ReviewCureus2025
Optimizing Postoperative Recovery in Colorectal Surgery: A Systematic Review on the Efficacy of Enhanced Recovery After Surgery (ERAS) Protocols.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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.
Who cites it
5 citing papers in PubMed.
- Early implementation of exercise to facilitate recovery after elective colorectal surgery-a randomized clinical pilot trial.Perioperative medicine (London, England) · 2026Article
- A cost comparison between patients undergoing robotic colorectal surgery with and without a clinical pathway.Cost effectiveness and resource allocation : C/E · 2026Article
- Review
- Effect of enhanced recovery after surgery protocol for laparoscopic hysterectomy in benign indications: a retrospective cohort study.Frontiers in medicine · 2026Article
- Perioperative immune trajectories in severe scoliosis surgery: a retrospective study of 2,736 patients undergoing corrective surgery for severe scoliosis.Frontiers in immunology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Colorectal surgery carries substantial risks of postoperative morbidity, extended hospital stays, and increased healthcare costs. While the overall benefits of enhanced recovery after surgery (ERAS) protocols are well established, recent studies have expanded their scope to include immunological outcomes, telemedicine integration, and patient-centered recovery metrics. This systematic review synthesizes the latest evidence from randomized controlled trials (RCTs) evaluating ERAS protocols in colorectal surgery, with particular attention to these emerging dimensions. A comprehensive search of PubMed, Scopus, Web of Science, Embase, and ClinicalTrials up to July 2025 identified 10 eligible RCTs from 414 screened records. Risk of bias was assessed using the Cochrane RoB 2 tool. Narrative synthesis was performed due to heterogeneity in ERAS components and outcome definitions. Consistent with prior literature, ERAS accelerated the return of bowel function, reduced the length of hospital stay, and lowered complication rates. Notably, recent trials demonstrated immunological benefits, including reductions in inflammatory markers (IL-6, CRP [C-reactive protein]) and preservation of immune function. Telemedicine-enhanced ERAS pathways, such as remote postoperative monitoring, further shortened recovery times while maintaining high patient satisfaction. Patient-centered outcomes, including functional independence, quality of life, and readiness for home discharge, were significantly improved. Most studies exhibited low risk of bias, although variability in ERAS implementation and reporting persisted. These findings confirm that contemporary ERAS protocols not only optimize physiological recovery but also address immune resilience, leverage digital health tools, and prioritize patient experience. Future research should standardize implementation and assess the long-term effects of these innovations.
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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.