ArticleAnnals of surgical oncology2026
Identifying Predictors of Delayed Ambulation After Minimally Invasive Gynecologic Oncology Surgery.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundEarly ambulation is a cornerstone of enhanced recovery after surgery (ERAS) programs, reducing pulmonary and thromboembolic complications. Gynecologic oncology patients are at particular risk, yet factors of delayed ambulation remain underexplored. Using objective monitoring from a real-time locating system (RTLS), this study examined patient and procedural predictors of delayed ambulation, defined as occurring on the first postoperative day.
methodsThe study retrospectively reviewed 2545 robot-assisted hysterectomies performed with the patient under general anesthesia between 2016 and 2022 at a high-volume, free-standing ambulatory surgical center. After exclusions, 1716 cases were analyzed. Ambulation was tracked using RTLS. Logistic regression with surgery end time (plus non-linear terms) was used to evaluate predictors of next-day ambulation, including age, body mass index, intravenous fluid, opioid use, American Society of Anesthesiologist class, postoperative nausea and vomiting (PONV) risk score, operative time, blood loss, and perioperative antiemetic use.
resultsThe median time from recovery room arrival to first ambulation was 4.8 h (interquartile range, 3.7-6.4 h), with 11 % first ambulation the next day. Later surgery end time and longer operative time were significantly associated with delayed ambulation. Patients with the highest PONV risk score (Apfel 4) had double the odds of next-day ambulation compared with PONV risk ≤3 (odds ratio 1.94; 95 % confidence interval 1.31-2.86; p = 0.001). This correlation persisted after adjustment for preoperative aprepitant and intraoperative dexamethasone or ondansetron.
conclusionsHigher PONV risk score predicted increased odds of next-day ambulation, independently of antiemetic prophylaxis. To facilitate ambulation within the same day of surgery, patients with high PONV risk scores may be scheduled earlier in the day.
Indexed as
Identifiers
42135541What OpenQuestion holds
Registered trials
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.