Evidence map›Paper›PMID 42410775›Full record

ArticleMedicine2026

Impact of enhanced recovery after surgery (ERAS) protocols on clinical outcomes of patients undergoing anterior cervical discectomy and fusion: A retrospective study.

YanMing Hou, Dingli Xu, Leling Feng

Abstract read
In one paragraph

Article in Medicine, 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
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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

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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.

YanMing HouDepartment of Orthopedics, Deqing People's Hospital, Huzhou, Zhejiang, China.
Dingli XuDepartment of Clinical Medicine, Health Science Center, Ningbo University, Ningbo, Zhejiang, China.
Leling FengDepartment of Nursing, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.ORCID 0000-0001-9292-8102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the impact of enhanced recovery after surgery (ERAS) protocols on the clinical outcomes of anterior cervical discectomy and fusion (ACDF). This retrospective study included eligible patients with 3-level cervical disc herniation treated with ACDF between April 2020 and April 2022, with a minimum 1-year follow-up. Patients were categorized into 2 groups based on whether they received an ERAS protocol (ERAS+ group) or standard perioperative care (ERAS- group). Key outcome measures included hospital length of stay, total cost, estimated blood loss, visual analogue scale pain scores, Neck Disability Index, Japanese Orthopaedic Association scores, perioperative opioid usage, complication rates, and Bridwell bone fusion grades. Statistical analyses were performed using Statistical Package for Social Sciences 24.0, with significance set at P < .05. The implementation of an ERAS protocol in patients undergoing multilevel ACDF may be associated with improved perioperative metrics, enhanced functional recovery, reduced opioid use, and lower complication rates in this retrospective analysis. Further prospective studies are warranted to confirm these observations. A total of 110 eligible patients were enrolled in our study. Compared with the ERAS- group, the ERAS+ group demonstrated significantly shorter hospital stays (3.6 ± 0.5 vs 4.3 ± 0.8 days, P < .05), lower total costs (18,569.2 ± 872.4 vs 21,201.9 ± 1160.8 CNY, P < .05), and reduced estimated blood loss (75.5 ± 14.6 vs 107.2 ± 27.5 mL, P < .05). The ERAS+ group also showed superior improvements in visual analogue scale, Neck Disability Index, and Japanese Orthopaedic Association scores at follow-up visits (P < .05). Furthermore, the ERAS+ group had significantly lower perioperative opioid consumption, a lower incidence of overall complications (P < .05), and better Bridwell fusion grades (P < .05).

Indexed as

Cervical VertebraeDiskectomyEnhanced Recovery After SurgeryIntervertebral Disc DisplacementSpinal FusionAdultAnalgesics, OpioidFemaleHumansLength of StayMaleMiddle AgedPain MeasurementPerioperative CarePostoperative ComplicationsRetrospective StudiesAnalgesics, Opioidanterior cervical discectomy and fusionclinical effectenhanced recovery after surgeryopioid usagesurgery

Identifiers

PMID42410775
PMCPMC13337047

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.