An Enhanced Recovery After Surgery (ERAS) Protocol for Ambulatory Anorectal Surgery Reduced Postoperative Pain and Unplanned Returns to Care After ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-07

AUTHORS

Aaron B. Parrish, Sean M. O’Neill, Steven R. Crain, Tara A. Russell, Deepak K. Sonthalia, Vu T. Nguyen, Armen Aboulian

ABSTRACT

BACKGROUND: Ambulatory surgery for anorectal procedures has been proven to be safe and effective. Specific perioperative pathways combining multiple interventions have been shown to optimize recovery and outcomes associated with inpatient colorectal surgery. However, there are no major studies describing and evaluating a standardized protocol for ambulatory anorectal surgery. The purpose of this study was to evaluate the outcomes of a modified enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery. METHODS: This was a retrospective review of prospectively collected data from 14 Southern California Kaiser Permanente medical centers. An eight-item protocol including: preoperative education, preoperative distribution of prescriptions, preoperative carbohydrate treatment, multimodal analgesia, preferential use of monitored anesthesia care (MAC), routine use of local anesthesia/regional blocks, intraoperative restriction of intravenous fluids, and post-discharge phone call. Postoperative pain scores and preventable returns to the emergency department or urgent care were assessed. RESULTS: Postoperative pain scores were reduced when all eight elements of the protocol were delivered (p = 0.005). On multivariate analysis, there was reduced postoperative pain when preoperative carbohydrate treatment was completed (p = 0.002), with MAC (p = 0.003), and when multimodal analgesia was used (p = 0.02). There were decreased preventable returns to the emergency department or urgent care when MAC was used (p = 0.03); there were more returns for constipation (p = 0.04) but fewer returns for pain (p = 0.002) after preoperative carbohydrate treatment. Local anesthesia was associated with fewer returns for constipation (p = 0.01). CONCLUSIONS: Implementation of a standardized ERAS protocol for ambulatory anorectal surgery decreased postoperative pain and unplanned return visits to emergency care. More... »

PAGES

1929-1938

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-017-4414-8

DOI

http://dx.doi.org/10.1007/s00268-017-4414-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100272383

