{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T01:36:55Z","timestamp":1766367415734,"version":"3.48.0"},"reference-count":27,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Transsphenoidal endoscopic pituitary (TEP) tumor resection is performed through the nose via the sphenoid sinus to remove tumors from the pituitary gland. Also, enhanced recovery after surgery (ERAS) was adapted to reduce physical and physiological traumatic stress response of surgical patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 174 patients who underwent TEP tumor resection in our department from August 2021 to June 2022 were randomly divided into non-ERAS group and ERAS group. The main primary observational indicator was postoperative self-care ability parameters such as early urethral catheters\u2019 removal and postoperative food intake. Also, secondary indicators such as postoperative complications, average length of hospital stay (LOS), and total hospital cost were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall self-care ability of the ERAS group was higher than that of the non-ERAS group 24\u2009h after surgery (35 points vs 20 points,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Also, food intake on the first day after surgery was higher than that of the non-ERAS group (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Furthermore, the average LOS in the ERAS group was lower than that of the non-ERAS group (4 days vs 7 days,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01). Additionally, the average hospitalization cost in the ERAS group was lower than that of the non-ERAS group (32, 886 RMB vs 48, 125 RMB,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ERAS nursing strategy promoted early recovery of self-care, shorten the average LOS, and reduce hospitalization costs without increasing the incidence of postoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/med-2025-1139","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T10:50:56Z","timestamp":1740999056000},"source":"Crossref","is-referenced-by-count":0,"title":["The ERAS nursing care strategy for patients undergoing transsphenoidal endoscopic pituitary tumor resection: A randomized blinded controlled trial"],"prefix":"10.1515","volume":"20","author":[{"given":"Min","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seidu A.","family":"Richard","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience, Third Affiliated Hospital, Zhengzhou University , Zhengzhou , 450052 , China"},{"name":"Department of Biochemistry and Forensic Sciences, School of Chemical and Biochemical Sciences, C. K. Tedam University of Technology and Applied Sciences (CKT-UTAS) , Navrongo , Ghana"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaofeng","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"He","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhigang","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijuan","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Nursing, West China Hospital, Sichuan University , 37 Guo Xue Xiang Road , Chengdu , Sichuan, 610041 , P.R. China"},{"name":"Department of Neurosurgery, West China Hospital, Sichuan University , 37 Guo Xue Xiang Road , Chengdu , Sichuan, 610041 , P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"2025122201304646984_j_med-2025-1139_ref_001","doi-asserted-by":"crossref","unstructured":"Tritos NA, Miller KK. Diagnosis and management of pituitary adenomas: a review. JAMA. 2023;329(16):1386\u201398.","DOI":"10.1001\/jama.2023.5444"},{"key":"2025122201304646984_j_med-2025-1139_ref_002","unstructured":"Tang H, Wei Y, Yang W, Shang H, Zhao W, Wu Z. Improvement and effect analysis of a new neuroendoscopic trans-nasal-sphenoidal pituitary tumor resection approach. Zhonghua yi xue za zhi. 2018;98(37):3021\u20134."},{"key":"2025122201304646984_j_med-2025-1139_ref_003","doi-asserted-by":"crossref","unstructured":"Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. 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