{"id":"https://openalex.org/W4406287635","doi":"https://doi.org/10.4103/ija.ija_953_24","title":"Impact of Enhanced recovery after surgery (ERAS) protocols in idiopathic scoliosis of children: A systematic review with meta-analysis and trial sequential analysis","display_name":"Impact of Enhanced recovery after surgery (ERAS) protocols in idiopathic scoliosis of children: A systematic review with meta-analysis and trial sequential analysis","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4406287635","doi":"https://doi.org/10.4103/ija.ija_953_24","pmid":"https://pubmed.ncbi.nlm.nih.gov/40046700","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11878361"},"language":"en","primary_location":{"id":"doi:10.4103/ija.ija_953_24","doi":"https://doi.org/10.4103/ija.ija_953_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_953_24","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.4103/ija.ija_953_24","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013729432","display_name":"Soumya Sarkar","orcid":"https://orcid.org/0000-0003-0497-9909","observed_orcids":["https://orcid.org/0000-0003-0497-9909","https://orcid.org/0009-0007-0897-161X"]},"institutions":[{"id":"https://openalex.org/I4405255515","display_name":"All India Institute of Medical Sciences, Kalyani","ror":"https://ror.org/033dtky70","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405255515"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Soumya Sarkar","raw_affiliation_strings":["Department of Anaesthesiology, AIIMS, Kalyani, West Bengal, India"],"raw_orcid":"https://orcid.org/0000-0003-0497-9909","affiliations":[{"raw_affiliation_string":"Department of Anaesthesiology, AIIMS, Kalyani, West Bengal, India","institution_ids":["https://openalex.org/I4405255515"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094098942","display_name":"Bharat Yalla","orcid":"https://orcid.org/0000-0003-0394-1853","observed_orcids":["https://orcid.org/0000-0003-0394-1853"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bharat Yalla","raw_affiliation_strings":["Department of Anaesthesia, Pain Medicine and Critical Care, New Delhi, India"],"raw_orcid":"https://orcid.org/0000-0003-0394-1853","affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Pain Medicine and Critical Care, New Delhi, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075528263","display_name":"Bhavuk Garg","orcid":"https://orcid.org/0000-0003-3169-6437","observed_orcids":["https://orcid.org/0000-0003-3169-6437"]},"institutions":[{"id":"https://openalex.org/I63739035","display_name":"All India Institute of Medical Sciences","ror":"https://ror.org/02dwcqs71","country_code":"IN","type":"education","lineage":["https://openalex.org/I2799351866","https://openalex.org/I4210148677","https://openalex.org/I63739035"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Bhavuk Garg","raw_affiliation_strings":["Department of Orthopaedics, AIIMS, New Delhi, India"],"raw_orcid":"https://orcid.org/0000-0003-3169-6437","affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, AIIMS, New Delhi, India","institution_ids":["https://openalex.org/I63739035"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051023869","display_name":"Puneet Khanna","orcid":"https://orcid.org/0000-0002-9243-9963","observed_orcids":["https://orcid.org/0000-0002-9243-9963"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Puneet Khanna","raw_affiliation_strings":["Department of Anaesthesia, Pain Medicine and Critical Care, New Delhi, India"],"raw_orcid":"https://orcid.org/0000-0002-9243-9963","affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Pain Medicine and Critical Care, New Delhi, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5051023869"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.7417,"has_fulltext":true,"cited_by_count":10,"citation_normalized_percentile":{"value":0.83261359,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"69","issue":"1","first_page":"23","last_page":"37"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/enhanced-recovery-after-surgery","display_name":"enhanced recovery after surgery","score":0.8960000276565552},{"id":"https://openalex.org/keywords/eras-protocols","display_name":"ERAS protocols","score":0.7480000257492065},{"id":"https://openalex.org/keywords/idiopathic-scoliosis","display_name":"idiopathic scoliosis","score":0.9810000061988831},{"id":"https://openalex.org/keywords/pediatric-spine-surgery","display_name":"pediatric