Evidence map›Paper›PMID 42811387›Full record

SynthesisColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2026

Enhanced recovery after colorectal surgery in patients with inflammatory bowel disease to reduce hospital length of stay: A systematic review and meta-analysis.

Garrett Johnson, Evangelia Theodosopoulos, Jordyn Vernon, Selina Schmocker, Hilalion San Ahn, Javier Gomez, Mantaj S Brar, Aman Pooni, Erin D Kennedy

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Enhanced recovery after colorectal surgery in patients with inflammatory bowel disease to reduce hospital length of stay: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Pooled it
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

9 authors.

Garrett JohnsonDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5507-9543
Evangelia TheodosopoulosDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Jordyn VernonDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Selina SchmockerZane Cohen Centre for Digestive Diseases, Mount Sinai Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-6136-1251
Hilalion San AhnDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-0308-089X
Javier GomezDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-9855-3791
Mantaj S BrarDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Aman PooniDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Erin D KennedyDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-0707-5294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimEnhanced recovery after surgery (ERAS) improves outcomes in colorectal cancer surgery; however, patients with inflammatory bowel disease (IBD) have been relatively excluded from these analyses. The purpose of this systematic review was to evaluate the effects of ERAS protocols in adult patients with IBD.

methodsRelevant databases were searched for randomised-controlled trials (RCTs) and controlled observational studies that assessed ERAS protocols versus conventional care in adult patients with IBD, in any language until July 21, 2025. Two authors independently identified trials, extracted data, assessed risk of bias (ROB 2.0 and ROBINS-I) and evidence certainty (GRADE). Primary outcomes were length of stay (LOS), 30-day readmissions, re-operations and complications.

resultsEighteen studies (one RCT, 17 observational) were included. LOS was significantly lower in the ERAS group (mean difference: -1.62 days; 95% CI: -2.03, -1.21, 15 studies, 4225 patients, moderate certainty). There was no difference in 30-day readmissions (odds ratio, OR: 0.83; 95% CI: 0.62, 1.12, 15 studies, 4157 patients, low certainty), 30-day reoperations (OR: 0.68; 95% CI: 0.46, 1.02, 8 studies, 2161 patients, very low certainty), or 30-day complications (OR 0.69; 95% CI: 0.45, 1.08, 14 studies, 4074 patients, low certainty). Evidence certainty was limited by non-blinding, and observational data at serious risk of bias.

conclusionsERAS for patients with IBD reduces LOS with no difference in 30-day readmissions, reoperations and complications. Subgroup analyses generated the hypothesis that procedure-specific ERAS pathways incorporating greater preoperative optimisation may provide additional benefit, but this requires confirmation in adequately powered randomised trials.

Indexed as

Enhanced Recovery After SurgeryInflammatory Bowel DiseasesLength of StayAdultColorectal Surgical ProceduresHumansPatient ReadmissionPostoperative ComplicationsRandomized Controlled Trials as TopicReoperationenhanced recovery after surgeryenhanced recovery programfast‐track surgery

Identifiers

PMID42811387
PMCPMC13624278

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.