Evidence map›Paper›PMID 31616986›Full record

ReviewArchives of gynecology and obstetrics2020

Prehabilitation programs and ERAS protocols in gynecological oncology: a comprehensive review.

S Schneider, Robert Armbrust, C Spies, A du Bois, J Sehouli

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Archives of gynecology and obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06196138 (The Effect of Chewing Gum and Hot Compresses on Postoperative Pain, Bowel Function, and Patient Comfort After Gynecologic Oncologic Surgery), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 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.

NCT06196138 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effect of Chewing Gum and Hot Compresses on Postoperative Pain, Bowel Function, and Patient Comfort After Gynecologic Oncologic Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorIstanbul Medeniyet UniversityRan2024 to 2024Enrolled84ConditionsGynecologic Nursing, PainArmsGum, Hot Compress
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Multidisciplinary management of advanced ovarian cancer in Spain: expert recommendations for achieving maximum survival and improving patient care.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Experiences implementing a Radiation therapist-led oncology prehabilitation program during COVID-19.Technical innovations & patient support in radiation oncology · 2024
    Article
  14. Prospective evaluation of an enhanced recovery after surgery (ERAS) pathway in a Norwegian cohort of patients with suspected or advanced ovarian cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Article
  15. Patient-reported nausea after implementation of an enhanced recovery after surgery protocol for gynae-oncology patients.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Perspectives on the Direction of Cancer Prehabilitation in the Pandemic and Beyond.Archives of rehabilitation research and clinical translation · 2022
    Article
  20. Review
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.

S Schneider *Department of Gynecology and Gynecological Oncology, Kliniken Essen Mitte, Essen, Germany. St.Schneider@kem-med.com.
Robert ArmbrustDepartment of Gynecology with Center for Oncological Surgery, Charité-University Hospital Berlin, Berlin, Germany. robert.armbrust@charite.de.ORCID http://orcid.org/0000-0002-8606-6523
C SpiesDepartment of Anaesthesiology, Charité Medical University of Berlin, Berlin, Germany.
A du BoisDepartment of Gynecology and Gynecological Oncology, Kliniken Essen Mitte, Essen, Germany.
J SehouliDepartment of Gynecology and Gynecological Oncology, Kliniken Essen Mitte, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe "Enhanced recovery after surgery" (ERAS) concept has been continuously developed for many surgical disciplines. Shorter length of stay (LOS) and associated cost savings have been achieved without an increase in the complication or readmission rate. Current guidelines helped to support an increasing standardisation of care. One innovation of the recently published update is the proposal to integrate prehabilitation (PREHAB) into the ERAS concept. On this basis, the authors provide an overview of the current data on ERAS concepts in gynecological oncology and review the evidence of prehabilitation concepts.

methodsSystematic literature review of all comparative studies on ERAS concepts in gynecological oncology and prehabilitation undergoing abdominal cancer surgery was performed using the standard databases. Outcomes of interest included prehabilitation program composition (exercise, nutritional, and psychological interventions), duration and outcome measures used to determine impact of prehabilitation vs. standard care.

resultsFive studies reported on PREHAB programs in gynecology (three RCTs, one study protocol, one pilot study). There is no trial evaluating a pathway for patients with extensive ovarian or cervical cancer. Study protocols were heterogenous, but showed improvements in both physical and psychological parameters. ERAS protocols in ovarian cancer patients were investigated in 12 observational studies, mostly single center and only 1 RCT, in 4 studies patients with ovarian cancer or patients. Most studies showed improvement in complication rate and shorter LOS. DISCUSSION: PREHAB programs seem feasible in abdominal cancer surgery and may improve surgical outcome. However, there is no prospective trial in gynecological oncology so far. Furthermore, there is no concept combining ERAS and PREHAB interventions. Therefore, the authors encourage the further development of both by describing in a novel treatment algorithm.

Indexed as

Enhanced Recovery After SurgeryRecovery of FunctionFemaleGenital Neoplasms, FemaleGynecologic Surgical ProceduresGynecologyHumansLength of StayMiddle AgedPerioperative CarePilot ProjectsPostoperative CarePostoperative ComplicationsPostoperative PeriodPreoperative CareTreatment OutcomeERASGynecological oncologyOvarian cancerPrehabilitationSurgery

Identifiers

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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.