Evidence map›Paper›PMID 40631472›Full record

ArticleJournal of gastric cancer2025

Survey of Perioperative Practices in Gastric Cancer Surgery for Establishing an Enhanced Recovery After Surgery Program Across 10 Tertiary Hospitals in South Korea.

Ho-Jin Lee, Jeesun Kim, Bon-Wook Koo, Yun-Suhk Suh, Jung-Man Lee, Dong-Seok Han, Sang Hyun Hong, Han Hong Lee, Young Chul Yoo, Hyoung-Il Kim and 11 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of gastric cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06984952 (Effectiveness of Enhanced Recovery After Surgery), which is not on this 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.

NCT06984952 narecruitingnot on this map

Effectiveness of Enhanced Recovery After Surgery (ERAS) on Postoperative Recovery After Minimally Invasive Gastrectomy: A Multi-center Open-labeled Randomized Controlled Study

TypeinterventionalSponsorSeoul National University HospitalRan2025 to 2029Enrolled308ConditionsEnhanced Recovery After Surgery, Gastrectomy for Gastric CancerArmsERAS protocol
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

21 authors.

Ho-Jin LeeDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-7134-5044
Jeesun KimDepartment of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-2672-7764
Bon-Wook KooDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID 0000-0002-3590-5542
Yun-Suhk SuhDepartment of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID 0000-0003-3319-8482
Jung-Man LeeDepartment of Anesthesiology and Pain Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-7115-2939
Dong-Seok HanDepartment of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-9003-7987
Sang Hyun HongDepartment of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID 0000-0002-7091-8963
Han Hong LeeDepartment of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID 0000-0002-7541-8490
Young Chul YooDepartment of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, College of Medicine, Yonsei University, Seoul, Korea.ORCID 0000-0002-6334-7541
Hyoung-Il KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-6134-4523
Ji Yoon RhoDepartment of Anesthesiology and Pain Medicine, National Cancer Center, Goyang, Korea.ORCID 0000-0001-7351-2785
Hong Man YoonCenter of Gastric Cancer, National Cancer Center, Goyang, Korea.ORCID 0000-0002-6218-7080
Ha-Yeon KimDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0003-3342-4136
Hoon HurDepartment of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0002-5435-5363
Hyae-Jin KimDepartment of Anesthesia and Pain Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.ORCID 0000-0003-1444-1125
Chang In ChoiDepartment of Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.ORCID 0000-0002-1920-1879
Boohwi HongDepartment of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.ORCID 0000-0003-2468-9271
Sang-Il LeeDepartment of Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.ORCID 0000-0003-2669-8577
Kibeom ParkDepartment of Anesthesiology and Pain Medicine, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.ORCID 0000-0002-1432-8301
Seung Wan RyuDepartment of Surgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.ORCID 0000-0003-0374-5748
Do Joong ParkDepartment of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. djparkmd@snu.ac.kr.ORCID 0000-0001-9644-6127

Funding

MOHW 0720232012MOHW RS-2023-CC140357
6 · The paper itself

Abstract

purposeThis study aimed to identify the current perioperative management practices for gastric cancer surgery in South Korea and develop a consensus-driven Enhanced Recovery After Surgery (ERAS) protocol for a multicenter randomized controlled trial (RCT). MATERIALS AND

methodsA survey was conducted with 20 principal investigators, comprising one gastric surgeon and one anesthesiologist each, from 10 tertiary hospitals in South Korea who participated in a planned multicenter RCT. The survey included 41 questions regarding ERAS implementation and department-specific perioperative management practices. The responses were analyzed using descriptive statistics, and the findings were used to develop a consensus-driven ERAS protocol.

resultsA total of 20 participants completed the survey. Most respondents estimated the overall compliance rate with ERAS protocols for gastric cancer surgery to be 30%-50%. A major barrier to ERAS implementation is limited personnel resources. The survey revealed significant variability in perioperative practices-particularly in postoperative oral feeding protocols and expected discharge dates-across institutions. Most institutions practice water fasting from midnight before surgery, and the adoption rate of multimodal opioid-sparing analgesia is low. Based on these findings, an ERAS protocol was established through collaborative discussions to shorten perioperative fasting periods and implement multimodal opioid-sparing analgesia.

conclusionsThis study revealed significant variability in the perioperative management of gastric cancer surgery in South Korea. A consensus-driven ERAS protocol was established to standardize care and promote functional recovery. Its feasibility and effectiveness should be evaluated in an upcoming multicenter RCT.

Indexed as

Enhanced Recovery After SurgeryGastrectomyPerioperative CareStomach NeoplasmsHumansRepublic of KoreaSurveys and QuestionnairesTertiary Care CentersEnhanced recovery after surgeryGastrectomyPerioperative carePerioperative medicineStomach neoplasms

Identifiers

PMID40631472
PMCPMC12260792

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.