Evidence map›Paper›PMID 39162720›Full record

ArticleWorld journal of urology2024

The effect of enhanced recovery after surgery (ERAS) in renal surgery.

Susan E M Elferink, Reini Bretveld, Annemiek B G Kwast, Marino Asselman, Judith G J Essink, Jan-Willem Potters, Job van der Palen

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Dose-response relationship between enhanced recovery protocol adherence and outcomes in geriatric spine metastasis surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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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

7 authors.

Susan E M ElferinkValue-Based Healthcare Group, Waardegedreven Zorg B42 Enschede, Medisch Spectrum Twente, Postbus 50000, 7500 KA, Enschede, The Netherlands.
Reini BretveldValue-Based Healthcare Group, Waardegedreven Zorg B42 Enschede, Medisch Spectrum Twente, Postbus 50000, 7500 KA, Enschede, The Netherlands.
Annemiek B G KwastValue-Based Healthcare Group, Waardegedreven Zorg B42 Enschede, Medisch Spectrum Twente, Postbus 50000, 7500 KA, Enschede, The Netherlands. annemiek.kwast@mst.nl.
Marino AsselmanDepartment of Urology, Medisch Spectrum Twente, Enschede, The Netherlands.
Judith G J EssinkDepartment of Urology, Medisch Spectrum Twente, Enschede, The Netherlands.
Jan-Willem PottersDepartment of Anaesthetics, Medisch Spectrum Twente, Enschede, The Netherlands.
Job van der PalenDepartment of Epidemiology, Medisch Spectrum Twente, Enschede, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effect of ERAS on a textbook outcome (TO) after elective renal surgery. PATIENTS AND

methodsRetrospective study of all patients who underwent a robot-assisted laparoscopic partial or radical nephrectomy or robot-assisted laparoscopic radical nephroureterectomy in Medisch Spectrum Twente (MST), Enschede, the Netherlands. In total, 277 patients were included. 66 patients from 2018 to 2021 (pre-ERAS group) and 211 patients from 2021 to 2023 (ERAS group). TO is a maximum of two nights in the hospital after surgery, no severe complications during or after surgery ≥ grade IIIb, no blood transfusions, no intensive care, no readmissions, and no mortality within 30 days after surgery. Comparisons were made between the pre-ERAS and ERAS groups using unpaired t-test, Mann-Whitney U test, the chi-squared test or Fisher's exact test. Multivariate logistic regression was used to adjust for possible confounding.

resultsTO was significantly (p = 0.005) better in the ERAS group (TO = 76.8%) compared to the pre-ERAS group (TO = 59.1%). Compared to a pre-ERAS patient, the adjusted odds ratio for achieving a TO as an ERAS patient is 2.1 (95% CI 1.15-3.78).

conclusionsThe implementation of ERAS showed a positive effect on the TO of elective renal surgery patients.

Indexed as

Enhanced Recovery After SurgeryNephrectomyAgedFemaleHumansKidney NeoplasmsLaparoscopyMaleMiddle AgedNephroureterectomyPostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresEnhanced recovery after surgery (ERAS)Renal cell carcinomaRenal surgeryRobot-assistedTextbook outcome (TO)

Identifiers

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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.