Evidence map›Paper›PMID 42787884›Full record

ReviewCureus2026

The Multidisciplinary Approach to Enhanced Recovery After Surgery in Colorectal Cancer: An Updated Narrative Review.

Maria Bourazani, Andreas Nikolaos Dafnis, Pavlina-Athanasia Syrogianni

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

3 authors.

Maria BourazaniDepartment of Anesthesiology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.
Andreas Nikolaos DafnisDepartment of Surgical Oncology, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, GRC.
Pavlina-Athanasia SyrogianniDepartment of Anesthesiology, 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) has become the principal framework for perioperative care in elective colorectal cancer surgery, integrating multiple evidence-based interventions across the preoperative, intraoperative, and postoperative phases. Successful implementation depends not only on individual pathway components but on coordinated multidisciplinary delivery involving surgeons, anesthesiologists, nurses, dietitians, physiotherapists, pharmacists, and stoma-care specialists. This updated narrative review synthesizes contemporary evidence on the multidisciplinary implementation of ERAS in elective colorectal cancer surgery, drawing primarily on the 2025 ERAS Society recommendations together with literature published between January 2022 and August 2026, identified through structured searches of PubMed/MEDLINE and Scopus. Thirty-three publications were prioritized for narrative synthesis based on relevance, methodological quality, recency, and contribution to multidisciplinary implementation. The review examines preoperative optimization (patient education, prehabilitation, smoking and alcohol cessation, nutritional and hematologic optimization, bowel preparation), intraoperative-adjacent perioperative measures (fasting and carbohydrate loading, venous thromboembolism prophylaxis), and postoperative recovery components (catheter management, early oral feeding, mobilization, prevention of postoperative ileus, discharge planning), alongside pathway adherence, audit, and implementation science. Contemporary evidence continues to support core ERAS components, although the strength of evidence varies: carbohydrate loading and universal extended thromboprophylaxis, for example, show a less definitive effect on major outcomes than previously assumed, while specific mobilization targets remain pragmatic rather than proven thresholds. Nurses occupy a longitudinal, coordinating role across the entire perioperative trajectory. The findings indicate that ERAS effectiveness in colorectal cancer surgery depends less on individual interventions than on consistent multidisciplinary delivery, sustained pathway adherence, and systematic audit. Future research should prioritize individualized risk stratification, standardized adherence reporting, and rigorous evaluation of multidisciplinary implementation strategies rather than the addition of further isolated interventions.

Indexed as

colorectal cancer surgerycolorectal surgery​enhanced recovery after surgerymultidisciplinary careperioperative care

Identifiers

PMID42787884
PMCPMC13611193

What Socratic 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 Socratic graph.