Evidence map›Paper›PMID 39691385›Full record

ArticleFrontiers in pediatrics2024

Obstacles and sustainability of enhanced recovery after surgery in pediatric laparoscopic pyeloplasty.

Wenliang Zhu, Huajian Lai, Ziqin He, Yifei Zhang, Qiang Guo, Wenwen Zhong, Lei Ye, Jianguang Qiu, Dejuan Wang

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2024. 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
–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

2 citing papers in PubMed.

  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

9 authors.

Wenliang Zhu *Department of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Huajian Lai *Department of General Surgery, Guangdong Provincial People's Hospital's Nanhai Hospital, Foshan, China.
Ziqin HeDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yifei ZhangDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Qiang GuoDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Wenwen ZhongDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Lei YeDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jianguang QiuDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Dejuan WangDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Previous studies on Enhanced Recovery After Surgery (ERAS) in pediatric Laparoscopic Pyeloplasty (LP) lacked clear control cases and discussed the obstacles in the implementation process. This article details the obstacles and lessons learned during the implementation of ERAS in patients with ureteropelvic junction obstruction (UPJO). Methods: An ERAS protocol was implemented in the UPJO population undergoing LP, which included preoperative, intraoperative, and postoperative management. The clinical data of ERAS program Before Implementation (BI) and After Implementation (AI) were collected and analyzed retrospectively. Results: A total of 107 patients (BI 46, AI 61) were enrolled. Compared with the BI group, the AI group had an earlier normal diet (19.83 h vs. 9.53 h, Conclusions: The application of ERAS in pediatric LP is feasible and sustainable, with the potential for even greater impact as compliance improves. Common barriers were uncertain start time of surgery, lack of knowledge of ERAS among pathway participants, and support from anesthesiologists. Pre-determining the start time of surgery, strengthening preoperative education and positive communication among team members can help to promote the full implementation of ERAS program.

Indexed as

ERASlaparoscopic pyeloplastyobstaclespediatricUPJO

Identifiers

PMID39691385
PMCPMC11651159

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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.