spinal surgery","score":0.8550000190734863},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9580000042915344},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.7979999780654907},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9700000286102295},{"id":"https://openalex.org/keywords/intraoperative-blood-loss","display_name":"intraoperative blood loss","score":0.9900000095367432},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9100000262260437},{"id":"https://openalex.org/keywords/trial-sequential-analysis","display_name":"trial sequential analysis","score":0.8569999933242798},{"id":"https://openalex.org/keywords/cobb-angle","display_name":"Cobb angle","score":0.5370000004768372},{"id":"https://openalex.org/keywords/postoperative-care-pathway","display_name":"postoperative care pathway","score":0.3019999861717224},{"id":"https://openalex.org/keywords/spinal-deformity-correction","display_name":"spinal deformity correction","score":0.33399999141693115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9734411239624023},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.8130619525909424},{"id":"https://openalex.org/C2993634128","wikidata":"https://www.wikidata.org/wiki/Q174857","display_name":"Idiopathic scoliosis","level":3,"score":0.6726622581481934},{"id":"https://openalex.org/C2780955175","wikidata":"https://www.wikidata.org/wiki/Q174857","display_name":"Scoliosis","level":2,"score":0.6151982545852661},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.343187153339386},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1562064290046692}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.4103/ija.ija_953_24","doi":"https://doi.org/10.4103/ija.ija_953_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_953_24","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11878361","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11878361","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11878361/pdf/IJA-69-23.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian J Anaesth","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:10696563","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11878361","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40046700","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40046700","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian journal of anaesthesia","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:45ff70f5d05a4d4194f6147c6175c60d","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/45ff70f5d05a4d4194f6147c6175c60d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Indian Journal of Anaesthesia, Vol 69, Iss 1, Pp 23-37 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/ija.ija_953_24","doi":"https://doi.org/10.4103/ija.ija_953_24","is_oa":true,"landing_page_url":"https://doi.org/10.4103/ija.ija_953_24","pdf_url":null,"source":{"id":"https://openalex.org/S174280328","display_name":"Indian Journal of Anaesthesia","issn_l":"0019-5049","issn":["0019-5049","0976-2817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Anaesthesia","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4406287635.pdf","grobid_xml":"https://content.openalex.org/works/W4406287635.grobid-xml"},"referenced_works_count":60,"referenced_works":["https://openalex.org/W1013576710","https://openalex.org/W1977633763","https://openalex.org/W2027883111","https://openalex.org/W2042420460","https://openalex.org/W2104675861","https://openalex.org/W2218318649","https://openalex.org/W2269594500","https://openalex.org/W2333819395","https://openalex.org/W2342427515","https://openalex.org/W2345663398","https://openalex.org/W2439818010","https://openalex.org/W2466770844","https://openalex.org/W2531062947","https://openalex.org/W2531269403","https://openalex.org/W2559214711","https://openalex.org/W2588681363","https://openalex.org/W2589369648","https://openalex.org/W2609512855","https://openalex.org/W2653479718","https://openalex.org/W2741669099","https://openalex.org/W2770868661","https://openalex.org/W2886021238","https://openalex.org/W2890184693","https://openalex.org/W2901759141","https://openalex.org/W2916841405","https://openalex.org/W2921529689","https://openalex.org/W2921877470","https://openalex.org/W2943204414","https://openalex.org/W2954639969","https://openalex.org/W2970684805","https://openalex.org/W2982642208","https://openalex.org/W3004842403","https://openalex.org/W3008222735","https://openalex.org/W3025540795","https://openalex.org/W3031384708","https://openalex.org/W3044247028","https://openalex.org/W3047419380","https://openalex.org/W3092382087","https://openalex.org/W3092457736","https://openalex.org/W3118424014","https://openalex.org/W3118615836","https://openalex.org/W3124629029","https://openalex.org/W3125368247","https://openalex.org/W3138586693","https://openalex.org/W3151920139","https://openalex.org/W3161064675","https://openalex.org/W3161716033","https://openalex.org/W3200011398","https://openalex.org/W3212956022","https://openalex.org/W4200321446","https://openalex.org/W4206632684","https://openalex.org/W4210970652","https://openalex.org/W4220715554","https://openalex.org/W4283446693","https://openalex.org/W4302284085","https://openalex.org/W4307650856","https://openalex.org/W4363672237","https://openalex.org/W4366606726","https://openalex.org/W4378348217","https://openalex.org/W6804934293"],"related_works":["https://openalex.org/W3109278800","https://openalex.org/W4406632262","https://openalex.org/W4366606726","https://openalex.org/W4416987376","https://openalex.org/W4406288333","https://openalex.org/W4200453713","https://openalex.org/W3200011398","https://openalex.org/W3138586693","https://openalex.org/W4381329473","https://openalex.org/W4378348217"],"abstract_inverted_index":{"Background":[0],"and":[1,18,58,63,187,232,246,268],"Aims:":[2],"Enhanced":[3],"recovery":[4],"after":[5,51,67],"surgery":[6,29,43,175],"(ERAS)":[7],"protocols":[8,253],"are":[9],"widely":[10],"adopted":[11],"in":[12,27,44,72,85,93,210,254],"various":[13],"surgeries":[14,257],"to":[15,153],"improve":[16],"outcomes":[17],"reduce":[19,259],"length":[20],"of":[21,53,127,174,203,220,225,234,239],"stay":[22],"(LOS).":[23],"However,":[24],"their":[25],"cost-effectiveness":[26],"spine":[28],"for":[30,41,200,217],"children":[31,45],"is":[32],"unclear.":[33],"Methods:":[34],"Studies":[35],"comparing":[36],"ERAS":[37,87,252],"with":[38,46],"conventional":[39],"pathways":[40],"spinal":[42],"idiopathic":[47],"scoliosis":[48,256],"were":[49,82,242],"included":[50],"scrutiny":[52],"electronic":[54],"databases":[55,66],"(PubMed,":[56],"Medline,":[57],"Embase),":[59],"Google":[60],"Scholar,":[61],"preprint,":[62],"clinical":[64],"trial":[65],"the":[68,86,154,162,207,211],"protocol":[69,156],"was":[70,164,249],"enroled":[71],"PROSPERO":[73],"(ID:":[74],"CRD42023418323).":[75],"Results:":[76],"Twenty-five":[77],"studies,":[78],"including":[79],"15,399":[80],"patients,":[81],"included.":[83],"Patients":[84],"group":[88],"had":[89],"a":[90,201],"significant":[91],"reduction":[92,209,216,219,233],"LOS":[94,163],"by":[95,111,141,167],"\u22121.68":[96],"days":[97],"[95%":[98],"confidence":[99],"interval":[100],"(CI):":[101],"\u22121.88,":[102],"\u22121.47;":[103],"I":[104,122,136,148],"2":[105,123,137,149],"=":[106,124,150,171,178,185,193],"96%),":[107],"per-patient":[108],"hospital":[109,223,264],"cost":[110,224],"3765.27":[112],"USD,":[113],"as":[114,228],"per":[115,221,229],"2023":[116,230],"valuation":[117],"(95%":[118,144],"CI:":[119,133,145],"\u22125257.43,":[120],"\u22122273.12,":[121],"99.96%),":[125],"risk":[126,215],"complications":[128],"(log-odds":[129],"ratio:":[130],"\u22120.85;":[131],"95%":[132,204],"\u22121.45,":[134],"\u22120.27;":[135],"=50.4%),":[138],"blood":[139,189,237,271],"loss":[140,190,238],"159.38":[142],"mL":[143,241],"121.8,":[146],"197.79,":[147],"95.02%),":[151],"compared":[152],"traditional":[155],"group.":[157],"On":[158],"multivariable":[159],"meta-regression":[160],"analyses,":[161],"not":[165],"impacted":[166],"age":[168],"(":[169,176,183,191],"P":[170,177,184,192],"0.382),":[172],"duration":[173],"0.289),":[179],"preoperative":[180],"Cobb\u2019s":[181],"angle":[182],"0.405),":[186],"intraoperative":[188,236,270],"0.525).":[194],"The":[195],"required":[196],"information":[197],"size":[198],"estimated":[199],"power":[202],"based":[205],"on":[206],"30%":[208],"LOS,":[212],"50%":[213],"relative":[214],"complications,":[218,267],"patient":[222],"USD":[226],"3500":[227],"valuation,":[231],"mean":[235],"100":[240],"8599,":[243],"904,":[244],"499,":[245],"499":[247],"respectively,":[248],"achieved.":[250],"Conclusion:":[251],"children\u2019s":[255],"significantly":[258],"treatment":[260],"costs":[261],"through":[262],"decreased":[263],"stays,":[265],"fewer":[266],"less":[269],"loss.":[272]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-01-12T00:00:00"}
