Evidence map›Paper›PMID 29977464›Full record

ReviewMethodist DeBakey cardiovascular journal

The Benefits of Enhanced Recovery After Surgery Programs and Their Application in Cardiothoracic Surgery.

Jessica K Brown, Karanbir Singh, Razvan Dumitru, Edward Chan, Min P Kim

3 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Methodist DeBakey cardiovascular journal. 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 69 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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.

NCT04506762 naterminatednot on this map

Does Bilateral Continuous Peri Operative Erector Spinae Plane Block Improve The Enhanced Recovery Program After Open Heart Surgeries in Adults?

TypeinterventionalSponsorVinmec Healthcare SystemRan2020 to 2023Enrolled20ConditionsOpen Heart SurgeryArmsRegional analgesia
NCT04983498 phase4withdrawnnot on this map

Evaluation of an Enhanced Recovery Pathway for Endoscopy Patients Receiving Moderate Sedation

TypeinterventionalSponsorNorthwestern UniversityRan2021 to 2022Enrolled0ConditionsEnhanced Recovery Pathway, EndoscopyArmsOndansetron 4 MG, Lactated Ringers, Intravenous, Early Mobilization, Early PO Intake
NCT06146426 naunknown statusnot on this map

Effects of Early Oral Diet After Cardiac Surgery: an Open Label Randomized Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2023 to 2025Enrolled196ConditionsAdult Cardiac SurgeryArmsEarly diet resumption
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  11. Enhanced Recovery After Surgery (ERAS) Reduces Hospital Costs and Improve Clinical Outcomes in Liver Surgery: a Systematic Review and Meta-Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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9 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

5 authors.

Jessica K BrownHOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
Karanbir SinghHOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
Razvan DumitruHOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
Edward ChanHOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
Min P KimHOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The perioperative care of the surgical patient is undergoing a paradigm shift. Enhanced Recovery After Surgery (ERAS) programs are becoming the standard of care and best practice in many surgical specialties throughout the world. ERAS is a multimodal, multidisciplinary, evidence-based approach to care of the surgical patient that aims to optimize perioperative management and outcomes. Implementation, however, has been slow because it challenges traditional surgical doctrine. The key elements of ERAS Pathways strive to reduce the response to surgical stress, decrease insulin resistance, and maintain anabolic homeostasis to help the patient return to baseline function more quickly. Data suggest that these pathways have produced not only improvements in clinical outcome and quality of care but also significant cost savings. Large trials reveal an increase in 5-year survival and a decrease in immediate complication rates when strict compliance is maintained with all pathway components. Years of success using ERAS in colorectal surgery have helped to establish a body of evidence through a number of randomized controlled trials that encourage application of these pathways in other surgical specialties.

Indexed as

Cardiac Surgical ProceduresLength of StayBlood TransfusionComorbidityEarly AmbulationEvidence-Based MedicineHumansNutritional StatusPatient SatisfactionPostoperative CarePostoperative ComplicationsProcess Assessment, Health CareProgram DevelopmentRecovery of FunctionRisk FactorsSmokingcardiothoracic surgeryenhanced recovery after surgeryERASlength of staylung resectionmultimodal analgesiatranscatheter aortic valve replacement

Identifiers

PMID29977464
PMCPMC6027721

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.