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29318355


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ambulatory Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Anal Canal", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Clinical Protocols", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Digestive System Surgical Procedures", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Emergency Medical Services", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain, Postoperative", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Perioperative Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Rectum", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Harbor\u2013UCLA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.239844.0", 
          "name": [
            "Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Parrish", 
        "givenName": "Aaron B.", 
        "id": "sg:person.011664656005.64", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011664656005.64"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ronald Reagan UCLA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.413083.d", 
          "name": [
            "Department of Surgery, UCLA Medical Center, Los Angeles, CA, USA", 
            "Veterans Affairs/Robert Wood Johnson Clinical Scholars Program, Philadelphia, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "O\u2019Neill", 
        "givenName": "Sean M.", 
        "id": "sg:person.016373241516.59", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016373241516.59"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Kaiser Permanente", 
          "id": "https://www.grid.ac/institutes/grid.280062.e", 
          "name": [
            "Department of Surgery, Southern California Permanente Medical Group, Woodland Hills, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Crain", 
        "givenName": "Steven R.", 
        "id": "sg:person.016507470116.12", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016507470116.12"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ronald Reagan UCLA Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.413083.d", 
          "name": [
            "Department of Surgery, UCLA Medical Center, Los Angeles, CA, USA", 
            "Veterans Affairs/Robert Wood Johnson Clinical Scholars Program, Philadelphia, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Russell", 
        "givenName": "Tara A.", 
        "id": "sg:person.014317146516.03", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014317146516.03"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Kaiser Permanente", 
          "id": "https://www.grid.ac/institutes/grid.280062.e", 
          "name": [
            "Department of Anesthesia, Southern California Permanente Medical Group, San Diego, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sonthalia", 
        "givenName": "Deepak K.", 
        "id": "sg:person.010533664116.67", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010533664116.67"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Department of General Surgery, Southern California Permanent Medical Group, 91367, Baldwin Park, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Nguyen", 
        "givenName": "Vu T.", 
        "id": "sg:person.015046413716.76", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015046413716.76"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Kaiser Permanente", 
          "id": "https://www.grid.ac/institutes/grid.280062.e", 
          "name": [
            "Department of Surgery, Southern California Permanente Medical Group, Woodland Hills, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Aboulian", 
        "givenName": "Armen", 
        "id": "sg:person.01163302246.06", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01163302246.06"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1097/aln.0b013e3181fcbfd9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001759366"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aln.0b013e3181fcbfd9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001759366"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.clnu.2009.05.009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002996421"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.7161", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005724380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.7161", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005724380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dcr.0000000000000451", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009071134"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dcr.0000000000000451", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009071134"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1053/j.gastro.2008.10.030", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011020881"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-199710000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011220392"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-199710000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011220392"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2147/jpr.s27894", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013443021"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000000206", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016456906"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000000206", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016456906"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s12262-012-0693-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017234444", 
          "https://doi.org/10.1007/s12262-012-0693-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd004510.pub3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017315486"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dcr.0b013e318232d4c1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018619113"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dcr.0b013e318232d4c1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018619113"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aco.0b013e3282f16bf1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019961805"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aco.0b013e3282f16bf1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019961805"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aco.0b013e3282f16bf1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019961805"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000259219.08209.36", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020678752"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000259219.08209.36", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020678752"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000259219.08209.36", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020678752"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10350-004-6672-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023408047", 
          "https://doi.org/10.1007/s10350-004-6672-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/s10350-004-6672-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023408047"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3390/ph7080850", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024230654"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10350-004-6466-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032578725", 
          "https://doi.org/10.1007/s10350-004-6466-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/s10350-004-6466-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032578725"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1015-9584(11)60008-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033054489"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-200011000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036872652"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-200011000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036872652"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.5187", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039490371"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.5187", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039490371"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.clnu.2010.01.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040018207"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12871-016-0223-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041176002", 
          "https://doi.org/10.1186/s12871-016-0223-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12871-016-0223-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041176002", 
          "https://doi.org/10.1186/s12871-016-0223-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.clnu.2012.08.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043064039"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd009161.pub2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046034251"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/1475-6773.12454", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048955596"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.4371", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050270563"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00384-005-0077-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051313155", 
          "https://doi.org/10.1007/s00384-005-0077-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00384-005-0077-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051313155", 
          "https://doi.org/10.1007/s00384-005-0077-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.2010.309", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052343711"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0035-1570023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057351164"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078619623", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078838254", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-198602000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1080048268"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-198602000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1080048268"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-198602000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1080048268"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082592468", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-07", 
    "datePublishedReg": "2018-07-01", 
    "description": "BACKGROUND: Ambulatory surgery for anorectal procedures has been proven to be safe and effective. Specific perioperative pathways combining multiple interventions have been shown to optimize recovery and outcomes associated with inpatient colorectal surgery. However, there are no major studies describing and evaluating a standardized protocol for ambulatory anorectal surgery. The purpose of this study was to evaluate the outcomes of a modified enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery.\nMETHODS: This was a retrospective review of prospectively collected data from 14 Southern California Kaiser Permanente medical centers. An eight-item protocol including: preoperative education, preoperative distribution of prescriptions, preoperative carbohydrate treatment, multimodal analgesia, preferential use of monitored anesthesia care (MAC), routine use of local anesthesia/regional blocks, intraoperative restriction of intravenous fluids, and post-discharge phone call. Postoperative pain scores and preventable returns to the emergency department or urgent care were assessed.\nRESULTS: Postoperative pain scores were reduced when all eight elements of the protocol were delivered (p\u00a0=\u00a00.005). On multivariate analysis, there was reduced postoperative pain when preoperative carbohydrate treatment was completed (p\u00a0=\u00a00.002), with MAC (p\u00a0=\u00a00.003), and when multimodal analgesia was used (p\u00a0=\u00a00.02). There were decreased preventable returns to the emergency department or urgent care when MAC was used (p\u00a0=\u00a00.03); there were more returns for constipation (p\u00a0=\u00a00.04) but fewer returns for pain (p\u00a0=\u00a00.002) after preoperative carbohydrate treatment. Local anesthesia was associated with fewer returns for constipation (p\u00a0=\u00a00.01).\nCONCLUSIONS: Implementation of a standardized ERAS protocol for ambulatory anorectal surgery decreased postoperative pain and unplanned return visits to emergency care.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00268-017-4414-8", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1086446", 
        "issn": [
          "0364-2313", 
          "1432-2323"
        ], 
        "name": "World Journal of Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "7", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "42"
      }
    ], 
    "name": "An Enhanced Recovery After Surgery (ERAS) Protocol for Ambulatory Anorectal Surgery Reduced Postoperative Pain and Unplanned Returns to Care After Discharge", 
    "pagination": "1929-1938", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "3194fc5963148f659336637f95625f6c1612714e7fa3c4e7fd092e12054cd5fc"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29318355"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "7704052"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00268-017-4414-8"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1100272383"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00268-017-4414-8", 
      "https://app.dimensions.ai/details/publication/pub.1100272383"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T16:48", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8669_00000548.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007%2Fs00268-017-4414-8"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00268-017-4414-8'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00268-017-4414-8'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00268-017-4414-8'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00268-017-4414-8'


 

This table displays all metadata directly associated to this object as RDF triples.

