Evidence map›Paper›PMID 39906428›Full record

ReviewCureus2025

Enhancing Recovery in Gastrointestinal and Cardiovascular Surgeries Through Enhanced Recovery After Surgery (ERAS) Protocols.

Shafqat Noor, Basil Rehman, Ayesha Ghazal Jamali, Ghashia Khan, Saeed Anwar, Ahmad Faraz, Samra Khalid, Muhammad Talha, Fawaz Alrasheedi, Mwahib Mohamed Ahmed

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Shafqat NoorDepartment of General Surgery, Doctors Hospital Sahiwal, Sahiwal, PAK.
Basil RehmanDepartment of General Surgery, Aga Khan Medical College, Karachi, PAK.
Ayesha Ghazal JamaliDepartment of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Ghashia KhanDepartment of General Surgery, Ibn-e-Sina University, Mirpur Khas, PAK.
Saeed AnwarDepartment of Gastroenterology, Surriya Medical and Gynae Centre, Jhelum, PAK.
Ahmad FarazDepartment of General Surgery, MTI Lady Reading Hospital, Peshawar, PAK.
Samra KhalidDepartment of Cancer Research, Rutgers Cancer Institute of New Jersey, New Brunswick, JEY.
Muhammad TalhaDepartment of Surgical Gastroenterology, Shalamar Medical and Dental College, Lahore, PAK.
Fawaz AlrasheediDepartment of Public Health, Vector Control Center, Alqassim Health Cluster, Buraidah, SAU.
Mwahib Mohamed AhmedDepartment of Anatomical Sciences, University of Hail College of Medicine, Hail, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) protocols aim to improve perioperative outcomes and expedite recovery across various surgical specialties. While ERAS protocols have shown significant benefits in gastrointestinal and cardiovascular surgeries, their impact and effectiveness require further synthesis. This systematic review and meta-analysis evaluated the efficacy of ERAS protocols in enhancing recovery and reducing complications in gastrointestinal and cardiovascular surgeries. High-quality studies were selected based on adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and quality assessment using the Newcastle-Ottawa Scale (NOS). A systematic review and meta-analysis of six high-quality studies involving 45,678 patients were conducted using databases such as PubMed, MEDLINE, EMBASE, and Cochrane Central. Data on length of hospital stay (LOS), complications, 30-day readmissions, and mortality were extracted. Statistical analysis employed random-effects models to calculate pooled effect sizes, odds ratios (ORs), and hazard ratios. Subgroup analyses were performed based on surgery type, patient age, comorbidities, and follow-up duration. ORs for postoperative complications varied across subgroups (e.g., urgent vs. elective surgeries), with some ranges (e.g., 0.65-1.02) reflecting mixed effects; sensitivity analyses confirmed the robustness of pooled outcomes. Recovery times ranged from 1 to 3 days for gastrointestinal surgeries and 4 to 9 days for cardiovascular surgeries, demonstrating clinically meaningful variability. ERAS protocols showed greater recovery benefits in urgent surgeries (HR = 1.42, 95% CI: 1.15-1.75) and in patients with comorbidities (HR = 1.62, 95% CI: 1.33-1.96), likely due to their emphasis on rapid stabilization of perioperative care, including early mobilization and nutritional support. Heterogeneity, assessed through sensitivity analyses, ranged from moderate to substantial across subgroup analyses. ERAS protocols consistently enhance recovery outcomes, minimize complications, and reduce hospital stays in gastrointestinal and cardiovascular surgeries, demonstrating their utility in optimizing perioperative care. Future research should explore long-term outcomes and tailored implementation strategies to address patient-specific needs.

Indexed as

cardiovascular surgerycomplicationsenhanced recoveryeras protocolsgastrointestinal surgeryhospital stayperioperative care

Identifiers

PMID39906428
PMCPMC11791094

What OpenQuestion holds

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LicenceCC BY
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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.