Evidence map›Paper›PMID 41978858›Full record

ReviewMaedica2026

The Impact of Enhanced Recovery after Surgery Protocol on Health-Related Quality of Life Following Colorectal Surgery: a Literature Review.

Efthymia Makrynika, Nikolaos Garmpis, Dimitrios Mantas

Abstract readReview
In one paragraph

Review in Maedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Efthymia MakrynikaSismanogleio General Hospital of Athens, Athens, Greece.
Nikolaos GarmpisN. S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios MantasLaiko General Hospital of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Enhanced recovery after surgery (ERAS) protocols are widely adopted in colorectal surgery to reduce postoperative complications, length of stay and costs, but their impact on health-related quality of life (HRQoL) is less clear. Methods: A literature review was conducted through PubMed (MEDLINE) to December 2024, including randomized trials and observational studies evaluating ERAS implementation in colorectal surgery with HRQoL as primary or secondary outcome, using validated or clearly described HRQoL instruments. Results: Fifteen studies met the inclusion criteria, encompassing heterogeneous patient populations, procedures and ERAS pathways. Early randomized trials generally reported no significant differences in global HRQoL scores between ERAS and standard care, although ERAS cohorts frequently showed faster recovery of instrumental activities of daily living, earlier return to leisure or work and shorter hospitalization without increased complications. More recent studies, including larger prospective series, increasingly demonstrated higher HRQoL scores in ERAS groups across multiple domains using instruments such as EORTC QLQ-CR38 and WHOQOL-BREF, and identified non-ERAS perioperative care as an independent negative prognostic factor for long-term HRQoL improvement. No study reported detrimental effects of ERAS on HRQoL. Conclusions: The available evidence, although limited and methodologically heterogeneous, suggests that ERAS protocols in colorectal surgery have a neutral to beneficial impact on HRQoL, while maintaining well-established clinical advantages. Future research should include rigorously designed studies with HRQoL as a primary endpoint, standardized ERAS components and consistent use of validated HRQoL tools to allow more definitive recommendations.

Indexed as

colorectal surgeryenhanced recovery after surgery (ERAS)fast-track surgeryhealth-related quality of life (HRQoL)patient-reported outcomes

Identifiers

PMID41978858
PMCPMC13061438

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.