Evidence map›Paper›PMID 32648071›Full record

SynthesisWorld journal of urology2022

Critical analysis of quality of life and cost-effectiveness of enhanced recovery after surgery (ERAS) for patient's undergoing urologic oncology surgery: a systematic review.

Nathan A Brooks, Andrea Kokorovic, John S McGrath, Wassim Kassouf, Justin W Collins, Peter C Black, James Douglas, Hooman Djaladat, Siamak Daneshmand, James W F Catto and 2 more

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05231473 (Impact Of The Nurse Enhanced Recovery After Surgery Coordinator On The Compliance Of Multimodal Rehabilitation Programs In Colorectal Surgery), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT05231473 nacompletednot on this map

Impact Of The Nurse Enhanced Recovery After Surgery Coordinator On The Compliance Of Multimodal Rehabilitation Programs In Colorectal Surgery (nursERAS-BCN)

TypeinterventionalSponsorHospital Universitari de BellvitgeRan2022 to 2025Enrolled206ConditionsERAS, Enhanced Recovery, Compliance, Treatment, Compliance, PatientArmsNurse Enhanced Recovery After Surgery participation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. [Enhanced recovery after surgery-Does the ERAS concept keep its promises].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
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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

12 authors at 8 institutions in 3 countries.

Nathan A BrooksDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Andrea KokorovicDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
John S McGrathDepartment of Urology, Royal Devon and Exeter NHS Trust, Exeter, UK.
Wassim KassoufDepartment of Urology, McGill University Health Center, McGill, Montreal, QC, Canada.
Justin W CollinsDepartment of Urology, University College London Hospital, London, UK.
Peter C BlackDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
James DouglasDepartment of Urology, University Hospital of Southampton, Hampshire, UK.
Hooman DjaladatUSC Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
Siamak DaneshmandUSC Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
James W F CattoAcademic Urology Unit, University of Sheffield, Sheffield, UK.
Ashish M KamatDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Stephen B WilliamsDivision of Urology, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. stbwilli@utmb.edu.ORCID http://orcid.org/0000-0002-2683-2185
The University of Texas MD Anderson Cancer Center · USUniversity of Southern California · USMcGill University Health Centre · CARoyal Devon & Exeter NHS Foundation Trust · GBThe University of Texas Medical Branch at Galveston · USUniversity College Hospital · GBUniversity of British Columbia · CAUniversity of Sheffield · GB

Funding

U.S. Department of Defense W81XWH1710576
6 · The paper itself

Abstract

purposeEnhanced recovery after surgery (ERAS) protocols have been implemented across a variety of disciplines to improve outcomes. Herein we describe the impact of ERAS on quality of life (QOL) and cost for patients undergoing urologic oncology surgery.

methodsA systematic literature search using the MEDLINE, Scopus, Clinictrials.gov, and Cochrane Review databases for studies published between 1946 and 2020 was conducted. Articles were reviewed and assigned a risk of bias by two authors and were included if they addressed ERAS and either QOL or cost-effectiveness for patients undergoing urologic oncology surgery.

resultsThe literature search yielded a total of 682 studies after removing duplicates, of which 10 (1.5%) were included in the review. Nine articles addressed radical cystectomy, while one addressed ERAS and QOL for laparoscopic nephrectomy. Six publications assessed the impact of ERAS on QOL domains. Questionnaires used for assessment of QOL varied across studies, and timing of administration was heterogeneous. Overall, ERAS improved patient QOL during early phases of recovery within the realms of bowel function, physical/social/cognitive functioning, sleep and pain control. Costs were assessed in 4 retrospective studies including 3 conducted in the United States and one from China all addressing radical cystectomy. Studies demonstrated either decreased costs associated with ERAS as a result of decreased length of stay or no change in cost based on ERAS implementation.

conclusionWhile limited studies are published on the subject, ERAS implementation for radical cystectomy and laparoscopic nephrectomy improved patient-reported QOL during early phases of recovery. For radical cystectomy, there was a decreased or neutral overall financial cost associated with ERAS. Further studies assessing QOL and cost-effectiveness over the entire global period of care in a variety of urologic oncology surgeries are warranted.

Indexed as

Enhanced Recovery After SurgeryCost-Benefit AnalysisCystectomyHumansLength of StayPostoperative ComplicationsQuality of LifeRetrospective StudiesCostsERASQuality of lifeRadical cystectomyUrologic oncology

Identifiers

PMID32648071
OpenAlexW3041440722

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.