ArticleObesity surgery2020
Impact of Adherence to the ERAS® Protocol on Short-term Outcomes after Bariatric Surgery.
Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery.Obesity surgery · 2020Pooled it
- Postoperative virtual reality for recovery after bariatric surgery: study protocol for a randomised clinical trial.BJA open · 2024Trial
- When BMI exceeds 50: what ten years of follow-up reveal after bariatric surgery (BARI-10-POL study).Scientific reports · 2026Observational
- What Really Matters in Weight Loss after Bariatric Surgery - 10 Years Follow-Up (BARI-10 -POL Study).Obesity surgery · 2026Article
- Enhanced recovery after bariatric surgery: a comprehensive survey-based analysis of ERABS actual clinical implementation in Italian bariatric centers.Updates in surgery · 2025Article
- Long-term outcomes of metabolic bariatric surgery: a 10-Year multicenter retrospective study in Poland (BARI-10-POL).Langenbeck's archives of surgery · 2025Article
- Implementation of updated enhanced recovery after bariatric surgery guidelines: adapted protocol in a single tertiary center.Updates in surgery · 2024Observational
- Perioperative Nutritional Management in Enhanced Recovery after Bariatric Surgery.International journal of environmental research and public health · 2023Review
- Comparison of the Effects of Special Care Enhanced Recovery and Conventional Recovery Methods after Mini Omega Gastric Bypass.Advanced biomedical research · 2023Article
- Enhanced recovery after bariatric surgery: an Italian consensus statement.Surgical endoscopy · 2022Article
- Observational
- Impact of bariatric surgery on obstructive sleep apnea severity and continuous positive airway pressure therapy compliance-prospective observational study.Scientific reports · 2021Observational
- Enhanced Recovery After Surgery (ERAS) protocol in bariatric and metabolic surgery (BMS)-analysis of practices in nutritional aspects from five continents.Obesity surgery · 2020Review
- Association between enhanced recovery after surgery protocol compliance and clinical complications: a cohort study.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEnhanced recovery after surgery had been introduced with success in many surgical fields, including bariatrics. There are numerous studies presenting how ERAS® has positively affected the outcomes following weight loss surgery. The effect of compliance with the protocol on postoperative results has not been extensively researched in the literature. METHODOLOGY: The 15-element protocol used in our department was analyzed, and compliance was calculated based on pre- and peri-operative elements. We gathered data on recovery parameters, complications, and length of hospital stay. Patients were divided into two groups according to their compliance: group 1 < 80%, group 2 > 80%. Multivariate analysis was used to determine which element had the greatest effect.
resultsOur study group consisted of 764 patients operated in between 2009 and 2017. The median compliance was 87.94%; group 1 had 68.1% compliance and group 2 reached 92.7%. There were significant differences in morbidity (group 1 13.6% vs. group 2 2.8%, p < 0.001) and length of hospital stay (4 vs. 3 days, p < 0.001). Compliance, early mobilization, and day of food tolerance have been identified as affecting morbidity, whereas for prolonged hospital stays, it was multimodal analgesia, food tolerance, the volume of oral fluids, and intravenous fluids.
conclusionsCompliance with the ERAS® protocol affects morbidity and length of hospital stay. More studies are required to establish which elements have the greatest impact and which are essential.
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