Evidence map›Paper›PMID 32409887›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Implementation of enhanced recovery after surgery (ERAS) protocol for anterior cervical discectomy and fusion: a propensity score-matched analysis.

Bertrand Debono, Pascal Sabatier, Guillaume Boniface, Philippe Bousquet, Jean-Paul Lescure, Valérie Garnaud, Olivier Hamel, Guillaume Lonjon

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. A meta-analysis of the implementation of enhanced recovery after surgery pathways in anterior cervical spine surgery for degenerative cervical spine diseases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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  16. Enhanced recovery after surgery (ERAS) protocol in spine surgery.Journal of clinical orthopaedics and trauma · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Bertrand DebonoDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France. bdebono@gmail.com.ORCID 0000-0003-4638-1075
Pascal SabatierDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France.
Guillaume BonifaceDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France.
Philippe BousquetDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France.
Jean-Paul LescureDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France.
Valérie GarnaudMedical Information Department, Ramsay-Clinique des Cèdres, Cornebarrieu, France.
Olivier HamelDepartment of Neurosurgery, Neuroscience Pole, Ramsay-Clinique des Cèdres, 31700, Cornebarrieu, France.
Guillaume LonjonDepartment of Orthopedic Surgery-Orthosud, Clinique st jean.Groupement SANTECITE., Montpellier, France.
Clinique des Cèdres · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEnhanced recovery after surgery (ERAS), still emerging for the spine, proposes a multimodal approach of perioperative care involving the optimization of every procedural step, with the patient in a proactive position regarding his/her management. We aimed to demonstrate a reduction in the length of hospital stay for ACDF without increasing the risk for patients by comparing 2 groups before and after ERAS implementation using propensity score (PS)-matched analysis.

methodsWe selected 2 periods of 1 year, before (n = 268 patients) and after ERAS implementation (n = 271 patients). Data were collected on patient demographics, operative and perioperative details, 90-day readmissions and morbidity. ERAS-trained nurses were involved to support patients at each pre/per/postoperative step with the help of a mobile app. A satisfaction survey was included. PS analyses were used for dealing with confounding bias in this retrospective observational study.

resultsAfter PS matching, the outcomes of 202 well-balanced pairs of patients were compared (conventional vs ERAS). LOS was reduced from 2.96 ± 1.35 to 1.40 ± 0.6 days (Student, p < 0.001). All 90-day surgical morbidity was similar between the 2 groups, including 30-day readmission (0.5% vs 0%; p = 1), 30- to 90-day readmission (0.5% vs 0.0%; p = 1), 90-day reoperation (0% vs 1%; p = 0.49), major complications (3.0% vs 3.5%; p = 1) and minor complications (2.0% vs 3.5%; p = 0.54). There was no significant difference concerning the satisfaction survey.

conclusionsThe introduction of ERAS for ACDF in our institution has resulted in a significant decrease in LOS, without causing an increase in postoperative complications and has maintained patients' satisfaction.

Indexed as

Enhanced Recovery After SurgeryDiskectomyFemaleHumansLength of StayMalePostoperative ComplicationsPropensity ScoreRetrospective StudiesSpineAnterior cervical discectomy and fusionEnhanced recovery after surgeryFast track surgeryPropensity score

Identifiers

PMID32409887
OpenAlexW3024572121

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.