Evidence map›Paper›PMID 40268639›Full record

Observational studyBritish journal of anaesthesia2025

Hospital length of stay, 30-day emergency readmissions and the role of the DrEaMing enhanced recovery pathways in colonic and rectal surgery in England.

Mindy Dawes, Zoë Packman, Ruth A McDonald, Mark J Cheetham, Nannette M T Gallagher-Ball, Eleanor Warwick, Maria Oyston, Emma McCone, Chris Snowden, Michael Swart and 2 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

12 authors.

Mindy DawesGetting It Right First Time Programme, NHS England, London, UK; Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; Office of the Chief Nurse, NHS England, London, UK. Electronic address: mindy.dawes@nhs.net.
Zoë PackmanOffice of the Chief Nurse, NHS England, London, UK.
Ruth A McDonaldGynaecology Elective Surgery, University College London Hospitals NHS Foundation Trust, London, UK.
Mark J CheethamGetting It Right First Time Programme, NHS England, London, UK; Department of General Surgery, Shrewsbury and Telford NHS Hospital Trust, Shrewsbury, UK.
Nannette M T Gallagher-BallGetting It Right First Time Programme, NHS England, London, UK; Clinical and Professional Development, Bolton NHS Foundation Trust, Bolton, UK.
Eleanor WarwickAnaesthesia and Perioperative Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Maria OystonOffice of the Chief Nurse, NHS England, London, UK.
Emma McConeGetting It Right First Time Programme, NHS England, London, UK; Anaesthesia and Perioperative Medicine, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Chris SnowdenGetting It Right First Time Programme, NHS England, London, UK; Anaesthesia and Perioperative Medicine, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Michael SwartGetting It Right First Time Programme, NHS England, London, UK; Department of Anaesthesia and Perioperative Medicine, Torbay and South Devon NHS Foundation Trust, Torquay, UK.
Tim W R BriggsGetting It Right First Time Programme, NHS England, London, UK; Department of Surgery, Royal National Orthopaedic Hospital, Stanmore, London, UK.
William K GrayGetting It Right First Time Programme, NHS England, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced recovery pathways (ERPs) are designed to improve patient outcomes after elective surgery. Our primary aim was to examine whether shorter hospital stay, as a surrogate ERP outcome, was associated with higher 30-day emergency readmission rates for colonic and rectal surgery in England. A secondary aim was to assess how hospital trust compliance with a specific postoperative care bundle, drinking, eating, and mobilising (DrEaMing) within 24 h, relates to outcomes.

methodsThis was a retrospective analysis of observational data from the Hospital Episode Statistics dataset for England. All patients aged ≥17 yr undergoing elective colonic or rectal surgery for cancer between April 1, 2014, and March 31, 2024, were included.

resultsShorter hospital stays were significantly associated with a lower rate of 30-day emergency readmission among 124 580 colonic and 87 036 rectal surgery patients. Comparing the first (reference) and fourth quartile of length of stay, the odds of 30-day emergency readmission increased by 2.16 (95% confidence interval [CI] 2.04-2.30) and 2.41 (95% CI 2.26-2.57) for colonic and rectal surgery, respectively. Increased hospital trust DrEaMing compliance was associated with a reduction in the number of patients with extended length of stay (colonic surgery: X

conclusionsWe found no evidence that shorter length of stay, or greater DrEaMing compliance, were associated with higher emergency admission rates. These findings should not be interpreted as causal.

Indexed as

ColonEnhanced Recovery After SurgeryLength of StayPatient ReadmissionRectumAdultAgedAged, 80 and overElective Surgical ProceduresEnglandFemaleHumansMaleMiddle AgedPostoperative CareRetrospective Studiescolonic cancercolorectal surgeryDrEaMingdrinking, eating, and mobilisingenhanced recovery pathwayspostoperative outcomesrectal cancer

Identifiers

PMID40268639
PMCPMC12106874

What Socratic holds

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Registered trials

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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 Socratic graph.