), with an excess weight loss of 71.9%, and QoL had significantly increased (p < 0.001).

conclusionThis study demonstrates that the use of an ERABS protocol in bariatric surgery does not compromise neither safety nor efficacy. Complication rates were low, and weight loss was significant. This study thus provides strong arguments that ERABS programs are beneficial in bariatric surgery.

Indexed as

Bariatric SurgeryEnhanced Recovery After SurgeryLaparoscopyObesity, MorbidGastrectomyHumansLength of StayPostoperative ComplicationsQuality of LifeRetrospective StudiesWeight LossBariatric surgeryClavien-Dindo classificationERABSERASFast-track surgerySleeve gastrectomy

Identifiers

PMID37199830
PMCPMC10289944
OpenAlexW4377011972

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.