Evidence map›Paper›PMID 38233796›Full record

SynthesisBMC cancer2024

Accelerated enhanced recovery after colon cancer surgery with discharge within one day after surgery: a systematic review.

Misha A T Sier, Anke H C Gielen, Thaís T T Tweed, Noémi C van Nie, Tim Lubbers, Jan H M B Stoot

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
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 3 institutions in 1 country.

Misha A T SierDepartment of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands. m.sier@zuyderland.nl.
Anke H C GielenDepartment of Surgery, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Thaís T T TweedDepartment of Surgery, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Noémi C van NieDepartment of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.
Tim LubbersDepartment of Surgery, Maastricht University Medical Centre+, Maastricht, the Netherlands.
Jan H M B StootDepartment of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.
Zuyderland Medisch Centrum · NLMaastricht University Medical Centre · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have demonstrated that accelerated enhanced recovery after colorectal surgery is feasible for specific patient populations. The accelerated enhanced recovery protocols (ERP) tend to vary, and the majority of studies included a small study population. This hampers defining the optimal protocol and establishing the potential benefits. This systematic review aimed to determine the effect of accelerated ERPs with intended discharge within one day after surgery.

methodsPubMed (MEDLINE), Embase, Cochrane and Web of Science databases were searched using the following search terms: colon cancer, colon surgery, accelerated recovery, fast track recovery, enhanced recovery after surgery. Clinical trials published between January 2005 - February 2023, written in English or Dutch comparing accelerated ERPs to Enhanced Recovery After Surgery (ERAS) care for adult patients undergoing elective laparoscopic or robotic surgery for colon cancer were eligible for inclusion.

resultsThirteen studies, including one RCT were included. Accelerated ERPs after colorectal surgery was possible as LOS was shorter; 14 h to 3.4 days, and complication rate varied from 0-35.7% and readmission rate was 0-17% in the accelerated ERP groups. Risk of bias was serious or critical in most of the included studies.

conclusionsAccelerated ERPs may not yet be considered the new standard of care as the current data is heterogenous, and data on important outcome measures is scarce. Nonetheless, the decreased LOS suggests that accelerated recovery is possible for selected patients. In addition, the complication and readmission rates were comparable to ERAS care, suggesting that accelerated recovery could be safe.

Indexed as

Colonic NeoplasmsDigestive System Surgical ProceduresEnhanced Recovery After SurgeryLaparoscopyAdultHumansLength of StayPatient DischargePostoperative ComplicationsAccelerated recoveryColorectal surgeryEnhanced recovery after surgeryLaparoscopic surgery

Identifiers

PMID38233796
PMCPMC10795207
OpenAlexW4390988874

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.