Evidence map›Paper›PMID 37829209›Full record

ArticleProceedings (Baylor University. Medical Center)2023

Impact of an enhanced recovery after surgery program with a multimodal analgesia care pathway on opioid prescribing and clinical outcomes for patients undergoing colorectal surgery.

Ashley W Collinsworth, Maria Kouznetsova, Lauren Hall, Chessie Robinson, Gerald O Ogola, Alyssa Turner, Elisa L Priest, Charlette Hart, Elaine A Böing, George J Wan and 2 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 3 institutions in 1 country.

Ashley W CollinsworthBaylor Scott & White Health, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-8039-7586
Maria KouznetsovaBaylor Scott & White Health, Dallas, Texas, USA.
Lauren HallBaylor Scott & White Health, Dallas, Texas, USA.
Chessie RobinsonBaylor Scott & White Health, Dallas, Texas, USA.
Gerald O OgolaBaylor Scott & White Health, Dallas, Texas, USA.
Alyssa TurnerBaylor Scott & White Health, Dallas, Texas, USA.
Elisa L PriestBaylor Scott & White Health, Dallas, Texas, USA.
Charlette HartBaylor Scott & White Health, Dallas, Texas, USA.
Elaine A BöingHealth Economics and Outcomes Research Department, Mallinckrodt Pharmaceuticals, Bedminster, New Jersey, USA.
George J WanHealth Economics and Outcomes Research Department, Mallinckrodt Pharmaceuticals, Bedminster, New Jersey, USA.
Walter R PetersBaylor Scott & White Health, Dallas, Texas, USA.
Andrew L MasicaBaylor Scott & White Health, Dallas, Texas, USA.
Baylor Scott & White Health · USMallinckrodt (United States) · USHealth Net · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Opioids are a mainstay for acute pain management, but their side effects can adversely impact patient recovery. Multimodal analgesia (MMA) is recommended for treatment of postoperative pain and has been incorporated in enhanced recovery after surgery (ERAS) protocols. The objective of this quality improvement study was to implement an MMA care pathway as part of an ERAS program for colorectal surgery and to measure the effect of this intervention on patient outcomes and costs. Methods: This pre-post study included 856 adult inpatients who underwent an elective colorectal surgery at three hospitals within an integrated healthcare system. The impact of ERAS program implementation on opioid prescribing practices, outcomes, and costs was examined after adjusting for clinical and demographic confounders. Results: Improvements were seen in MMA compliance (34.0% vs 65.5%, Conclusions: Implementing ERAS programs that include MMA care pathways as standard of care may result in more judicious use of opioids and reduce patient recovery time.

Indexed as

Colorectal surgeryenhanced recovery after surgerymultimodal analgesiaopioid use

Identifiers

PMID37829209
PMCPMC10566428
OpenAlexW4386768227

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.