Evidence map›Paper›PMID 39071659›Full record

ArticleHeliyon2024

Impact of enhanced recovery program on clinical outcomes after elective colorectal surgery in a rural hospital. A single center experience.

Antonio Pesce, Mattia Portinari, Nicolò Fabbri, Valeria Sciascia, Lisa Uccellatori, Michela Vozza, Erminio Righini, Carlo V Feo

Abstract read
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In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Antonio PesceUnit of General Surgery, Department of Surgery, Azienda Unità Sanitaria Locale of Ferrara, University of Ferrara, Ferrara, Italy.
Mattia PortinariUnit of Surgery 2, Department of Surgery, S. Anna University Hospital of Ferrara, Ferrara, Italy.
Nicolò FabbriUnit of General Surgery, Department of Surgery, Azienda Unità Sanitaria Locale of Ferrara, University of Ferrara, Ferrara, Italy.
Valeria SciasciaUnit of General Surgery, Department of Surgery, Azienda Unità Sanitaria Locale of Ferrara, University of Ferrara, Ferrara, Italy.
Lisa UccellatoriUnit of General Surgery, Department of Surgery, Azienda Unità Sanitaria Locale of Ferrara, University of Ferrara, Ferrara, Italy.
Michela VozzaUnit of Anesthesia and Intensive Care, Department of Emergency, Azienda Unità Sanitaria Locale of Ferrara, Ferrara, Italy.
Erminio RighiniUnit of Anesthesia and Intensive Care, Department of Emergency, Azienda Unità Sanitaria Locale of Ferrara, Ferrara, Italy.
Carlo V FeoUnit of General Surgery, Department of Surgery, Azienda Unità Sanitaria Locale of Ferrara, University of Ferrara, Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The main purpose was to determine the impact on postoperative outcomes of a standardized enhanced recovery program (ERP) for elective colorectal surgery in a rural hospital. Methods: A prospective series of patients (N = 80) undergoing elective colorectal resection completing a standardized ERP protocol in 2018-2020 (ERP group) was compared to patients (N = 80) operated at the same rural hospital in 2013-2015 (pre-ERP group), before the implementation of the program. The exclusion criteria for both groups were: ASA score IV, TNM stage IV, inflammatory bowel disease, emergency surgery, and rectal cancer. The primary outcome was hospital length of stay (LoS) which was used as an estimate of functional recovery. Secondary outcomes included 30-day readmission and mortality rates as well as associated factors with both postoperative complications and prolonged hospital LoS. Results: Baseline characteristics were comparable in both groups. The median adherence to ERP protocol elements was 68 % versus 12 % in the retrospective control group. The median hospital LoS in the ERP-group was significantly lower than in the pre-ERP group (5 Conclusions: Although limited hospital resources are perceived as a barrier to ERP implementation, the current experience demonstrates how adopting an ERP program in a rural area is feasible and effective, despite it requires greater effort.

Indexed as

Clinical outcomesColorectal surgeryEnhanced recovery programLength of stayRural hospital

Identifiers

PMID39071659
PMCPMC11282988

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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.