Observational studyInternational journal of colorectal disease2016
Enhanced recovery care after colorectal surgery in elderly patients. Compliance and outcomes of a multicenter study from the Spanish working group on ERAS.
Observational study in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03803280 (Implementation of the Enhanced Recovery in Abdominal Surgery Pathway in the National Health Network), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Implementation of the Enhanced Recovery in Abdominal Surgery Pathway in the National Health Network (IMPRICA Project)
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the intervention components, adherence and outcomes of enhanced recovery programmes in older patients undergoing elective colorectal surgery.BMC geriatrics · 2019Pooled it
- Effectiveness of enhanced recovery after surgery protocols in elderly patients undergoing major abdominal surgery: a systematic review and meta-analysis.Frontiers in surgery · 2026Review
- Clinical outcomes and future directions of enhanced recovery after surgery in colorectal surgery: a narrative review.Ewha medical journal · 2024Review
- Article
- Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery.Clinics in colon and rectal surgery · 2023Review
- Review
- Association of frailty with outcomes of resection for colonic volvulus: A national analysis.PloS one · 2022Article
- Actual compliance rate of Enhanced Recovery After Surgery protocol in laparoscopic distal gastrectomy.Journal of minimally invasive surgery · 2021Article
- Implementation barriers for Enhanced Recovery After Surgery (ERAS) in rectal cancer surgery: a comparative analysis of compliance with colon cancer surgeries.Updates in surgery · 2021Article
- Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison.International journal of environmental research and public health · 2021Review
- Impact of Enhanced Recovery After Surgery on Long-Term Outcomes and Postoperative Recovery in Patients Undergoing Hepatectomy: A Retrospective Cohort Study.Cancer management and research · 2021Article
- The American College of Surgeons Geriatric Surgery Verification Program and the Practicing Colorectal Surgeon.Seminars in colon & rectal surgery · 2020Article
- Article
- Impact of Adherence to the ERAS® Protocol on Short-term Outcomes after Bariatric Surgery.Obesity surgery · 2020Article
- Postoperative complications are main reason for noncompliance with enhanced recovery after surgery program in patients undergoing hepatectomy and pancreatectomy.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Impact of age on feasibility and short-term outcomes of ERAS after laparoscopic colorectal resection.World journal of gastrointestinal surgery · 2019Article
- Short-term outcomes after elective colon cancer surgery: an observational study from the Norwegian registry for gastrointestinal and HPB surgery, NoRGast.Surgical endoscopy · 2019Observational
- Applying Enhanced Recovery Pathways to Unique Patient Populations.Clinics in colon and rectal surgery · 2019Review
- Enhanced Recovery Program for Colorectal Surgery: a Focus on Elderly Patients Over 75 Years Old.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Postoperative ileus concealing intra-abdominal complications in enhanced recovery programs-a retrospective analysis of the GRACE database.International journal of colorectal disease · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeERAS (enhanced recovery after surgery) programs have proven to reduce morbidity and hospital stay in colorectal surgery. However, the feasibility of these programs in elderly patients has been questioned. The aim of this study is to assess the implementation and outcomes of an ERAS program for colorectal cancer in elderly patients.
methodsThis is a multicenter observational study of a cohort of elderly patients undergoing colorectal surgery within an ERAS program. A total of 188 consecutive patients over 70 years who underwent elective colorectal surgery within an ERAS program at three institutions during a 2-year period were included. The compliance with the ERAS protocol interventions was measure. Complications were evaluated according to Clavien-Dindo classification. Data on length of stay and readmission rates were analyzed.
resultsEarly intake and early mobilization were the most successfully carried out interventions. There was a global compliance rate of 56 % of patients for whom compliance was achieved with all measured interventions. The median hospital length of stay was 6 days. Almost 60 % of patients had no complications, 24 % had minor complications while 13 % had major complications; of them, 8 % patients were reoperated. The readmission rate was 6.4 %.
conclusionsERAS after colorectal surgery in elderly patients presents as safe and feasible based on good reported outcomes of compliance rates, complications, readmissions, and needs for reoperation.
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