Evidence mapPaperPMID 41003621Full record

ReviewSports (Basel, Switzerland)2025

Impact of Exercise Therapy in ERAS Prehabilitation for Major Surgery: A Systematic Review.

Anna Antonia Valenzano, Paride Vasco, Gabriella D'Orsi, Tommaso Cassano, Raffaella Marzovillo, Antonio Di Stasi, Giuseppe Cibelli

Abstract readReview
In one paragraph

Review in Sports (Basel, Switzerland), 2025. 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. Article
  2. 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

7 authors.

Anna Antonia ValenzanoDepartment of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.
Paride VascoDepartment of Humanities, University of Foggia, 71100 Foggia, Italy.ORCID 0009-0004-6161-7669
Gabriella D'OrsiDepartment of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.
Tommaso CassanoDepartment of Medical and Surgical Science, University of Foggia, 71100 Foggia, Italy.ORCID 0000-0001-6330-806X
Raffaella MarzovilloDepartment of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.
Antonio Di StasiDepartment of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.
Giuseppe CibelliDepartment of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) This systematic review evaluates the role of structured exercise within the Enhanced Recovery After Surgery (ERAS) protocol, a multidisciplinary approach designed to reduce surgical stress and enhance recovery. Prehabilitation, primarily through controlled physical activity, is a fundamental component of ERAS, preparing patients, both physically and mentally, for major surgery. (2) A systematic search following PRISMA guidelines was conducted using PubMed, ScienceDirect, Cochrane Library, Web of Science and Wiley databases to identify relevant studies published up to January 2025. Inclusion criteria encompassed randomized controlled trials, cohort studies, and meta-analyses reporting postoperative complications, length of hospital stay (LOS), and overall recovery. (3) A total of 64 studies met the inclusion criteria. The findings consistently demonstrate that structured exercise interventions-such as aerobic activities, resistance training, and flexibility routines-were associated with postoperative complications, shorten hospital stays, and enhance functional recovery. These interventions improve cardiorespiratory fitness, muscle strength, and psychological well-being. (4) Despite potential limitations in the systematic search, as heterogeneity of protocols, publication bias, language restrictions, the evidence supports the integration of structured exercise as a cornerstone of ERAS prehabilitation. Future research should focus on standardizing exercise protocols and exploring personalized strategies to optimize surgical outcomes across diverse patient populations.

Indexed as

nutritional supportpatient engagementphysical fitnesspreoperative optimizationsurgical recovery

Identifiers

PMID41003621
PMCPMC12473367

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.