Evidence mapPaperPMID 40379536Full record

SynthesisBritish journal of anaesthesia2025

Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement.

Adriana D Oprea, Laura J Ostapenko, BobbieJean Sweitzer, Angela Selzer, Joan M Irizarry-Alvarado, Maria D Hurtado Andrade, Carlos E Mendez, Kristen D Kelley, Erin Stewart, Claudia R Fernandez Robles and 5 more

Abstract readConsensus StatementSystematic Review
In one paragraph

Synthesis 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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  16. NPO at midnight: A historical rule in need of evidence-based reform.American heart journal plus : cardiology research and practice · 2025
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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

15 authors.

Adriana D OpreaDepartment of Anesthesiology, Yale School of Medicine, New Haven, CT, USA. Electronic address: adriana.oprea@yale.edu.
Laura J OstapenkoDepartment of Anesthesiology and Perioperative Medicine, Maine Health-Maine Medical Center, Portland, ME, USA.
BobbieJean SweitzerDepartment of Anesthesiology and Surgical Services, Inova Health, Falls Church, VA, USA; Department of Medical Education, University of Virginia, Charlottesville, VA, USA.
Angela SelzerDepartment of Anesthesiology, University of Colorado, Denver, CO, USA.
Joan M Irizarry-AlvaradoDivision of General Internal Medicine, Jacksonville, FL, USA.
Maria D Hurtado AndradeDivision of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA; Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Carlos E MendezDepartment of Medicine, Medical College of Wisconsin and Zablocki Veteran Affairs Medical Center, Milwaukee, WI, USA.
Kristen D KelleyDepartment of Internal Medicine, University of California at Davis School of Medicine, Sacramento, CA, USA.
Erin StewartDepartment of Anesthesiology, Stanford University School of Medicine, Palo Alto, CA, USA.
Claudia R Fernandez RoblesDepartment of Anesthesiology, Yale School of Medicine, New Haven, CT, USA.
Ryan M ChadhaDepartment of Anesthesiology, Mayo Clinic, Jacksonville, FL, USA.
Michael CamilleriDivision of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Ruchi MathurDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Guillermo E UmpierrezDivision of Endocrinology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
David L HepnerDepartment of Anesthesiology, Mass General Brigham, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The perioperative management of patients using glucagon-like peptide 1 receptor agonists remains a topic of debate. While several multisociety statements have been published recently, the recommendations vary significantly in terms of medication management and preoperative fasting protocols for these patients. This document represents a multidisciplinary consensus statement led by the Society for Perioperative Assessment and Quality Improvement (SPAQI). It provides updated recommendations based on a modified Delphi process and supported by a systematic review of the current literature. The recommendations address management of the glucagon-like peptide 1 receptor agonists perioperatively, and preoperative fasting times for both solids and liquids. SYSTEMATIC REVIEW PROTOCOL: PROSPERO (CRD42023438624).

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsPerioperative CareConsensusDelphi TechniqueFastingHumansQuality ImprovementGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic Agentsdiabetes mellitusgastric emptyingglucagon-like peptide 1 receptor agonistsmajor adverse cardiovascular eventsobesityperioperative care

Identifiers

PMID40379536
PMCPMC12597468

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.