Evidence map›Paper›PMID 29721734›Full record

ArticleInternational journal of colorectal disease2018

Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care.

Patricia Tejedor, Carlos Pastor, Santiago Gonzalez-Ayora, Mario Ortega-Lopez, Hector Guadalajara, Damian Garcia-Olmo

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Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  10. Preoperative physiotherapy education for patients undergoing colorectal cancer resection.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
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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

6 authors at 1 institution in 1 country.

Patricia TejedorDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain. patricia.tejedor@hotmail.com.ORCID http://orcid.org/0000-0001-8648-7697
Carlos PastorDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain.
Santiago Gonzalez-AyoraDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain.
Mario Ortega-LopezDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain.
Hector GuadalajaraDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain.
Damian Garcia-OlmoDepartment of General Surgery, Division of Colorectal Surgery, University Hospital Fundacion Jimenez Diaz, Madrid, Spain.
Hospital Universitario Fundación Jiménez Díaz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to evaluate the benefits of implementing Enhanced Recovery After Surgery (ERAS) protocols in elderly patients undergoing elective colorectal surgery.

methodsA retrospective non-randomized cohort study was conducted from September 2012 to December 2016. We included patients ≥ 70 years undergoing elective colorectal surgery. Outcome measures, compliance with interventions, and postoperative complications of patients treated under ERAS were case-matched (based on gender, age, type of surgery, and the presence/absence of a temporal stoma) to a retrospective group of patients ≥ 70 years treated under conventional care.

resultsA total of 312 patients (156 ERAS vs. 156 non-ERAS) were included in the study. The ERAS group had a significant reduction of grade III/IV Dindo-Clavien's postoperative complications when compared with conventional care. ERAS had a positive effect in reducing anastomotic leakage (14.7% non-ERAS vs. 9%) and postoperative mortality (11.5% non-ERAS vs. 1.9% ERAS; p = 0.001). A reduction of 2 days in length of hospital stay was achieved after implementing ERAS (8 (6.75) vs. 6 (5.25); p < 0.0001), while readmission rates remained unaffected. The average of global compliance (GC) with all ERAS interventions was 42%. GC was significantly lower in patients with permanent/temporary stomas and in patients in whom an open approach was performed.

conclusionIn our experience, ERAS should be implemented without reservations in elderly patients expecting the same goals and benefits as with other age groups. Barriers in achieving a high compliance rate are common and will require a great effort in patient's education, an intensive perioperative care, and sometimes a change in the surgeons' practice.

Indexed as

Colorectal SurgeryPostoperative CareRecovery of FunctionAgedAged, 80 and overDigestive System Surgical ProceduresFemaleHumansLength of StayMalePerioperative CarePostoperative ComplicationsRetrospective StudiesSpainColorectal cancer surgeryElderlyEnhanced recovery after surgeryERASMultimodal

Identifiers

PMID29721734
OpenAlexW2801118156

What OpenQuestion holds

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Registered trials

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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.