Evidence map›Paper›PMID 42798759›Full record

ReviewCureus2026

Implementation of Enhanced Recovery After Surgery Pathways in Gynecologic Oncology: Multidisciplinary Coordination, Nursing Roles, and Practical Challenges.

Maria Bourazani, Chrysseida Maglari, Antonios Anagnostopoulos, Nikolaos Fyrfiris

Abstract readReview
In one paragraph

Review in Cureus, 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

4 authors.

Maria BourazaniDepartment of Anaesthesiology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.
Chrysseida MaglariDepartment of Anaesthesiology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.
Antonios AnagnostopoulosDepartment of Gynecologic Oncology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.
Nikolaos FyrfirisDepartment of Anaesthesiology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) pathways are evidence-based, multimodal approaches to perioperative care designed to reduce surgical stress, standardize clinical practice, and promote earlier functional recovery. In gynecologic oncology, their clinical benefits are well established; however, successful implementation remains challenging because of surgical complexity, variation in institutional resources, inconsistent adherence to protocol elements, and the need for coordinated multidisciplinary care. This narrative review examines the practical implementation of ERAS pathways in gynecologic oncology, with emphasis on the translation of contemporary recommendations into routine clinical practice. Particular attention is given to multidisciplinary coordination, nursing roles, protocol adherence, patient engagement, organizational barriers, and long-term sustainability. Current evidence indicates that formal adoption of an ERAS pathway does not necessarily ensure consistent delivery of its individual components, while greater adherence is associated with improved postoperative outcomes. Nursing professionals have a central role in ERAS implementation because they contribute to continuity of care across the perioperative pathway through patient education, symptom assessment, mobilization, nutritional support, recovery monitoring, and discharge preparation. Effective implementation also requires clearly defined professional responsibilities, structured communication, patient participation, and mechanisms for identifying clinically justified deviations from unwarranted variation in practice. ERAS should therefore be regarded not as a static checklist but as a dynamic, multidisciplinary clinical system. Sustainable integration into gynecologic oncology practice depends on evidence-based standardization, appropriate individualization, active nursing and patient participation, and ongoing monitoring of adherence and outcomes.

Indexed as

enhanced recovery after surgeryeras protocolsgynecologic oncologyimplementationmultidisciplinary careperioperative nursingprotocol adherence

Identifiers

PMID42798759
PMCPMC13613029

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.