281 TRIPLES      21 PREDICATES      77 URIs      35 LITERALS      23 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00268-017-4414-8 schema:about N16c5b36ba94d462b9436e014c52e45e8
2 N29ae616cef71406b8ba926e39eb433f6
3 N2e6e1bcc459149e48b55206834da0efb
4 N5386bdad444e4c64b5ba78d673dc1047
5 N5787df0e5e534b85a4c8ae77862c967f
6 N77114670d6ae46d78552ecc479b8b9d6
7 N7796b1adef1b43d19dab95aa9e000340
8 N7981fed31976400885174affb0bbdd3b
9 N8caab1abe9f146eaba3d996b9d5900d7
10 N921d48762d104aadb77a6a059d38f31d
11 Nb8719157c2f64c26a3c657596d728395
12 Nb8df50ea15be41b5b33c2a4e45ed5d9d
13 Nc4d788cf5a9a49b28a1779ff18880da1
14 Nd2b2ab4558fd45cebce10396ed9e6a3f
15 anzsrc-for:11
16 anzsrc-for:1103
17 schema:author N008dd14da7d24ee89a9981aa86a2108c
18 schema:citation sg:pub.10.1007/s00384-005-0077-2
19 sg:pub.10.1007/s10350-004-6466-8
20 sg:pub.10.1007/s10350-004-6672-4
21 sg:pub.10.1007/s12262-012-0693-3
22 sg:pub.10.1186/s12871-016-0223-0
23 https://app.dimensions.ai/details/publication/pub.1078619623
24 https://app.dimensions.ai/details/publication/pub.1078838254
25 https://app.dimensions.ai/details/publication/pub.1082592468
26 https://doi.org/10.1001/archsurg.2010.309
27 https://doi.org/10.1002/14651858.cd004510.pub3
28 https://doi.org/10.1002/14651858.cd009161.pub2
29 https://doi.org/10.1002/bjs.4371
30 https://doi.org/10.1002/bjs.5187
31 https://doi.org/10.1002/bjs.7161
32 https://doi.org/10.1007/s10350-004-6466-8
33 https://doi.org/10.1007/s10350-004-6672-4
34 https://doi.org/10.1016/j.clnu.2009.05.009
35 https://doi.org/10.1016/j.clnu.2010.01.004
36 https://doi.org/10.1016/j.clnu.2012.08.013
37 https://doi.org/10.1016/s1015-9584(11)60008-0
38 https://doi.org/10.1053/j.gastro.2008.10.030
39 https://doi.org/10.1055/s-0035-1570023
40 https://doi.org/10.1097/00000542-199710000-00020
41 https://doi.org/10.1097/00000542-200011000-00015
42 https://doi.org/10.1097/00007611-198602000-00007
43 https://doi.org/10.1097/01.sla.0000259219.08209.36
44 https://doi.org/10.1097/aco.0b013e3282f16bf1
45 https://doi.org/10.1097/aln.0b013e3181fcbfd9
46 https://doi.org/10.1097/dcr.0000000000000451
47 https://doi.org/10.1097/dcr.0b013e318232d4c1
48 https://doi.org/10.1111/1475-6773.12454
49 https://doi.org/10.1213/ane.0000000000000206
50 https://doi.org/10.2147/jpr.s27894
51 https://doi.org/10.3390/ph7080850
52 schema:datePublished 2018-07
53 schema:datePublishedReg 2018-07-01
54 schema:description BACKGROUND: Ambulatory surgery for anorectal procedures has been proven to be safe and effective. Specific perioperative pathways combining multiple interventions have been shown to optimize recovery and outcomes associated with inpatient colorectal surgery. However, there are no major studies describing and evaluating a standardized protocol for ambulatory anorectal surgery. The purpose of this study was to evaluate the outcomes of a modified enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery. METHODS: This was a retrospective review of prospectively collected data from 14 Southern California Kaiser Permanente medical centers. An eight-item protocol including: preoperative education, preoperative distribution of prescriptions, preoperative carbohydrate treatment, multimodal analgesia, preferential use of monitored anesthesia care (MAC), routine use of local anesthesia/regional blocks, intraoperative restriction of intravenous fluids, and post-discharge phone call. Postoperative pain scores and preventable returns to the emergency department or urgent care were assessed. RESULTS: Postoperative pain scores were reduced when all eight elements of the protocol were delivered (p = 0.005). On multivariate analysis, there was reduced postoperative pain when preoperative carbohydrate treatment was completed (p = 0.002), with MAC (p = 0.003), and when multimodal analgesia was used (p = 0.02). There were decreased preventable returns to the emergency department or urgent care when MAC was used (p = 0.03); there were more returns for constipation (p = 0.04) but fewer returns for pain (p = 0.002) after preoperative carbohydrate treatment. Local anesthesia was associated with fewer returns for constipation (p = 0.01). CONCLUSIONS: Implementation of a standardized ERAS protocol for ambulatory anorectal surgery decreased postoperative pain and unplanned return visits to emergency care.
