Evidence map›Paper›PMID 37282440›Full record

ArticleJournal of minimal access surgery2024

Application of enhanced recovery after surgery (ERAS) protocols in adrenal surgery: A retrospective, preliminary analysis.

Giulio Lelli, Alessandra Micalizzi, Angelo Iossa, Alessia Fassari, Antonio Concistre, Francesco Circosta, Luigi Petramala, Francesco De Angelis, Claudio Letizia, Giuseppe Cavallaro

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In one paragraph

Article in Journal of minimal access surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06250699 (A Single Center Randomized Controlled Study on the Promotion of Rapid Recovery Through Tubeless Laparoscopic Adrenalectomy), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT06250699 narecruitingnot on this map

A Single Center Randomized Controlled Study on the Promotion of Rapid Recovery Through Tubeless Laparoscopic Adrenalectomy

TypeinterventionalSponsorZhe MengRan2024 to 2027Enrolled200ConditionsNonfunctional Adrenal Cortex Adenoma, Primary Aldosteronism, Cushing SyndromeArmsTubeless laparoscopic adrenalectomy, Drainage tube
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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.

Giulio LelliDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.
Alessandra MicalizziDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.
Angelo IossaDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.
Alessia FassariGeneral Surgery Unit, Centre Hospitalier de Luxembourg, Luxembourg, Europe.
Antonio ConcistreDepartment of Cinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University, Rome, Italy.
Francesco CircostaDepartment of Cinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University, Rome, Italy.
Luigi PetramalaDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
Francesco De AngelisDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.
Claudio LetiziaDepartment of Cinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University, Rome, Italy.
Giuseppe CavallaroDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study was conducted to evaluate the impact of enhanced recovery after surgery (ERAS) pathway in patients undergoing laparoscopic adrenalectomy (LA) for primary and secondary adrenal disease, in reducing the length of primary hospital stay and return to daily activities. MATERIALS AND

methodsThis retrospective study was carried out on 61 patients who underwent LA. A total of 32 patients formed the ERAS group. A total of 29 patients received conventional perioperative care and were assigned as the control group. Groups were compared in terms of patient's characteristics (sex, age, pre-operative diagnosis, side of tumour, tumour size and co-morbidities), post-operative compliance (anaesthesia time, operative time, post-operative stay, post-operative numeric rating scale (NRS) score, analgesic assumption and days to return to daily activities) and post-operative complications.

resultsNo significant differences in anaesthesia time ( P = 0.4) and operative time ( P = 0.6) were reported. NRS score 24 h postoperatively was significantly lower in the ERAS group ( P < 0.05). The analgesic assumption in post-operative period in the ERAS group was lower ( P < 0.05). ERAS protocol led to a significantly shorter length of post-operative stay ( P < 0.05) and to return to daily activities ( P < 0.05). No differences in peri-operative complications were reported. DISCUSSION: ERAS protocols seem safe and feasible, potentially improving perioperative outcomes of patients undergoing LA, mainly improving pain control, hospital stay and return to daily activities. Further studies are needed to investigate overall compliance with ERAS protocols and their impact on clinical outcomes.

Identifiers

PMID37282440
PMCPMC11095811

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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.