Evidence map›Paper›PMID 37407044›Full record

ArticleBMJ open2023

Role of intraoperative processes of care during major upper gastrointestinal oncological resection in postoperative outcomes: a scoping review protocol.

Luckshi Rajendran, Alexander Hopkins, Julie Hallet, Rishie Sinha, Jaya Tanwani, Mian-Mian Kao, Antoine Eskander, Victoria Barabash, Christopher Idestrup, Pablo Perez and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 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, top 81% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 2 institutions in 2 countries.

Luckshi RajendranDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-2716-7121
Alexander HopkinsDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Julie HalletDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Rishie SinhaDepartment of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0003-2124-2255
Jaya TanwaniDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Mian-Mian KaoFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Antoine EskanderDivision of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Victoria BarabashClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Christopher IdestrupDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Pablo PerezDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Angela JerathDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada angela.jerath@sunnybrook.ca.
Sunnybrook Health Science Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOptimal delivery and organisation of care is critical for surgical outcomes and healthcare systems efficiency. Anaesthesia volumes have been recently associated with improved postoperative recovery outcomes; however, the mechanism is unclear. Understanding the individual processes of care (interventions received by the patient) is important to design effective systems that leverage the volume-outcome association to improve patient care. The primary objective of this scoping review is to systematically map the evidence regarding intraoperative processes of care for upper gastrointestinal cancer surgery. We aim to synthesise the quantity, type, and scope of studies on intraoperative processes of care in adults who undergo major upper gastrointestinal cancer surgeries (oesophagectomy, hepatectomy, pancreaticoduodenectomy, and gastrectomy) to better understand the volume-outcome relationship for anaesthesiology care. METHODS AND ANALYSIS: This scoping review will follow the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension framework for scoping reviews. We will systematically search MEDLINE, Embase and Cochrane databases for original research articles published after 2010 examining postoperative outcomes in adult patients undergoing either: oesophagectomy, hepatectomy, pancreaticoduodenectomy, or gastrectomy, which report at least one intraoperative processes of care (intervention or framework) applied by anaesthesia or surgery. The data from included studies will be extracted, charted, and summarised both quantitatively and qualitatively through descriptive statistics and narrative synthesis. ETHICS AND DISSEMINATION: No ethics approval is required for this scoping review. Results will be disseminated through publication targeted at relevant stakeholders in anaesthesiology and cancer surgery. TRIAL REGISTRATION NUMBER: 10.17605/OSF.IO/392UG; https://archive.org/details/osf-registrations-392ug-v1.

Indexed as

AnesthesiologyGastrointestinal NeoplasmsAdultAnastomosis, SurgicalHepatectomyHumansMedical OncologyResearch DesignScoping Reviews as Topicadult anaesthesiaadult oncologyadult surgerygastrointestinal tumours

Identifiers

PMID37407044
PMCPMC10335411
OpenAlexW4383227892

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.