Evidence map›Paper›PMID 41749011›Full record

SynthesisLangenbeck's archives of surgery2026

Accelerated enhanced recovery after colorectal surgery with early discharge: A systematic review and meta-analysis.

Zhen-Hao Yu, Li-Ming Wang, Li-Yang Chan, Jeng-Fu You, Geng-Ping Lin

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2026. 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

5 authors.

Zhen-Hao YuDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fu-Hsing St., Kuei-Shan, Taoyuan, 33305, Taiwan.
Li-Ming WangDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fu-Hsing St., Kuei-Shan, Taoyuan, 33305, Taiwan.
Li-Yang ChanDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fu-Hsing St., Kuei-Shan, Taoyuan, 33305, Taiwan.
Jeng-Fu YouDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fu-Hsing St., Kuei-Shan, Taoyuan, 33305, Taiwan.
Geng-Ping LinDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fu-Hsing St., Kuei-Shan, Taoyuan, 33305, Taiwan. 8902023@cgmh.org.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether accelerated enhanced recovery protocols increase rates of readmission, emergency department (ED) revisits, reoperation, or complications following colorectal surgery.

methodsThe protocol was prospectively registered in PROSPERO (CRD42024621268). A systematic search was perfomed in major databases including MEDLINE, EMBASE, and Cochrane databases. Primary outcomes was 30-day readmission rates. Secondary outcomes were ED revisits, reoperations, and complications. Risk of bias was assessed using the ROBINS-I tool.

resultsThirteen studies involving 40,589 patients were included, with 1,783 patients in the aERPs group and 38,806 in the ERPs group. The meta-analysis revealed no statistically significant differences in 30-day readmission rates (OR 0.85, 95% CI 0.55–1.29, p = 0.43), ED revisits (OR 0.95, 95% CI 0.42–2.18, p = 0.91), reoperations (OR 0.97, 95% CI 0.61–1.54, p = 0.90), or complications (OR 0.47, 95% CI 0.17–1.32, p = 0.15).

conclusionsAccelerated ERPs with early discharge strategies, appear safe and feasible for selected patients undergoing minimally invasive colorectal surgery, with no increased risk of readmissions, ED visits, reoperations, or complications. Future high-quality randomized controlled trials are needed to refine patient selection criteria and optimize implementation of aERPs.

Indexed as

Enhanced Recovery After SurgeryPatient DischargeColorectal Surgical ProceduresHumansLength of StayPatient ReadmissionPostoperative ComplicationsReoperationAccelerated ERASColorectal surgeryMeta-analysisMinimally invasive surgerySame-day dischargeSystematic review

Identifiers

PMID41749011
PMCPMC13002673

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LicenceCC BY-NC-ND
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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.