Evidence map›Paper›PMID 40395275›Full record

ArticleJournal of multidisciplinary healthcare2025

Effectiveness of an Enhanced Recovery After Surgery (ERAS) Program in Hip Arthroplasty in a Developing Country: A Propensity Score-Matched Study from Vietnam.

Phan Ton Ngoc Vu, Bui Hong Thien Khanh, Ha Quoc Hung, Nguyen Thi Ngoc Dao, Le Nhat Sang, Nguyen Van Chien, Ho Tat Bang

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 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. Review
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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.

Phan Ton Ngoc VuDepartment of Anesthesiology, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0009-0004-6251-6499
Bui Hong Thien KhanhDepartment of Orthopedics, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0009-0002-0901-2318
Ha Quoc HungDepartment of Anesthesiology, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0000-0002-4830-3954
Nguyen Thi Ngoc DaoDepartment of Anesthesiology, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0009-0007-2967-0402
Le Nhat SangDepartment of Orthopedics, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0009-0009-2707-2067
Nguyen Van ChienCenter for Family Medicine, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0009-0004-7468-6268
Ho Tat BangTask Force for ERAS Program Implementation and Supervision, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.ORCID 0000-0002-6786-1644

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delayed recovery and adverse outcomes frequently follow hip arthroplasty, often due to comorbidities in elderly patients and the invasive nature of the surgery. Although Enhanced Recovery After Surgery (ERAS) programs are widely recommended in developed nations, their effectiveness in developing countries remains under-researched. Objective: This study aims to evaluate the effectiveness of the ERAS program in improving outcomes for patients undergoing hip arthroplasty. Patients and Methods: This retrospective observational study was conducted at a single university medical center. Propensity score matching was employed to ensure comparability between the ERAS and routine care groups. The primary outcome measured was the post-operative length of stay. Secondary outcomes focused on rates of complications. Tertiary outcomes included other clinical events and symptoms. Results: The study initially enrolled 769 participants and retained 548 after matching. In the primary outcome, the ERAS group had a shorter length of stay, with a median of 6.1 compared to 7.0 days (Hodges-Lehmann estimate of 0.9 days, 95% confidence interval of 0.2 to 1.0 days, p<0.001). In secondary outcomes, the ERAS group showed lower incidences of composite complications (25.6% vs 33.6%, p=0.040) and respiratory complications (6.9% vs 13.1%, p=0.023). In tertiary outcomes, the ERAS group had lower rates of constipation (27.0% vs 38.3%, p=0.006) and perioperative hyponatremia (21.5% vs 29.6%, p=0.040). No statistically significant differences were observed in the remaining outcomes. Conclusion: The ERAS program improved patient outcomes by reducing length of stay and complications for those undergoing hip arthroplasty in our country. Therefore, this study confirms the effectiveness of ERAS programs and advocates for their broader implementation in similar healthcare settings.

Indexed as

complicationshealthcare burdenship arthroplastylength of stayspropensity score matching

Identifiers

PMID40395275
PMCPMC12091245

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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.