Evidence map›Paper›PMID 37396837›Full record

ArticlePlastic and reconstructive surgery. Global open2023

Pushing the DIEP Envelope with ERAS: 24 Hour Discharge is Safe in Appropriately Selected Patients.

Megan Fracol, Chad M Teven, Brianna Selimos, Sylvia Wier, Caitlin Stockslager, Joseph Schoenfeldt, Paul Connors, Denise Monahan, Gregory A Dumanian, Michael A Howard

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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  6. Article
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  8. Review
  9. Article
  10. [Influencing Factors of Adherence to Exercise Prehabilitation in Older Patients With Colorectal Cancer: A Qualitative Study].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    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.

Megan FracolFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Chad M TevenFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Brianna SelimosFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Sylvia WierFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Caitlin StockslagerFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Joseph SchoenfeldtDepartment of Anesthesiology, Northwestern Medicine, Lake Forest, Ill.
Paul ConnorsDepartment of Anesthesiology, Northwestern Medicine, Lake Forest, Ill.
Denise MonahanDepartment of Surgery, Northwestern Medicine, Lake Forest, Ill.
Gregory A DumanianFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.
Michael A HowardFrom the Division of Plastic Surgery, Northwestern Medicine, Lake Forest, Ill.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced recovery after surgery protocols have become increasingly adopted for autologous breast reconstruction, demonstrating improved quality of care and reduced hospital stays. Despite this, average length of stay remains over 3 days. We have found, in appropriately selected patients, hospital length of stay can be safely reduced to less than 48 hours. Methods: Retrospective review was performed of patients who underwent microsurgical breast reconstruction by the senior author (M.H.) from April 2019 to December 2021. Demographics, operative details, length of stay, and postoperative complications are reported to assess for safety of discharge within 48 hours, with the primary outcome measure being flap loss. Results: In total, 188 flaps were performed on 107 patients. Average age was 51.4 years (SD 10.1 years) with average BMI 26.6 kg/m Conclusion: Hospital discharge in 24-48 hours is safe in appropriately selected patients undergoing autologous tissue breast reconstruction.

Identifiers

PMID37396837
PMCPMC10313246

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Registered trials

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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.