Evidence map›Paper›PMID 29744679›Full record

ReviewMedical oncology (Northwood, London, England)2018

Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery.

Michał Pędziwiatr, Judene Mavrikis, Jan Witowski, Alexandros Adamos, Piotr Major, Michał Nowakowski, Andrzej Budzyński

3 registry-linked trialsOpen access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Medical oncology (Northwood, London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 146 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 8 pooled it
28.2field-weighted citation impact, top 1% 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.

NCT04029753 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Effects of Walking Out From Operating Room on Postoperative Recovery of Patients Undergoing Laparoscopic Radical Gastrectomy

TypeinterventionalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2019 to 2024Enrolled200ConditionsLaparoscopic Radical Gastrectomy, Enhanced Recovery After SurgeryArmsWalk out from operating room
NCT04850586 nacompletednot on this mapstarted 2019, after this paper: background citation

The Impact of Structured Education Given by a Multidisciplinary Team on Pain, Anxiety, and Activities of Daily Living in Patients Undergoing Laparoscopic Cholecystectomy

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2019 to 2019Enrolled60ConditionsPain, Anxiety, Activities of Daily LivingArmsEducation Group
NCT06398301 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Surgical Prehabilitation on Autonomic Nervous System Regulation

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2024 to 2026Enrolled100ConditionsThoracic SurgeryArmsMultimodal prehabilitation Program
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 8 syntheses or guidelines pooled it, 336 citations in OpenAlex.

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86 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

7 authors at 2 institutions in 2 countries.

Michał Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21, 31-501, Krakow, Poland. michal.pedziwiatr@uj.edu.pl.ORCID http://orcid.org/0000-0001-9073-2667
Judene Mavrikis2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21, 31-501, Krakow, Poland.
Jan Witowski2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21, 31-501, Krakow, Poland.ORCID http://orcid.org/0000-0001-9284-4830
Alexandros AdamosCarol Davila University of Medicine and Pharmacy, Sector 1, Strada Dionisie Lupu 37, 030167, Bucharest, Romania.
Piotr Major2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21, 31-501, Krakow, Poland.
Michał NowakowskiDepartment of Medical Education, Jagiellonian University Medical College, św. Łazarza 16, 31-530, Krakow, Poland.
Andrzej Budzyński2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21, 31-501, Krakow, Poland.
Jagiellonian University · PLCarol Davila University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) is an evidence-based paradigm shift in perioperative care, proven to lower both recovery time and postoperative complication rates. The role of ERAS in several surgical disciplines was reviewed. In colorectal surgery, ERAS protocol is currently well established as the best care. In gastric surgery, 2014 saw an establishment of ERAS protocol for gastrectomies with resulting meta-analysis showing ERAS effectiveness. ERAS has also been shown to be beneficial in liver surgery with many centers starting implementation. The advantages of ERAS in pancreatic surgery have been strongly established, but there is still a need for large-scale, multicenter randomized trials. Barriers to implementation were analyzed, with recent studies concluding that successful implementation requires a multidisciplinary team, a willingness to change and a clear understanding of the protocol. Additionally, the difficulty in accomplishing necessary compliance to all protocol items calls for new implementation strategies. ERAS success in different patient populations was analyzed, and it was found that in the elderly population, ERAS shortened the length of hospitalization and did not lead to a higher risk of postoperative complications or readmissions. ERAS utilization in the emergency setting is possible and effective; however, certain changes to the protocol may need to be adapted. Therefore, further research is needed. There remains insufficient evidence on whether ERAS actually improves patients' course in the long term. However, since most centers started to implement ERAS protocol less than 5 years ago, more data are expected.

Indexed as

Digestive System Surgical ProceduresGastrointestinal NeoplasmsHumansPerioperative CarePostoperative CarePostoperative ComplicationsComplicationsEnhanced recovery after surgeryLaparoscopyLength of stayPerioperative care

Identifiers

PMID29744679
PMCPMC5943369
OpenAlexW2803097393

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.