Evidence map›Paper›PMID 37389596›Full record

SynthesisArchives of orthopaedic and trauma surgery2023

The safety and effectiveness of enhanced recovery after surgery (ERAS) in older patients undergoing orthopedic surgery: a systematic review and meta-analysis.

Peiya Tan, Miao Huo, Xiaohua Zhou, Bolun Zhao

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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.

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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
  4. Review
  5. Article
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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

4 authors.

Peiya TanSchool of Nursing, Dalian University, No. 24 Luxun Road, Zhongshan District, Dalian, China.
Miao HuoSchool of Nursing, Dalian University, No. 24 Luxun Road, Zhongshan District, Dalian, China.
Xiaohua ZhouSchool of Nursing, Dalian University, No. 24 Luxun Road, Zhongshan District, Dalian, China.
Bolun ZhaoSchool of Nursing, Dalian University, No. 24 Luxun Road, Zhongshan District, Dalian, China. zhaobolun@dlu.edu.cn.ORCID http://orcid.org/0000-0002-2377-5795

Funding

Foundation of Liaoning Province Education Administration LJKZ1109
6 · The paper itself

Abstract

introductionTo systematically review and analyze the safety and effectiveness of ERAS in older patients undergoing orthopedic surgeries. MATERIALS AND

methodsWe searched PubMed, EMBASE, CINAHL, MEDLINE (Ovid), Web of Science, the Cochrane Library, and other databases to identify all randomized controlled studies and cohorts. We used the Cochrane Risk of Bias Assessment Tool and the Newcastle‒Ottawa Scale to assess the study quality. A meta-analysis was performed using the inverse variance weighting method.

resultsThis study included 15 studies involving a total of 2591 older patients undergoing orthopedic surgeries with 1480 in the ERAS group. The ERAS group had a lower incidence of postoperative complications than the control group (RR 0.52; 95% CI 0.42-0.65). Length of stay was 3.37 days lower in the ERAS group than in the control group (P < 0.01). And the ERAS protocol reduced the patient's postoperative VAS score (P < 0.01). Meanwhile, there was a lack of evidence of significant differences between the ERAS group and the control group in total bleeding and 30-day readmission rate.

conclusionsThe implementation of the ERAS program in older patients undergoing orthopedic surgeries is safe and effective. However, there is still a lack of standardization of protocols across institutions and centers for orthopedic surgery for older patients. Identifying ERAS components that are beneficial to older patients and developing ERAS protocols that are appropriate for older adults may further improve outcomes.

Indexed as

Enhanced Recovery After SurgeryOrthopedic ProceduresAgedHumansLength of StayPostoperative ComplicationsRecovery of FunctionComplicationEnhanced recovery after surgeryGeriatricLength of stayOrthopedic surgery

Identifiers

PMID37389596

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.