{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T19:31:31Z","timestamp":1793302291490,"version":"4.5.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Perioperative care for minimally invasive lumbar interbody fusion (MIS-LIF) is often suboptimal. Evidence for nurse-led enhanced recovery after surgery (ERAS) protocols in this population is lacking. Our study aimed to evaluate the impact of a structured nursing management protocol based on ERAS principles on postoperative recovery outcomes in patients undergoing MIS-LIF for lumbar spinal stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a prospective randomized controlled trial, 70 patients scheduled for single-level MIS-LIF were randomly assigned to either an ERAS group (n\u2009=\u200935) or a conventional care group (n\u2009=\u200935). The ERAS group received a structured nursing protocol encompassing preoperative education, preemptive analgesia, intraoperative temperature and fluid management, postoperative multimodal analgesia, staged early mobilization, and complication prevention; the conventional care group received routine perioperative care based on standard orders. The protocol was implemented from admission to discharge. The primary outcome was time to first ambulation. Secondary outcomes included length of stay, pain scores (NRS at 6, 24, 48, 72\u2009h), opioid consumption, complications, Oswestry disability index (ODI) (preoperative, discharge, 1\u2009month), and patient satisfaction (at discharge).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The time to first ambulation was significantly earlier in the ERAS group (P\u2009&amp;lt;\u2009.001). The ERAS group also had a shorter hospital stay, lower pain scores, reduced opioid consumption (all P\u2009&amp;lt;\u2009.001), a lower overall complication rate (P\u2009=\u2009.002) with fewer episodes of nausea\/vomiting (P\u2009=\u2009.016), superior functional improvement (ODI: 38.2\u2009\u00b1\u20096.8 vs. 45.6\u2009\u00b1\u20097.5, P\u2009&amp;lt;\u2009.001), and higher satisfaction at discharge (P\u2009&amp;lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A nurse-led ERAS protocol safely and effectively accelerates recovery, improves pain management, reduces complications, and improves patient satisfaction after MIS-LIF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/intqhc\/mzag155","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:40:37Z","timestamp":1790077237000},"source":"Crossref","is-referenced-by-count":0,"title":["Effect of an ERAS nursing protocol on recovery after minimally invasive lumbar fusion: a randomized trial"],"prefix":"10.1093","volume":"38","author":[{"given":"Yun","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Spine Surgery Ward 2, Tianjin Hospital , Tianjin City,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Ward 2, Tianjin Hospital , Tianjin City,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Ward 2, Tianjin Hospital , Tianjin City,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"2026102914442731000_mzag155-B1","doi-asserted-by":"publisher","first-page":"1688","DOI":"10.1001\/jama.2022.5921","article-title":"Diagnosis and management of lumbar spinal stenosis: a review","volume":"327","author":"Katz","year":"2022","journal-title":"JAMA"},{"key":"2026102914442731000_mzag155-B2","doi-asserted-by":"publisher","first-page":"7236970","DOI":"10.1155\/2017\/7236970","article-title":"Standard versus minimally invasive transforaminal lumbar interbody fusion: a prospective randomized study","volume":"2017","author":"Serban","year":"2017","journal-title":"Biomed Res Int"},{"key":"2026102914442731000_mzag155-B3","doi-asserted-by":"publisher","first-page":"1519135","DOI":"10.3389\/fsurg.2025.1519135","article-title":"Evaluating the role of nursing interventions in enhanced recovery after surgery for minimally invasive spine surgery: a retrospective analysis","volume":"12","author":"Zhang","year":"2025","journal-title":"Front Surg"},{"key":"2026102914442731000_mzag155-B4","doi-asserted-by":"publisher","first-page":"100120","DOI":"10.1016\/j.wnsx.2022.100120","article-title":"Enhanced recovery after surgery protocol in minimally invasive lumbar fusion surgery reduces length of hospital stay and inpatient narcotic use","volume":"14","author":"Band","year":"2022","journal-title":"World Neurosurg X"},{"key":"2026102914442731000_mzag155-B5","doi-asserted-by":"publisher","first-page":"1121807","DOI":"10.3389\/fsurg.2023.1121807","article-title":"A new nursing pattern based on ERAS concept for patients with lumbar degenerative diseases treated with OLIF surgery: a retrospective study","volume":"10","author":"Lu","year":"2023","journal-title":"Front Surg"},{"key":"2026102914442731000_mzag155-B6","doi-asserted-by":"publisher","first-page":"e52842","DOI":"10.7759\/cureus.52842","article-title":"Large-scale comparative study between microendoscopic laminectomy and full-endoscopic laminectomy for the treatment of single-level lumbar spinal canal stenosis","volume":"16","author":"Takebayashi","year":"2024","journal-title":"Cureus"},{"key":"2026102914442731000_mzag155-B7","doi-asserted-by":"publisher","first-page":"1590","DOI":"10.1007\/s00586-024-08514-0","article-title":"ISSLS prize in clinical science 2025: a randomized trial on three different minimally invasive decompression techniques for lumbar spinal stenosis. 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