ArticleBMC health services research2021
Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04977362 (Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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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.
Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery: Implementation in the Setting of Minimally-invasive Heart Valve Surgery (INCREASE)
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Enhanced Recovery After Cardiac Surgery for Minimally Invasive Valve Surgery: A Systematic Review of Key Elements and Advancements.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Impact of rapid rehabilitation surgery on perioperative nursing in patients undergoing cardiac surgery: A meta-analysis.Journal of cardiac surgery · 2022Pooled it
- Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis.European journal of anaesthesiology and intensive care · 2026Article
- Paving the Way for ERAS in German Gynecologic and Gynecologic Oncology Departments: Insights into Barriers, Facilitators and Practical Strategies.Healthcare (Basel, Switzerland) · 2026Article
- Fast-Track Extubation After Cardiac Surgery: A Narrative Review.Journal of cardiovascular development and disease · 2025Review
- Optimizing Recovery in Cardiac Surgery: A Narrative Review of Enhanced Recovery After Surgery Protocols and Clinical Outcomes.Medical sciences (Basel, Switzerland) · 2025Review
- Cost Analysis for Minimally Invasive Mitral Valve Surgery: A Single-Centre Canadian Study.CJC open · 2025Article
- Ultra-fast extubation following cardiac surgery improves hemodynamic stability and reduces ICU workload.Frontiers in cardiovascular medicine · 2025Article
- Perceptions and experiences of healthcare professionals in implementing an ERAS protocol for minimally invasive heart valve surgery: a qualitative analysis.Frontiers in cardiovascular medicine · 2025Article
- Development of a core outcome set of quality indicators for enhanced recovery after surgery in minimally invasive cardiac heart valve surgery by interprofessional Delphi consensus.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Patient perspectives on health care models in cardiac surgery: a qualitative evaluation.BMC health services research · 2024Article
- The Enhanced Recovery after Surgery Approach in Heart Valve Surgery: A Systematic Review of Clinical Studies.Journal of clinical medicine · 2024Review
- Feasibility of deescalating postoperative care in enhanced recovery after cardiac surgery.Frontiers in cardiovascular medicine · 2024Article
- Challenging issues of implementing enhanced recovery after surgery programs in South Korea.Anesthesia and pain medicine · 2024Review
- An implementation manual for an interprofessional enhanced recovery after surgery protocol in cardiac surgery following international established frameworks.Frontiers in cardiovascular medicine · 2024Article
- Minimally Invasive Trans-Axillary versus Full Sternotomy Mitral Valve Repair: A Propensity Score-Matched Analysis on Mid-Term Outcomes.Medicina (Kaunas, Lithuania) · 2023Article
- Review
- Benefits of Prehabilitation before Complex Aortic Surgery.Journal of clinical medicine · 2023Review
- Article
- Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundERAS (Enhanced Recovery After Surgery) is a multidisciplinary and integrative approach with the goal of optimizing the postoperative recovery. We aimed to analyze the economic impact of a newly established ERAS protocol in minimally invasive heart valve surgery at our institution.
methodsERAS protocol was implemented in 61 consecutive patients who were referred for elective minimally-invasive aortic or mitral valve surgery, between February 1, 2018 and March 31, 2019 (ERAS-group). Another 69 patients who underwent elective minimally-invasive heart valve surgery during the same time period were managed according to the hospital standards (Control-group). A detailed cost comparison analysis was carried out from a hospital perspective using a micro-costing approach.
resultsThe total in-hospital stay was significantly shorter in the ERAS-group compared to the Control-group (6.1 ± 2.6 vs 7.7 ± 3.8 days; p = 0.008) resulting in significant cost savings of €1087.2 per patient (p = 0.003). Due to the intensified physiotherapy in the ERAS protocol, the costs for physiotherapy were €94.3 higher compared to the Control-group (p < 0.001). The total costs in the ERAS cohort were €11,200.0 ± 3029.6/patient compared to € 13,109.8 ± 4527.5/patient in the Control-Group resulting in cost savings of €1909.8 patient due to the implementation of the ERAS protocol (p = 0.006).
conclusionImplementation of an ERAS-protocol in minimally-invasive cardiac surgery can be carried out safely with a fast postoperative recovery of the patient. ERAS results in a financial benefit of up to €1909 per patient and therefore will play a key role in modern cardiac surgery in the near future.
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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.