Evidence map›Paper›PMID 39359111›Full record

ArticleJournal of surgical oncology2025

Implementation of a Multidisciplinary Enhanced Recovery After Surgery (ERAS) Program for Cytoreductive Surgery (CRS) With Hyperthermic Intraperitoneal Chemotherapy (HIPEC).

Cecily Stockley, Antoine Bouchard-Fortier, Jennifer Mateshaytis, Kadhim Taqi, Lloyd Mack, Gregg Nelson, Michael Chong, Melina Deban

Erratum issuedAbstract read
In one paragraph

Article in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
–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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Cecily StockleyDepartment of Surgery and Oncology, University of Calgary, Calgary, Alberta, Canada.ORCID http://orcid.org/0000-0001-8245-1013
Antoine Bouchard-FortierDepartment of Surgery and Oncology, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0001-9399-8372
Jennifer MateshaytisDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.ORCID http://orcid.org/0000-0002-0742-3861
Kadhim TaqiDepartment of Surgery and Oncology, University of Calgary, Calgary, Alberta, Canada.ORCID http://orcid.org/0000-0002-2855-5919
Lloyd MackDepartment of Surgery and Oncology, University of Calgary, Calgary, Alberta, Canada.
Gregg NelsonDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-8177-1098
Michael ChongDepartment of Anesthesiology, University of Calgary, Calgary, Alberta, Canada.
Melina DebanDepartment of Surgery and Oncology, University of Calgary, Calgary, Alberta, Canada.ORCID http://orcid.org/0000-0002-1768-263X

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) can be associated with prolonged hospital stays. A novel Enhanced Recovery After Surgery (ERAS) based on ERAS Society guidelines was designed and implemented. The primary outcome was ERAS compliance. Secondary outcomes included length of stay (LOS) and postoperative complications.

methodsA retrospective study on patients who underwent CRS/HIPEC between 2018 and 2022, with ERAS implementation in 2022. Health records were reviewed. Statistical analysis included descriptive statistics, Wilcoxon tests, Student t-test, and χ

resultsEighty patients underwent CRS/HIPEC: 59 in the pre-ERAS group and 21 in the post-ERAS group. Groups were similar in age, comorbidities, and Peritoneal Carcinomatosis Index. ERAS compliance increased from 32.8% to 70.8% (p < 0.001). Median LOS decreased from 14 to 9 days (p < 0.001). Comparing pre-ERAS to post-ERAS showed no significant difference in the major morbidity rate (13.6% vs. 9.5%) or 30-day readmission (9.4% vs. 4.8%) and no mortalities. Controlling for patient characteristics, the mean LOS decreased by 6.94 days (p < 0.001).

conclusionImplementation of an ERAS CRS/HIPEC program is safe and allows for improved compliance to ERAS protocols and a significant reduction in LOS.

Indexed as

Cytoreduction Surgical ProceduresEnhanced Recovery After SurgeryHyperthermic Intraperitoneal ChemotherapyPeritoneal NeoplasmsAdultAgedCombined Modality TherapyFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective Studiescytoreductive surgeryenhanced recovery after surgeryhyperthermic intraperitoneal chemotherapy

Identifiers

PMID39359111
PMCPMC12044283

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Registered trials

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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.