55 schema:genre research_article
56 schema:inLanguage en
57 schema:isAccessibleForFree true
58 schema:isPartOf N660d3530e5244eedbaed4f1e0dea1f29
59 Nba13099c17884c4392f952369625e2d2
60 sg:journal.1086446
61 schema:name An Enhanced Recovery After Surgery (ERAS) Protocol for Ambulatory Anorectal Surgery Reduced Postoperative Pain and Unplanned Returns to Care After Discharge
62 schema:pagination 1929-1938
63 schema:productId N824a9d59efda41a0b8cd225ced3bec84
64 N9aeec5058f24409bac1fbf91bc6ba6f1
65 Nc161bcc0263a4022bb85c990d52716bb
66 Ncd059897349949ada022e099c66ef260
67 Nd4c33ad3471c4ac5acd48488b507fe79
68 schema:sameAs https://app.dimensions.ai/details/publication/pub.1100272383
69 https://doi.org/10.1007/s00268-017-4414-8
70 schema:sdDatePublished 2019-04-10T16:48
71 schema:sdLicense https://scigraph.springernature.com/explorer/license/
72 schema:sdPublisher N434ef9de2b764ee98ec55f8d6a2728e1
73 schema:url http://link.springer.com/10.1007%2Fs00268-017-4414-8
74 sgo:license sg:explorer/license/
75 sgo:sdDataset articles
76 rdf:type schema:ScholarlyArticle
77 N008dd14da7d24ee89a9981aa86a2108c rdf:first sg:person.011664656005.64
78 rdf:rest Na2cda6b6d9a1414b8889aae87b37c584
79 N16c5b36ba94d462b9436e014c52e45e8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
80 schema:name Middle Aged
81 rdf:type schema:DefinedTerm
82 N2262662ad85c459dac3a8c5fc1885c8e rdf:first sg:person.015046413716.76
83 rdf:rest N229012471c4c4c5d85007ebb79e35140
84 N229012471c4c4c5d85007ebb79e35140 rdf:first sg:person.01163302246.06
85 rdf:rest rdf:nil
86 N29ae616cef71406b8ba926e39eb433f6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
87 schema:name Rectum
88 rdf:type schema:DefinedTerm
89 N2e6e1bcc459149e48b55206834da0efb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
90 schema:name Adult
91 rdf:type schema:DefinedTerm
92 N3071c71985f1464a85a4befd742866b0 rdf:first sg:person.016507470116.12
93 rdf:rest N59949b7c538943eb921dacffb97ad032
94 N3636d4979daf4f37a55f0832e602395e rdf:first sg:person.010533664116.67
95 rdf:rest N2262662ad85c459dac3a8c5fc1885c8e
96 N434ef9de2b764ee98ec55f8d6a2728e1 schema:name Springer Nature - SN SciGraph project
97 rdf:type schema:Organization
98 N5386bdad444e4c64b5ba78d673dc1047 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
99 schema:name Clinical Protocols
100 rdf:type schema:DefinedTerm
101 N5787df0e5e534b85a4c8ae77862c967f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Pain, Postoperative
103 rdf:type schema:DefinedTerm
104 N59949b7c538943eb921dacffb97ad032 rdf:first sg:person.014317146516.03
105 rdf:rest N3636d4979daf4f37a55f0832e602395e
106 N660d3530e5244eedbaed4f1e0dea1f29 schema:issueNumber 7
107 rdf:type schema:PublicationIssue
108 N77114670d6ae46d78552ecc479b8b9d6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
109 schema:name Perioperative Care
110 rdf:type schema:DefinedTerm
111 N7796b1adef1b43d19dab95aa9e000340 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
112 schema:name Digestive System Surgical Procedures
113 rdf:type schema:DefinedTerm
114 N7981fed31976400885174affb0bbdd3b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
115 schema:name Humans
116 rdf:type schema:DefinedTerm
117 N7bcc2008549f492ea0683d6fb0948a54 schema:name Department of General Surgery, Southern California Permanent Medical Group, 91367, Baldwin Park, CA, USA
118 rdf:type schema:Organization
119 N824a9d59efda41a0b8cd225ced3bec84 schema:name nlm_unique_id
120 schema:value 7704052
121 rdf:type schema:PropertyValue
122 N8caab1abe9f146eaba3d996b9d5900d7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
123 schema:name Male
124 rdf:type schema:DefinedTerm
125 N921d48762d104aadb77a6a059d38f31d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
126 schema:name Ambulatory Surgical Procedures
127 rdf:type schema:DefinedTerm
128 N9aeec5058f24409bac1fbf91bc6ba6f1 schema:name readcube_id
129 schema:value 3194fc5963148f659336637f95625f6c1612714e7fa3c4e7fd092e12054cd5fc
130 rdf:type schema:PropertyValue
131 Na2cda6b6d9a1414b8889aae87b37c584 rdf:first sg:person.016373241516.59
132 rdf:rest N3071c71985f1464a85a4befd742866b0
133 Nb8719157c2f64c26a3c657596d728395 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Retrospective Studies
135 rdf:type schema:DefinedTerm
136 Nb8df50ea15be41b5b33c2a4e45ed5d9d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Female
