Evidence map›Paper›PMID 40775471›Full record

Observational studySurgical endoscopy2025

ERAS and minimally invasive colorectal surgery: the archetypal non-adherent patients.

Elisa Bertocchi, Gaia Masini, Giuliano Barugola, Roberta Freoni, Lorenza Sanfilippo, Nicoletta De Santis, Massimo Guerriero, Giacomo Ruffo

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 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. 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

8 authors.

Elisa BertocchiGeneral Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy. elisa.bertocchi@sacrocuore.it.ORCID http://orcid.org/0000-0002-8671-6493
Gaia MasiniGeneral Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Giuliano BarugolaGeneral Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Roberta FreoniGeneral Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Lorenza SanfilippoSection of Biostatistics, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Nicoletta De SantisSection of Biostatistics, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Massimo GuerrieroSection of Biostatistics, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.
Giacomo RuffoGeneral Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, via Don A. Sempreboni 5, Negrar di Valpolicella, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify patient characteristics influencing adherence to active ERAS items in elective colorectal surgery.

methodsA single-center, prospective observational real-world study. Elective colorectal surgery patients, following the ERAS protocol and using the mobile application iColon, a mobile application customized for elective colorectal surgery patients, at IRCCS Sacro Cuore Don Calabria Hospital of Negrar di Valpolicella (VR) from September 2020 to July 2023 were included. The primary outcome was to identify the characteristics of patients who were non-adherent to ERAS active items, classified into two categories (weakly non-adherent and strongly non-adherent). The secondary aim was to describe the relationship between adherence extent and postoperative outcomes.

resultsSix hundred and fifty-six patients were included. The main characteristics associated with low adherence in the preoperative and hospitalization phases were advanced age, inflammatory bowel disease (IBD) and American Society of Anesthesiologists (ASA) status 3 and 4. In the preoperative phase, adherent and weakly non-adherent patients experienced fewer postoperative complications and had a shorter hospital stay. A positive correlation between postoperative complications and longer hospitalization was apparent among ASA status 3 and 4 patients and those aged 75 years or over. The presence of a stoma and abdominal drainage correlated with a longer hospital stay.

conclusionsElderly, IBD and ASA 3 and 4 patients were at major risk of low adherence to the ERAS protocol. Active adherence in the preoperative phase positively influenced postoperative outcomes.

Indexed as

Colorectal SurgeryElective Surgical ProceduresEnhanced Recovery After SurgeryPatient CompliancePostoperative ComplicationsAdultAgedAged, 80 and overAge FactorsFemaleHumansLength of StayMaleMiddle AgedMobile ApplicationsProspective StudiesActive complianceColorectal surgeryEnhanced recovery after surgeryTelemedicine

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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.