ArticleCureus2025
Osteopathic Manipulative Treatment Protocol for Postoperative Care Following Abdominal Surgery: A Quality Improvement Project.
Article in Cureus, 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.
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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.
- Non-Pharmacologic Manual Therapies for Postoperative Bowel Dysfunction: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Postoperative ileus (POI) is a common condition that increases length of stay (LOS) and resource utilization. However, treatment consists primarily of supportive care. No workflow addressing measures to promote early bowel function recovery following abdominal surgery was in place at Mayo Clinic Health System Hospital in Mankato. Osteopathic manipulative treatment (OMT) may provide a cost-effective and low-risk option for reducing LOS of surgical patients. The primary aim of this quality improvement project was to decrease LOS of patients at risk for POI following abdominal surgery by implementing a standardized OMT protocol at Mayo Clinic Health System Hospital in Mankato, MN. Methods This was a single-center, non-randomized, mixed retrospective-prospective quality improvement project taking place from 2021-2023 taking place at Mayo Clinic Health System Hospital in Mankato, MN. Surgical patients admitted for abdominal surgery with an expected length of stay greater than a day were invited to participate and receive treatment with a pre-defined OMT treatment protocol including seven techniques. Patients under 18 were excluded. A total of 33 patients were enrolled over two cycles, February 1, 2022 - April 30, 2022, and February 1, 2023 - April 30, 2023. A baseline comparison group of 55 patients was retrospectively compiled following these same criteria over a period from January 1, 2021, to April 30, 2021. The primary outcome measured was LOS in days. Secondary outcomes were time to first bowel movement, time to first flatus, 30-day readmission rate, and postoperative LOS. Results The baseline group had a median LOS of 7.0 days and while the OMT group had a median LOS of 6.0 days resulting in a non-significant median difference of -1 days [Hodges-Lehmann estimator: -1, 95% CI (-3.0, 0.00),
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