Evidence map›Paper›PMID 40063290›Full record

SynthesisNeurosurgical review2025

Effect of the enhanced recovery after surgery protocol in patients undergoing elective craniotomies: a systematic review and meta-analysis.

Suresh Kumar Choudhary, Dinesh Bijarniya, Shravan Kumar Jat, Manish Agrawal, Shubham Vasudeva

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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

5 authors.

Suresh Kumar ChoudharyDepartment of Neurosurgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India.
Dinesh BijarniyaDepartment of Neurosurgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India.
Shravan Kumar JatDepartment of Anesthesia, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India.
Manish AgrawalDepartment of Neurosurgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India.
Shubham VasudevaDepartment of Neurosurgery, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, 302004, India. skv24993@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced recovery after surgery protocol (ERASP) improves postoperative outcomes. However, its implementation in neurosurgery remains under explored, resulting in the absence of standard evidence-based guidelines. Thus, we compared the outcomes of ERASP and conventional perioperative care (CPC) in patients undergoing elective craniotomy for various intracranial pathologies. This systematic review and meta-analysis involved the search of PubMed, Cochrane Library, and Google Scholar until December 4, 2024. The primary outcomes were total and postoperative length of stay (LOS). Secondary outcomes included hospitalization cost, pain, analgesic use, Karnofsky performance status (KPS) score, postoperative nausea and vomiting (PONV), postoperative complications, 30-days readmission and reoperation, and mortality. A total of 15 studies, including randomized controlled trials (n = 9) as well as prospective and retrospective studies (each n = 3) were included. Compared to CPC, ERASP significantly reduced total LOS (MD -3.32, 95%CI -3.66 to -2.98; P < 0.0001, I

Indexed as

CraniotomyElective Surgical ProceduresEnhanced Recovery After SurgeryPerioperative CareHumansLength of StayPostoperative ComplicationsPostoperative Nausea and VomitingPostoperative PainRandomized Controlled Trials as TopicBrain tumorCostCranial surgeryCraniotomyEnhanced recovery after surgeryLength of hospital stayNeurosurgery

Identifiers

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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.