ArticleBJS open2025
Effectiveness of interventions delivered within inpatient perioperative care in adults undergoing surgery: scoping review of systematic reviews.
Article in BJS open, 2025. 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.
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Who cites it
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundMany perioperative interventions have been developed to improve care and health outcomes for patients. Interventions that are effective, reduce adverse events, and improve patient recovery are hugely important to patients and healthcare systems. This study provides a contemporary overview of the effectiveness of interventions delivered within inpatient perioperative care in adults undergoing surgery.
methodsA scoping review of systematic reviews (SRs) was performed according to Joanna Briggs Institute methodology and PRISMA-ScR guidelines. The following databases were searched: Medline, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, and Physiotherapy Evidence Database, last update 2 December 2025.
resultsIn all, 190 SRs were included in the review, incorporating 10 themes: enhanced recovery after surgery (ERAS; 77 SRs, 39%); diet/nutritional (31 SRs; 16%); pharmaceutical (20 SRs, 10.8%); respiratory (15 SRs, 8.5%); 'other' (e.g. sleep, body warming and personalized nursing interventions, goal directed haemodynamic and acupuncture therapy) (13 SRs, 7.4%); exercise/physical activity (12 SRs, 6.5%); comprehensive geriatric assessment (CGA; 9 SRs, 4.5%); care bundles (5 SRs, 2.8%); multimodal (5 SRs, 2.8%); and physiotherapy (3 SRs, 1.7%). Key intervention themes showed consistent benefit across a range of surgical specialities. These consisted of: respiratory/aerobic strategies on length of hospital stay (LoS), postoperative complications, and the 6-minute walk test, with little evidence for effect on mortality; diet/nutritional strategies, which had significant benefits with regard to LoS, postoperative complications, and surgical site infections, with little or no effect on mortality; CGA, which had a beneficial effect on mortality, LoS, and activities of daily living, with little evidence of effect on readmission; and ERAS, which showed improvements in LoS, postoperative complications, and morbidity, with less evidence of effect on mortality and readmission across specialities.
conclusionsKey interventions showed consistent patterns of improvement. Before improving or designing new perioperative interventions, it is important to consider and deliver strategies that have already been evaluated and are effective.
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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 Socratic graph.