Evidence map›Paper›PMID 40696211›Full record

Trial reportSurgical endoscopy2025

Enhanced recovery after surgery programs versus conventional rehabilitation for patients undergoing thoracoscopic radical resection of lung cancer in local regional hospitals: a prospective randomized controlled trial.

Yingkai Chen, Shizhou Kang, Rui Li, Zhenrui Cao, Jiajie Leng, Kai Jin, Yujie Luo, Ming Yan, Yingjiu Jiang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Yingkai Chen *Department of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Shizhou KangDepartment of Thoracic Surgery, The People's Hospital of Rongchang District, Chongqing, China.
Rui LiDepartment of Oncology Surgery, The People's Hospital of Rongchang District, Chongqing, China.
Zhenrui CaoDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jiajie LengDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Kai JinDepartment of Neurosurgery, The People's Hospital of Rongchang District, Chongqing, China.
Yujie LuoDepartment of Thoracic Surgery, The People's Hospital of Rongchang District, Chongqing, China.
Ming YanDepartment of Respiratory and Critical Care Medicine, The People's Hospital of Rongchang District, Chongqing, China.
Yingjiu JiangDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. jiangyinjiu@aliyun.com.ORCID http://orcid.org/0009-0007-9394-9889

Funding

Cheng Zhang 2020MSXM131Yingkai Chen RCKW202123
6 · The paper itself

Abstract

backgroundAn appropriate rehabilitation program should follow thoracoscopic lung cancer radical surgery (TLCRS) to promote patient recovery during the perioperative period. However, enhanced recovery after surgery (ERAS) and conventional rehabilitation mode (CRM) programs remain a subject of debate to date. Therefore, in this randomized controlled trial, we compared the effectiveness and safety of an ERAS program with those of a CRM program after TLCRS in local regional hospitals.

methodsFrom August 2021 to July 2022, in this double-blind randomized controlled trial, 80 patients who met the inclusion criteria were randomly divided into two groups at a 1:1 ratio: the ERAS program and the CRM program. The primary outcomes were the effectiveness and socioeconomic effects of the two kinds of programs. The secondary outcomes included the incidence of postoperative complications and the safety of the two kinds of programs.

resultsCompared with the CRM group, the ERAS group experienced notable benefits (P < 0.001) in terms of length of hospital stay, postoperative length of hospital stay, time to thoracic drainage tube removal, time to postoperative oral feeding, time to postoperative ambulation, postoperative pain score, and hospitalization costs. Compared with the ERAS group, the CRM group experienced notable consequences such as postoperative atelectasis/pulmonary infections (P = 0.029) and prolonged operative times (P < 0.001). The incidence of postoperative ICU admission in the ERAS group was significantly lower than that in the CRM group (P = 0.048); however, the ERAS group had a higher rate of postoperative chest tube replacement than the CRM group did (P = 0.025).

conclusionsCompared with the CRM program, the ERAS program is associated with a lower incidence of postoperative pulmonary complications, faster recovery, less pain, and smaller economic burden, improving patients' postoperative prognoses.

Indexed as

Enhanced Recovery After SurgeryLung NeoplasmsPneumonectomyThoracic Surgery, Video-AssistedAgedDouble-Blind MethodFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsProspective StudiesEnhanced recovery after surgeryLung cancerRandomized controlled trialThoracoscopy

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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.