ArticleUrology practice2025
Under Pressure: A Quality Improvement Initiative to Reduce Rhabdomyolysis and Hospital-Acquired Pressure Injuries After Retroperitoneal Surgery.
Article in Urology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Is Open Partial Nephrectomy Still an Option in the Robotic Era?Current urology reports · 2026Review
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Authors and funding
14 authors.
Funding
Abstract
introductionThe purpose of this study was to present a retrospective quality improvement analysis assessing the incidence and factors associated with elevated creatine kinase (CK) levels, clinical rhabdomyolysis, and hospital-acquired pressure injuries (HAPIs) after complex retroperitoneal surgeries before and after the implementation of The Pink Pad for intraoperative positioning.
methodsWe performed a retrospective analysis of 364 patients who underwent renal or retroperitoneal surgery in the lateral decubitus position between July 2018 and July 2023; 19 patients were excluded. The 2 cohorts-pre-Pink Pad and post-Pink Pad utilization-were analyzed, each with 2.5 years of prospectively maintained data available for analysis.
resultsThree hundred forty-five patients were analyzed, and of those, 153 (44.3%) had flank surgery without and 192 (55.7%) with The Pink Pad. In the whole cohort, patients who developed elevated CK values were younger and had a higher BMI, higher preoperative creatine, and longer operative time (
conclusionsImplementation of The Pink Pad significantly reduced rates of postoperative CK value elevation and HAPIs caused by lateral decubitus positioning. Further studies should be performed to confirm these findings.
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