Evidence map›Paper›PMID 42434241›Full record

ArticleJournal of gastrointestinal oncology2026

Nursing-led enhanced recovery bundled care in colorectal cancer surgery: a systematic review and meta-analysis.

Wei Pan, Yan-Ling Yang, Na Che, Ying Li, Qian Ma

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Wei PanDepartment of Colorectal and Anal Surgery, The Second Hospital of Jilin University, Changchun, China.
Yan-Ling YangDepartment of Colorectal and Anal Surgery, The Second Hospital of Jilin University, Changchun, China.
Na CheDepartment of Colorectal and Anal Surgery, The Second Hospital of Jilin University, Changchun, China.
Ying LiDepartment of Colorectal and Anal Surgery, The Second Hospital of Jilin University, Changchun, China.
Qian MaDepartment of Colorectal and Anal Surgery, The Second Hospital of Jilin University, Changchun, China.ORCID https://orcid.org/0009-0003-0571-9786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The protocols of Enhanced Recovery After Surgery (ERAS) have transformed the perioperative nursing care by decreasing surgical stress and shortening the recovery period because of multidisciplinary and evidence-based practice. The enhanced recovery bundled care (ERBC) emphasizes the core role of a nurse in aligning the ERAS components of patient education and early mobilization to pain management with which the surgical outcomes can be enhanced further. The purpose of this systematic review and meta-analysis was to assess and meta-analyses the effectiveness of nursing-led ERBC during the colorectal cancer surgical process in terms of main postoperative outcomes, such as the hospital length of stay (LOS), readmission rates, postoperative complications, and survival/prognosis in general. Methods: Following PRISMA 2020 guidance, we searched PubMed, Embase, Scopus, Web of Science, and Cochrane Library for studies published in the last 10 years evaluating nursing-led ERAS bundled care in colorectal cancer surgery. Two reviewers independently screened records, assessed full texts, and extracted data. A random effects meta-analysis was performed for outcomes reported with sufficient comparability across studies. Results: From 2,586 records identified, 13 studies were included. Across studies, nursing-led ERAS bundled care was associated with shorter LOS and earlier return of bowel function, with complication and readmission rates that were similar or lower than conventional pathways. Evidence for long-term oncologic outcomes was limited, but several cohort studies suggested improved survival with higher ERAS adherence. Conclusions: Nurse-led or nursing-coordinated ERAS bundled care was associated with improved short-term postoperative recovery in colorectal cancer surgery, including shorter hospital stay and lower complication and readmission rates, without evidence of increased short-term mortality. These findings support the potential value of structured nurse-coordinated perioperative pathways, although heterogeneity in the definition and reporting of nursing components limits causal inference. Further prospective multicenter studies are needed to operationalize nursing leadership, measure ERAS adherence reproducibly, and evaluate long-term oncologic and economic outcomes.

Indexed as

colorectal cancerEnhanced Recovery After Surgery (ERAS)meta-analysisnursingpostoperative complications

Identifiers

PMID42434241
PMCPMC13350359

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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.