Evidence map›Paper›PMID 33163851›Full record

ArticleClinics in surgery2020

Monitoring an Ongoing Enhanced Recovery After Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases.

Iris H Wei, Emmanouil P Pappou, J Joshua Smith, Maria Widmar, Garrett M Nash, Martin R Weiser, Philip B Paty, Jose G Guillem, Anoushka Afonso, Julio Garcia-Aguilar

Open access · greenAbstract read
In one paragraph

Article in Clinics in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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  15. Patient Characteristics Influencing Adherence to Enhanced Recovery Protocols for Colorectal Surgery: a Multicentric Prospective Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
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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

10 authors at 1 institution in 1 country.

Iris H WeiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Emmanouil P PappouDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
J Joshua SmithDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Maria WidmarDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Garrett M NashDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Martin R WeiserDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Philip B PatyDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Jose G GuillemDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Anoushka AfonsoDepartment of Anesthesiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Julio Garcia-AguilarDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

aimIn 2014, Memorial Sloan Kettering Cancer Center was identified as an outlier for increased length of stay (LOS) after colorectal surgery. We subsequently implemented a comprehensive Enhanced Recovery After Surgery (ERAS) program in January 2016, which is continually monitored to target areas for improvement. The primary aim of this study was to evaluate the impact of a newly established ERAS program in a high-volume colorectal center over time.

methodThis was a retrospective cohort study, comparing 3000 sequential cancer patients who underwent elective colorectal surgery before and after ERAS implementation. Patients were divided into three groups (Pre-, Early, and Late ERAS). Adherence to ERAS process measures and outcomes (LOS, complications, and 30-day readmission) were compared among the three time periods.

resultsAdherence to ERAS metrics significantly increased over time, from a median of 25% Pre-ERAS to 67% Early and 75% Late ERAS (

conclusionInitiation of an ERAS program at a high-volume colorectal center was associated with decreased LOS, without increasing morbidity. Increased ERAS adherence was associated with a further decrease in LOS. Multidisciplinary monitoring to promote protocol adherence is necessary for maintaining a safe and effective ERAS program.

Indexed as

adherencecolorectal surgeryenhanced recovery after surgeryenhanced recovery program

Identifiers

PMID33163851
PMCPMC7643765
OpenAlexW3098328300

What OpenQuestion holds

Textmetadata
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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.