Evidence map›Paper›PMID 41863292›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2026

Patients' Experience With Enhanced Recovery After Cardiac Surgery.

Evangelos Anastasakis, Krishna Mani, Alexander Smith, Chrysoula Nana, Philemon Gukop, Adnan Charaf, Justin Nowell, Robin Kanagasabay, Marjan Jahangiri

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic 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. 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

9 authors.

Evangelos AnastasakisDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.ORCID 0000-0003-2180-8925
Krishna ManiDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Alexander SmithDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Chrysoula NanaDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Philemon GukopDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Adnan CharafDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Justin NowellDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Robin KanagasabayDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.
Marjan JahangiriDepartment of Cardiothoracic Surgery, St. George's Hospital, London SW17 0QT, United Kingdom.ORCID 0000-0002-4142-2889

Funding

Edwards Lifesciences SURG-I24-053St. George's Hospital Charity LEG23016
6 · The paper itself

Abstract

objectivesEnhanced recovery after surgery (ERAS) protocols in cardiac surgery can reduce length of stay and incidence of complications, but their impact on patients' experience is less known. We assessed patients' perioperative experience with cardiac ERAS.

methodsWe conducted a prospective, single-centre study on 191 consecutive patients undergoing cardiac surgery with ERAS. Questionnaires were administered preoperatively, at 6 weeks and 6 months postoperatively, assessing preoperative concerns, sources of information, education and prehabilitation, expectations vs reality for postoperative recovery, surgical satisfaction, and quality of life.

resultsPreoperatively, pain was the most frequently reported concern. Face-to-face discussions with the surgical team were the most useful source of information, while use of online resources was low. From pre-assessment to surgery, alcohol unit consumption decreased 3-fold. Patients' median estimations for perioperative risks were mortality 3%, heart attack 5%, stroke 5%, wound infection 10%, and bleeding 5%. Actual pain scores for the first postoperative week were lower than expectations by 1 point on the Numeric Pain Scale, and surgical satisfaction was highest for in-hospital pain control. For the first postoperative month, patients expected to be functionally independent but found they required support with at least 1 activity of daily living. Physical health T-scores increased by 3.1 points at 6 months compared to baseline, whereas mental health scores increased by 2.5 points, meeting and approaching the minimal clinically important difference of 3, respectively.

conclusionsOur cardiac ERAS protocol facilitates systematic prehabilitation and education. Improved counselling regarding perioperative risks, pain, and recovery may further reduce perioperative stress. CLINICAL REGISTRATION NUMBER: St. George's Hospital R&D Ref: AU0035.

Indexed as

Cardiac Surgical ProceduresEnhanced Recovery After SurgeryPatient SatisfactionAgedFemaleHumansLength of StayMaleMiddle AgedPatient Education as TopicPostoperative ComplicationsPostoperative PainProspective StudiesQuality of LifeRecovery of FunctionRisk Factorscardiac surgeryenhanced recovery after surgeryERASperioperative care

Identifiers

PMID41863292
PMCPMC13006205

What OpenQuestion holds

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LicenceCC BY
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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.