SynthesisBMC musculoskeletal disorders2026
Efficacy and safety of Enhanced Recovery After Surgery (ERAS) in hemiarthroplasty for hip fracture patients: a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip fractures pose a significant healthcare challenge for the elderly, with hemiarthroplasty being a standard surgical intervention. Traditional perioperative care often results in prolonged recovery and increased complications. Enhanced Recovery After Surgery (ERAS) protocols have demonstrated efficacy in elective surgeries, yet their safety and effectiveness in the frailer population undergoing hemiarthroplasty for hip fractures require further systematic evaluation.
methodsFollowing PRISMA guidelines, a systematic review and meta-analysis was conducted. Databases were searched from inception until November 2025. Studies comparing ERAS protocols (comprising at least three core components) with conventional care in adults undergoing hemiarthroplasty for acute hip fractures were included. Outcomes included length of hospital stay (LOS), complications, pain, functional scores, and other relevant endpoints. Study quality was assessed, and meta-analyses were performed using RevMan 5.4.
resultsEight studies (5 case-control, 3 RCTs) with 46–118 participants were included. The ERAS group showed a significantly shorter LOS (MD = − 2.38 days, 95% CI: − 3.57 to − 1.19, P < 0.0001), lower postoperative pain VAS scores (MD = − 0.87, 95% CI: − 1.34 to − 0.39, P = 0.0003), higher Harris Hip Scores (MD = 5.05, 95% CI: 1.55 to 8.55, P = 0.005), reduced overall complication rates (OR = 0.23, 95% CI: 0.14 to 0.38, P < 0.00001), and lower transfusion rates (OR = 0.38, 95% CI: 0.22 to 0.66, P = 0.0006) compared to the control group. Reduction in intraoperative blood loss was not statistically significant (MD = − 34.53 mL, P = 0.08). Significant heterogeneity was observed for some outcomes, likely due to variations in ERAS implementation intensity. The methodological quality of included studies ranged from moderate to low. DISCUSSION: ERAS protocols in hemiarthroplasty for hip fracture patients are associated with improved recovery outcomes, likely due to multimodal interventions that mitigate perioperative stress and break the cycle of recovery hindrance. Heterogeneity suggests a dose–response relationship between protocol completeness and clinical benefit. While current evidence supports ERAS adoption, future research should prioritize protocol standardization, exploration of underlying mechanisms, and assessment of long-term and cost-effectiveness outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.