Evidence map›Paper›PMID 39709415›Full record

ArticleBMC health services research2024

Enhanced recovery after surgery in Pakistan: a qualitative descriptive analysis of current practices and future directions.

Hamza Ahmad, Antonia Arnaert, Waqas Shedio, Omaid Tanoli, Dan Deckelbaum, Tayyab Pasha

Abstract read
In one paragraph

Article in BMC health services research, 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. Review
  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

6 authors.

Hamza AhmadCenter for Global Surgery, McGill University Health Center, 11405 Rue Frigon, Montreal, H3M 2R6, QC, Canada. Hamza.ahmad@mail.mcgill.ca.
Antonia ArnaertCenter for Global Surgery, McGill University Health Center, 11405 Rue Frigon, Montreal, H3M 2R6, QC, Canada.
Waqas ShedioDepartment of Cardiac Surgery, Allama Iqbal Medical College, Lahore, Pakistan.
Omaid TanoliCenter for Global Surgery, McGill University Health Center, 11405 Rue Frigon, Montreal, H3M 2R6, QC, Canada.
Dan DeckelbaumCenter for Global Surgery, McGill University Health Center, 11405 Rue Frigon, Montreal, H3M 2R6, QC, Canada.
Tayyab PashaDepartment of Cardiac Surgery, Allama Iqbal Medical College, Lahore, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) is a cost-effective perioperative approach that has been shown to shorten patients' hospital length of stay, improve resource utilization, and reduce postoperative costs for both patients and hospitals. While ERAS has the potential to offer even greater benefits in low- and middle-income countries (LMICs) its successful long-term implementation remains incomplete in Pakistan. This study aimed to explore insights and identify opportunities for implementing ERAS within the local socio-environmental context. A qualitative descriptive approach was employed, using convenience sampling to recruit 11 surgical residents from a public tertiary care hospital in Lahore, Pakistan. Individual semi-structured interviews were conducted. The data collected was then thematically analyzed to capture the residents' experiences regarding the implementation of ERAS. Acknowledging the benefits of ERAS, participants faced several challenges when implementing ERAS in their respective wards. The participants identified several key opportunities for successful implementation, including enhanced teamwork and collaboration amongst medical teams, improved patient education and compliance towards ERAS, strengthening of peripheral healthcare services, and targeted resource allocation. Even though several challenges identified by the participants were like those highlighted in high-income countries (HICs), unique barriers specific to Pakistan's healthcare structure and culture also emerged. Further research exploring and highlighting these specific challenges is needed to overcome these core barriers and promote a shift towards a standardized healthcare system focused on improving patient outcomes.

Indexed as

Enhanced Recovery After SurgeryQualitative ResearchAdultFemaleHumansInterviews as TopicMalePakistanEnhanced recovery after surgeryGlobal health and medicineGlobal surgeryQualitative descriptive study

Identifiers

PMID39709415
PMCPMC11663352

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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.