ReviewCureus2026
Component-Level Effects of Enhanced Recovery After Surgery Protocols on Postoperative Outcomes Across Surgical Specialties: A Systematic Review.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Recent advances in thoracic anesthesia: lung protection, airway management, and enhanced recovery-a narrative review.Journal of thoracic disease · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Enhanced recovery after surgery (ERAS) protocols have been widely adopted across surgical specialties to improve postoperative outcomes; however, the relative contribution of individual components within these multimodal pathways remains unclear. This systematic review aimed to evaluate the association between specific ERAS components and postoperative outcomes across diverse surgical settings. A comprehensive literature search was conducted in PubMed/MEDLINE, Scopus, and Web of Science for studies published between January 1, 2015, and December 31, 2025, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Observational cohort studies assessing ERAS protocols with reported compliance or component-level data and relevant postoperative outcomes were included. Data extraction focused on study characteristics, ERAS components, compliance measures, and clinical outcomes, and risk of bias was assessed using the Newcastle-Ottawa Scale. Eight studies comprising 4,959 patients across colorectal, hepatobiliary, pancreatic, thoracic, gynecologic, gastric, and head and neck surgeries were included. Higher ERAS compliance was consistently associated with reduced postoperative complications and shorter length of stay, demonstrating a dose-response relationship in most studies. Component-level analyses identified early mobilization, early enteral nutrition, perioperative fluid optimization, minimization of invasive tubes and catheters, and multimodal analgesia as the most consistently beneficial interventions. The timing of implementation, particularly within the early postoperative period, emerged as a critical determinant of outcomes. However, heterogeneity across studies and findings from a large multicenter cohort suggest that partial or inconsistent ERAS implementation may not confer significant benefit. Overall, while adherence to ERAS protocols is associated with improved postoperative recovery, a subset of key components appears to drive these effects across surgical specialties. These findings support a targeted, component-focused approach to ERAS implementation, emphasizing early postoperative interventions and high-fidelity execution, particularly in settings where full protocol adherence may be challenging.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.