Evidence map›Paper›PMID 33420977›Full record

SynthesisObesity surgery2021

The Application of Enhanced Recovery After Surgery (ERAS) for Patients Undergoing Bariatric Surgery: a Systematic Review and Meta-analysis.

Jiajie Zhou, Rui Du, Liuhua Wang, Feng Wang, Dongliang Li, Guifan Tong, Wei Wang, Xu Ding, Daorong Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
–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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Comparison of Enhanced Recovery After Surgery (ERAS) Pathway Versus Standard Care in Patients Undergoing Elective Stoma Reversal Surgery- A Randomized Controlled Trial.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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.

Jiajie ZhouGraduate School, Dalian Medical University, West Section of Lvshun South Road No. 9, Dalian, 116044, China.
Rui DuGraduate School, Dalian Medical University, West Section of Lvshun South Road No. 9, Dalian, 116044, China.
Liuhua WangDepartment of General Surgery, Northern Jiangsu People's Hospital, Nantong Road No. 98, Yangzhou, 225001, China.
Feng WangGraduate School, Dalian Medical University, West Section of Lvshun South Road No. 9, Dalian, 116044, China.
Dongliang LiGraduate School, Medical College of Yangzhou University, Huaihai Road No. 7, Yangzhou, 225001, China.
Guifan TongGraduate School, Dalian Medical University, West Section of Lvshun South Road No. 9, Dalian, 116044, China.
Wei WangDepartment of General Surgery, Northern Jiangsu People's Hospital, Nantong Road No. 98, Yangzhou, 225001, China.
Xu DingGraduate School, Medical College of Yangzhou University, Huaihai Road No. 7, Yangzhou, 225001, China.
Daorong WangDepartment of General Surgery, Northern Jiangsu People's Hospital, Nantong Road No. 98, Yangzhou, 225001, China. wdaorong666@sina.com.ORCID http://orcid.org/0000-0003-1642-0889

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To systematically evaluate the effectiveness and safety of the enhanced recovery after surgery (ERAS) pathway in bariatric surgery. A literature search was conducted using PubMed, Medline, EMBASE, OVID, World Health Organization International Trial Register, and Cochrane Library identifying all eligible studies comparing ERAS protocols with standard care (SC) in bariatric surgery through May 2020. Relevant perioperative parameters were extracted from the resulting studies for meta-analysis. The primary outcome was the length of hospital stay, and secondary outcomes included operation time, postoperative nausea, and vomiting (PONV), postoperative complications, readmission, reoperation, and subsequent emergency room visits. Postoperative complications were categorized according to the Clavien-Dindo classification. Final analysis included five randomized controlled trials (RCTs) and twelve observational studies which included 4964 patients in the ERAS group and 3218 patients in the SC group. The length of the hospital stay was significantly decreased (p < 0.01) after ERAS protocol management, as did the incidence of POVN (p < 0.01). No significant differences were observed between the ERAS group and SC group in terms of operation time (p = 0.37), postoperative complications (p = 0.18), readmission (p = 0.17), reoperation (p = 0.34), or emergency room visits (p = 0.65). The application of ERAS protocols in bariatric surgery is safe and feasible, effectively shortening the length of a hospital stay without compromising morbidity, and accelerating patient recovery.

Indexed as

Bariatric SurgeryEnhanced Recovery After SurgeryObesity, MorbidHumansLength of StayPostoperative ComplicationsReoperationBariatric surgeryEnhanced recovery after surgeryStandard care

Identifiers

PMID33420977

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.