Evidence map›Paper›PMID 33731057›Full record

ArticleBMC musculoskeletal disorders2021

Comparative short-term outcomes of enhanced recovery after surgery (ERAS) program and non-ERAS traditional care in elderly patients undergoing lumbar arthrodesis: a retrospective study.

Zhong-En Li, Shi-Bao Lu, Chao Kong, Wen-Zhi Sun, Peng Wang, Si-Tao Zhang

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04838366 (The Effect of Pre-operative Carbohydrate Loading in Femur Fracture), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.2field-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.

NCT04838366 nacompletednot on this map

The Effect of Pre-operative Carbohydrate Loading in Femur Fracture: A Randomized Controlled Trial

TypeinterventionalSponsorArmed Police Force Hospital, NepalRan2021 to 2021Enrolled66ConditionsFemur FractureArmsCarbohydrate loading
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Zhong-En LiDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China.
Shi-Bao LuDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China. xuanwuspine@sina.com.
Chao KongDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China.
Wen-Zhi SunDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China.
Peng WangDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China.
Si-Tao ZhangDepartment of Orthopedics, Xuanwu Hospital Capital Medical University, Beijing, China.
Capital Medical University · CNNational Clinical Research Center for Digestive Diseases · CN

Funding

National Natural Science Foundation of China 81672201National Natural Science Foundation of China 81871794
6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery (ERAS) program is an evidence-based improvement over non-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years undergoing lumbar arthrodesis by comparison with non-ERAS traditional care.

methodsDuring January 2018 to December 2018, patients enrolled received non-ERAS traditional care, while the ERAS program was implemented from January to December 2019. Demographic characteristics, comorbidities, surgical data and postoperative recovery parameters were collected from all patients. Postoperative pain scores were evaluated by visual analog scales (VAS). The clinical outcomes were length of stay (LOS), postoperative complications and postoperative pain scores. Compliance results were also collected.

resultA total of 127 patients were enrolled, including 67 patients in the non-ERAS traditional care group and 60 patients in the ERAS group. The demographic characteristics and comorbidities of the two groups showed no significant differences. The LOS of patients treated with ERAS program (13.6 ± 4.0 days) was significantly less than that of patients treated with non-ERAS traditional care (15.6 ± 3.9 days) (p = 0.034). Complication rate was 8.3% in the ERAS group versus 20.9% in the non-ERAS traditional care group (p = 0.048). VAS (back) in the ERAS group was significantly lower on postoperative day (POD) 1 and POD2. Postoperative recovery parameters were improved in the ERAS group. The overall compliance with the ERAS program was 94%.

conclusionsBased on our results, ERAS program is safer and more effective for elderly patients over 70 undergoing lumbar arthrodesis than non-ERAS traditional care.

Indexed as

Enhanced Recovery After SurgerySpinal FusionAgedHumansLength of StayLumbosacral RegionPostoperative ComplicationsRetrospective StudiesTreatment OutcomeComplicationElderly patientsEnhanced recovery after surgeryLength of stayLumbar arthrodesis

Identifiers

PMID33731057
PMCPMC7968191
OpenAlexW3118911363

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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.