138 rdf:type schema:DefinedTerm
139 Nba13099c17884c4392f952369625e2d2 schema:volumeNumber 42
140 rdf:type schema:PublicationVolume
141 Nc161bcc0263a4022bb85c990d52716bb schema:name doi
142 schema:value 10.1007/s00268-017-4414-8
143 rdf:type schema:PropertyValue
144 Nc4d788cf5a9a49b28a1779ff18880da1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Emergency Medical Services
146 rdf:type schema:DefinedTerm
147 Ncd059897349949ada022e099c66ef260 schema:name dimensions_id
148 schema:value pub.1100272383
149 rdf:type schema:PropertyValue
150 Nd2b2ab4558fd45cebce10396ed9e6a3f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
151 schema:name Anal Canal
152 rdf:type schema:DefinedTerm
153 Nd4c33ad3471c4ac5acd48488b507fe79 schema:name pubmed_id
154 schema:value 29318355
155 rdf:type schema:PropertyValue
156 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
157 schema:name Medical and Health Sciences
158 rdf:type schema:DefinedTerm
159 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
160 schema:name Clinical Sciences
161 rdf:type schema:DefinedTerm
162 sg:journal.1086446 schema:issn 0364-2313
163 1432-2323
164 schema:name World Journal of Surgery
165 rdf:type schema:Periodical
166 sg:person.010533664116.67 schema:affiliation https://www.grid.ac/institutes/grid.280062.e
167 schema:familyName Sonthalia
168 schema:givenName Deepak K.
169 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010533664116.67
170 rdf:type schema:Person
171 sg:person.01163302246.06 schema:affiliation https://www.grid.ac/institutes/grid.280062.e
172 schema:familyName Aboulian
173 schema:givenName Armen
174 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01163302246.06
175 rdf:type schema:Person
176 sg:person.011664656005.64 schema:affiliation https://www.grid.ac/institutes/grid.239844.0
177 schema:familyName Parrish
178 schema:givenName Aaron B.
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011664656005.64
180 rdf:type schema:Person
181 sg:person.014317146516.03 schema:affiliation https://www.grid.ac/institutes/grid.413083.d
182 schema:familyName Russell
183 schema:givenName Tara A.
184 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014317146516.03
185 rdf:type schema:Person
186 sg:person.015046413716.76 schema:affiliation N7bcc2008549f492ea0683d6fb0948a54
187 schema:familyName Nguyen
188 schema:givenName Vu T.
189 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015046413716.76
190 rdf:type schema:Person
191 sg:person.016373241516.59 schema:affiliation https://www.grid.ac/institutes/grid.413083.d
192 schema:familyName O’Neill
193 schema:givenName Sean M.
194 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016373241516.59
195 rdf:type schema:Person
196 sg:person.016507470116.12 schema:affiliation https://www.grid.ac/institutes/grid.280062.e
197 schema:familyName Crain
198 schema:givenName Steven R.
199 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016507470116.12
200 rdf:type schema:Person
201 sg:pub.10.1007/s00384-005-0077-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051313155
202 https://doi.org/10.1007/s00384-005-0077-2
203 rdf:type schema:CreativeWork
204 sg:pub.10.1007/s10350-004-6466-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032578725
205 https://doi.org/10.1007/s10350-004-6466-8
206 rdf:type schema:CreativeWork
207 sg:pub.10.1007/s10350-004-6672-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023408047
208 https://doi.org/10.1007/s10350-004-6672-4
209 rdf:type schema:CreativeWork
210 sg:pub.10.1007/s12262-012-0693-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017234444
211 https://doi.org/10.1007/s12262-012-0693-3
212 rdf:type schema:CreativeWork
213 sg:pub.10.1186/s12871-016-0223-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041176002
214 https://doi.org/10.1186/s12871-016-0223-0
215 rdf:type schema:CreativeWork
216 https://app.dimensions.ai/details/publication/pub.1078619623 schema:CreativeWork
217 https://app.dimensions.ai/details/publication/pub.1078838254 schema:CreativeWork
218 https://app.dimensions.ai/details/publication/pub.1082592468 schema:CreativeWork
219 https://doi.org/10.1001/archsurg.2010.309 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052343711
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1002/14651858.cd004510.pub3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017315486
