Evidence map›Paper›PMID 22031616›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2011

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Megan Melnyk, Rowan G Casey, Peter Black, Anthony J Koupparis

5 registry-linked trialsOpen access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 210 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 18 pooled it
5.3field-weighted citation impact, top 4% of its field
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.

NCT04159363 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Effectiveness of an Interactive Colorectal Cancer Self-Management Enhancement Smartphone-based Psychosocial Intervention Programme (iCanManage) on Outcomes of Patients With Colorectal Cancer and Their Family Caregivers

TypeinterventionalSponsorSingapore Cancer SocietyRan2020 to 2021Enrolled200ConditionsColorectal CancerArmsAn interactive Colorectal Cancer self-Management enhancement smartphone-based psychosocial intervention programme (iCanManage)
NCT05158270 nacompletednot on this mapstarted 2021, after this paper: background citation

Erector Spinae Plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy, is It a Promising Alternative Modality?

TypeinterventionalSponsorZagazig UniversityRan2021 to 2024Enrolled81ConditionsLaparoscopic Cholecystectomy, Quadratus Lumborum Block, Erector Spinae Plane BlockArmsUltrasound Guided Erector spinae plane block, Ultrasound Guided Subcostal Anterior Quadratus Lumborum Block, Intravenous Multimodal Analgesia
NCT05465499 completednot on this mapstarted 2022, after this paper: background citation

Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital

TypeobservationalSponsorDr. Soetomo General HospitalRan2022 to 2022Enrolled207ConditionsERASArmsERAS
NCT06120530 phase4completednot on this mapstarted 2023, after this paper: background citation

Effect of Intraperitoneal Bupivacaine on Postoperative Pain Control in Patients Undergoing Pelvic Organ Prolapse Repair

TypeinterventionalSponsorIndiana UniversityRan2023 to 2024Enrolled91ConditionsPelvic Organ ProlapseArmsBupivacaine, Saline
NCT07044583 narecruitingnot on this mapstarted 2025, after this paper: background citation

SAVE Trial: SAfe Opioid Use Video Education

TypeinterventionalSponsorUniversity of UtahRan2025 to 2027Enrolled68ConditionsBreast Reconstruction, Breast CancerArmsOpioid Educational Video
3 · Its place in the literature

Who cites it

210 citing papers in PubMed, 18 syntheses or guidelines pooled it, 373 citations in OpenAlex.

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  4. Evaluating the therapeutic quality of prehabilitation programmes in patients scheduled for colorectal surgery: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Pooled it
  5. Evaluating the impact of enhanced recovery after surgery protocols following oesophagectomy: a systematic review and meta-analysis of randomised clinical trials.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Pooled it
  6. Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  13. Comparison of interventions and outcomes of enhanced recovery after surgery: a systematic review and meta-analysis of 2456 adolescent idiopathic scoliosis cases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Pooled it
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  16. Alvimopan for recovery of bowel function after radical cystectomy.The Cochrane database of systematic reviews · 2017
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150 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

Megan MelnykDepartment of Urological Sciences, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, Vancouver, BC.
Rowan G Casey
Peter Black
Anthony J Koupparis
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counselling, optimization of nutrition, standardized analgesic and anesthetic regimens and early mobilization. Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow.The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.

Identifiers

PMID22031616
PMCPMC3202008
OpenAlexW2105963978

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.