Evidence map›Paper›PMID 41186769›Full record

ArticlePediatric surgery international2025

An enhanced recovery after surgery for the Nuss procedure for pectus excavatum in pediatric patients in Shanghai.

Youwei Li, Beini Wang, Wenjuan Tang, Shuiling Cai, Yanyan Yao

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Article 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 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. 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

5 authors.

Youwei LiCardiothoracic Surgery Department, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Beini WangCardiothoracic Surgery Department, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Wangbn@shchildren.com.cn.
Wenjuan TangNursing Department, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. youvianna@163.com.
Shuiling CaiRehabilitation Department, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yanyan YaoCardiothoracic Surgery Department, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Funding

Shanghai Jiaotong University Nursing Discipline Development Program SJTUHLXK2023
6 · The paper itself

Abstract

aimsThis study aimed to implement and evaluate an enhanced recovery after surgery pathway for pediatric patients undergoing the Nuss procedure.

methodsThe enhanced recovery after surgery pathway was implemented in 2024, and this protocol included preoperative education and counseling, a perioperative multimodal pain management protocol, a perioperative staged rehabilitation exercise program, and predischarge education. Data were collected prospectively for patients in the ERAS pathway and retrospectively for previous patients. Length of stay (LOS) and activity of daily living (the Barthel Index) were the main outcomes of this study, and the pain scores and time to first ambulation postoperatively were the secondary outcomes.

resultsA total of 86 patients were included in this study, with 43 patients in each group. There was no significant difference in age, sex, or the Haller index between the two groups. The average LOS decreased from 7.74 days to 6.84 days with ERAS. Patients in the ERAS group had improved Barthel indices, particularly on the day of discharge, and significantly lower pain scores from POD0 to POD3. The time to first ambulation was also shorter in the ERAS group.

conclusionAn enhanced recovery after surgery procedure implemented for the Nuss procedure can reduce the length of stay and early pain score. Alterations in the pathway may lead to the achievement of the desired goals of better self-care ability in daily living. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Enhanced Recovery After SurgeryFunnel ChestActivities of Daily LivingAdolescentChildChinaFemaleHumansLength of StayMalePain MeasurementProspective StudiesRecovery of FunctionRetrospective StudiesTreatment OutcomeEnhanced recovery after surgeryERASNussPain managementPectus excavatumStaged rehabilitation

Identifiers

PMID41186769

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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.