SynthesisWorld journal of surgery2020
Cost Analysis of Enhanced Recovery Programs in Colorectal, Pancreatic, and Hepatic Surgery: A Systematic Review.
Synthesis in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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.
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Who cites it
22 citing papers in PubMed.
- Fiftieth Anniversary of the Publication of the World Journal of Surgery Title: Landmark Advances in Colorectal Surgery: A Primer of a Fifty-Year Evolution.World journal of surgery · 2026Review
- Patient perceptions of barriers and facilitators for self-care in surgical fast-track programmes related to capability, opportunity and motivation: a theory-based qualitative study in Sweden.Journal of research in nursing : JRN · 2026Article
- Early discharge within 48 h after minimally invasive colorectal resection: a propensity score-matched evaluation of clinical outcomes, resource utilization, and patient-reported experience.Surgical endoscopy · 2026Article
- Impact of the Eras Protocols on Costs and Benefits in Two Italian Second-Level Healthcare Centers According to the National Waiting List Management Plan (PNGLA).Journal of clinical medicine · 2026Article
- Effectiveness of a stepwise implementation of enhanced recovery after bariatric surgery: our experience.Updates in surgery · 2025Observational
- Health-related quality of life in patients undergoing hepato-pancreato biliary cancer surgery: A prospective follow-up study.Surgery open science · 2025Article
- Article
- Cost Analysis of Enhanced Recovery After Surgery (ERAS) in Elective Colorectal Surgery in a Philippine Government Hospital.Acta medica Philippina · 2025Article
- Implementation of cardiac enhanced recovery after surgery at Lausanne University Hospital, our roadbook to certification.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Outcomes before and after Implementation of the ERAS (Enhanced Recovery after Surgery) Protocol in Open and Laparoscopic Colorectal Surgery: A Comparative Real-World Study from Northern Italy.Current oncology (Toronto, Ont.) · 2024Article
- National analysis of racial disparities in emergent surgery for colorectal cancer.Surgery open science · 2024Article
- Enhanced recovery after surgery in primary liver cancer patients undergoing hepatectomy: experience from a large tertiary hospital in China.BMC surgery · 2023Article
- Association between compliance with enhanced recovery after surgery (ERAS) protocols and postoperative outcome in patients with primary liver cancer undergoing hepatic resection.Journal of cancer research and clinical oncology · 2022Article
- Principles of enhanced recovery in gastrointestinal surgery.Langenbeck's archives of surgery · 2022Review
- The Hidden Pandemic: the Cost of Postoperative Complications.Current anesthesiology reports · 2022Review
- Early enteral vs. oral nutrition after Whipple procedure: Study protocol for a multicentric randomized controlled trial (NUTRIWHI trial).Frontiers in oncology · 2022Article
- Effect of Patient-Controlled Epidural Analgesia (PCEA) Based on ERAS on Postoperative Recovery of Patients Undergoing Gynecological Laparoscopic Surgery.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Article
- Quality Versus Costs Related to Gastrointestinal Surgery: Disentangling the Value Proposition.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Review
- Liver resections between 2014 and 2020 in the Lausanne University Hospital, Switzerland.Global health & medicine · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced recovery programs (ERPs) have been shown to improve postoperative outcomes after abdominal surgery. This study aimed to review the current literature to assess if ERPs in colorectal, pancreas, and liver surgery induce cost savings.
methodsA systematic review was performed including prospective and retrospective studies comparing conventional management versus ERP in terms of costs. All kinds of ERP were considered (fast-track, ERAS
resultsThirty-seven articles out of 144 identified records were scrutinized as full articles. Final analysis included 16 studies. In colorectal surgery, two studies were prospective (1 randomized controlled trial, RCT) and six retrospective, totaling 1277 non-ERP patients and 2078 ERP patients. Three of the eight studies showed no difference in cost savings between the two groups. The meta-analysis found a mean cost reduction of USD3010 (95% CI: 5370-650, p = 0.01) in favor of ERP. Among the five included studies in pancreas surgery (all retrospective, 552 non-ERP vs. 348 ERP patients), the mean cost reduction in favor of the ERP group was USD7020 (95% CI: 11,600-2430, p = 0.003). In liver surgery, only three studies (two retrospective and 1 RCT, 180 non-ERP vs. 197 ERP patients) were found, which precluded a sound cost analysis.
conclusionsThe present systematic review suggests that ERPs in colorectal and pancreas surgery are associated with cost savings compared to conventional perioperative management. Cost data in liver surgery are scarce.
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