| Title |
Interdepartmental Spread of Innovations: A Multicentre Study of the Enhanced Recovery After Surgery Programme
|
|---|---|
| Published in |
World Journal of Surgery, January 2018
|
| DOI | 10.1007/s00268-018-4495-z |
| Pubmed ID | |
| Authors |
Jeanny J. A. de Groot, José M. C. Maessen, Cornelis H. C. Dejong, Bjorn Winkens, Roy F. P. M. Kruitwagen, Brigitte F. M. Slangen, Trudy van der Weijden, all the members of the study group, R. L. M. Bekkers, E. A. Boss, E. B. L. van Dorst, W. J. van Driel, G. Fons, K. N. Gaarenstroom, C. G. Gerestein, M. van Haaften, A. M. L. D. van Haaften‐de Jong, H. H. de Haan, D. van Hamont, R. H. M. Hermans, W. Hofhuis, L. N. Hofman, J. E. Martens, H. Mertens, B. M. Pijlman, J. M. A. Pijnenborg, N. Reesink‐Peters, E. M. Roes, J. H. Schagen van Leeuwen, M. P. L. M. Snijders, P. M. L. H. Vencken |
| Abstract |
Spread of evidence-based innovations beyond pioneering settings is essential to improve quality of care. This study aimed to evaluate the influence of a national project to implement 'Enhanced Recovery After Surgery' (ERAS) among colorectal teams on the spread of this innovation to gynaecological procedures. A retrospective observational multicentre study was performed of a consecutive sample of patients who underwent major elective gynaecological surgery in 2012-2013. Ten Dutch hospitals (294 patients) had participated in a colorectal breakthrough project implementing ERAS on a nationwide basis and were assigned to the intervention group. Thirteen hospitals (390 patients) that had not participated in this project acted as controls. Outcome measures were time to functional recovery and total length of postoperative hospital stay. Multilevel models adjusted for clustering and baseline demographics were used for analysis. The uptake of ten selected perioperative care elements was evaluated for each hospital. The estimated mean difference (95% confidence interval) between the intervention and control hospitals was -0.3 (-0.9 to 0.3) days in the time to recovery and 0.2 (-0.8 to 1.3) days in the total length of hospital stay. The mean (± standard deviation) absolute rate of implemented perioperative care elements per hospital was 28.9 ± 14.9% in the control, versus 29.3 ± 11.1% in the intervention group (p = 0.934). Initial implementation effects seem to be restricted to the participating teams and do not automatically spread to other surgical teams in the same hospital. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 29% |
| Unknown | 5 | 71% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 71% |
| Practitioners (doctors, other healthcare professionals) | 2 | 29% |
Mendeley readers
The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 28 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 6 | 21% |
| Student > Ph. D. Student | 3 | 11% |
| Researcher | 2 | 7% |
| Student > Bachelor | 2 | 7% |
| Student > Doctoral Student | 2 | 7% |
| Other | 2 | 7% |
| Unknown | 11 | 39% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 7 | 25% |
| Nursing and Health Professions | 3 | 11% |
| Business, Management and Accounting | 1 | 4% |
| Computer Science | 1 | 4% |
| Agricultural and Biological Sciences | 1 | 4% |
| Other | 2 | 7% |
| Unknown | 13 | 46% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 February 2018.
All research outputs
#7,230,391
of 23,018,998 outputs
Outputs from World Journal of Surgery
#1,416
of 4,262 outputs
Outputs of similar age
#148,169
of 440,194 outputs
Outputs of similar age from World Journal of Surgery
#57
of 114 outputs
Altmetric has tracked 23,018,998 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 4,262 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one has gotten more attention than average, scoring higher than 66% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 440,194 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 65% of its contemporaries.
We're also able to compare this research output to 114 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.