Evidence map›Paper›PMID 40445328›Full record

Trial reportPediatric surgery international2025

Implementation of ERAS protocol in pediatric colostomy closure: a randomized clinical trial.

Fatemeh Shahrahmani, Mahdi Parvizi Mashhadi, Alireza Khadembashi, Zahra Abbasi Shaye, Elham Bagheri, Reza Shojaeian

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

6 authors.

Fatemeh ShahrahmaniFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahdi Parvizi MashhadiDepartment of Pediatric Surgery, Mashhad University of Medical Sciences, Vakil Abad Street, Mashhad, Khorasan Razavi, Iran.
Alireza KhadembashiFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Zahra Abbasi ShayeClinical Research and Development Unit, Mashhad University of Medical Sciences, Mashhad, Iran.
Elham BagheriCommunity Health Nursing, Nursing and Midwifery Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.
Reza ShojaeianDepartment of Pediatric Surgery, Mashhad University of Medical Sciences, Vakil Abad Street, Mashhad, Khorasan Razavi, Iran. drshojaeian@ymail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEnhanced Recovery After Surgery (ERAS) is a multidisciplinary approach designed to minimize physiological stress and improve recovery. This study evaluated the impact of ERAS protocols on pediatric patients undergoing colostomy closure.

methodsA prospective, randomized clinical trial was conducted at a tertiary center from May 2020 to July 2022. Seventy-seven pediatric patients admitted for colostomy closure were randomly assigned to the ERAS group (ERASG, n = 36) or the control group (CG, n = 41). The ERAS protocol included preoperative, intraoperative, and postoperative strategies to enhance outcomes. Primary outcomes included length of hospital stay (LOS), time to oral feeding, narcotic consumption, complications, and one-month readmission rates.

resultsThe mean LOS was significantly shorter in the ERASG (3.30 ± 0.95 days) compared to the CG (6.43 ± 3.80 days; p = 0.002). The ERASG showed a significant reduction in the median time to resuming a regular diet (p = 0.001) and average narcotic use (p = 0.015). No significant differences were observed in postoperative complications or readmission rates.

conclusionERAS implementation in pediatric colostomy closure significantly reduced LOS, narcotic use, and time to oral feeding without increasing complications or readmissions, supporting its feasibility and safety in pediatric colorectal surgery.

Indexed as

ColostomyEnhanced Recovery After SurgeryChildChild, PreschoolClinical ProtocolsFemaleHumansInfantLength of StayMalePatient ReadmissionPostoperative ComplicationsProspective StudiesColostomyERASGastrointestinal surgeryLength of hospital stayPediatric surgery

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.