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1002/14651858.cd009161.pub2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046034251
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1002/bjs.4371 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050270563
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1002/bjs.5187 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039490371
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1002/bjs.7161 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005724380
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1007/s10350-004-6466-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032578725
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1007/s10350-004-6672-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023408047
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1016/j.clnu.2009.05.009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002996421
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1016/j.clnu.2010.01.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040018207
238 rdf:type schema:CreativeWork
239 https://doi.org/10.1016/j.clnu.2012.08.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043064039
240 rdf:type schema:CreativeWork
241 https://doi.org/10.1016/s1015-9584(11)60008-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033054489
242 rdf:type schema:CreativeWork
243 https://doi.org/10.1053/j.gastro.2008.10.030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011020881
244 rdf:type schema:CreativeWork
245 https://doi.org/10.1055/s-0035-1570023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057351164
246 rdf:type schema:CreativeWork
247 https://doi.org/10.1097/00000542-199710000-00020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011220392
248 rdf:type schema:CreativeWork
249 https://doi.org/10.1097/00000542-200011000-00015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036872652
250 rdf:type schema:CreativeWork
251 https://doi.org/10.1097/00007611-198602000-00007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1080048268
252 rdf:type schema:CreativeWork
253 https://doi.org/10.1097/01.sla.0000259219.08209.36 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020678752
254 rdf:type schema:CreativeWork
255 https://doi.org/10.1097/aco.0b013e3282f16bf1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019961805
256 rdf:type schema:CreativeWork
257 https://doi.org/10.1097/aln.0b013e3181fcbfd9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001759366
258 rdf:type schema:CreativeWork
259 https://doi.org/10.1097/dcr.0000000000000451 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009071134
260 rdf:type schema:CreativeWork
261 https://doi.org/10.1097/dcr.0b013e318232d4c1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018619113
262 rdf:type schema:CreativeWork
263 https://doi.org/10.1111/1475-6773.12454 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048955596
264 rdf:type schema:CreativeWork
265 https://doi.org/10.1213/ane.0000000000000206 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016456906
266 rdf:type schema:CreativeWork
267 https://doi.org/10.2147/jpr.s27894 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013443021
268 rdf:type schema:CreativeWork
269 https://doi.org/10.3390/ph7080850 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024230654
270 rdf:type schema:CreativeWork
271 https://www.grid.ac/institutes/grid.239844.0 schema:alternateName Harbor–UCLA Medical Center
272 schema:name Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA
273 rdf:type schema:Organization
274 https://www.grid.ac/institutes/grid.280062.e schema:alternateName Kaiser Permanente
275 schema:name Department of Anesthesia, Southern California Permanente Medical Group, San Diego, CA, USA
276 Department of Surgery, Southern California Permanente Medical Group, Woodland Hills, CA, USA
277 rdf:type schema:Organization
278 https://www.grid.ac/institutes/grid.413083.d schema:alternateName Ronald Reagan UCLA Medical Center
279 schema:name Department of Surgery, UCLA Medical Center, Los Angeles, CA, USA
280 Veterans Affairs/Robert Wood Johnson Clinical Scholars Program, Philadelphia, PA, USA
281 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...