{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:07:02Z","timestamp":1788977222847,"version":"build-2803163510"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative recovery after laparoscopic radical prostatectomy (LRP) is influenced by perioperative nursing care. Therefore, this retrospective study aimed to compare outcomes from nursing-led perioperative multidisciplinary nursing collaboration based on Enhanced Recovery After Surgery (PMNC) with standard care in 235 patients undergoing LRP for localized prostate cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study was conducted in 235 patients with localized prostate cancer undergoing LRP at a tertiary hospital in Southwest China. Patients received either standard care (\n                      <jats:italic>n<\/jats:italic>\n                      = 115, routine perioperative nursing in 2020\u20132021) or PMNC (\n                      <jats:italic>n<\/jats:italic>\n                      = 120, implemented in 2022), which comprised eight structured ERAS-based interventions delivered jointly by nurses, anesthesiologists, and urologists. Primary outcomes were time to ambulation, catheter removal, urinary incontinence at discharge, and hospital stay; secondary outcomes included pain at 24\/48 h, complications, 30-day readmission, and time to oral intake. Outcomes were compared using\n                      <jats:italic>t<\/jats:italic>\n                      -tests, Mann\u2013Whitney U, chi-square, or Fisher\u2019s exact tests, with significance set at\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The PMNC group showed significantly earlier ambulation (14.1 vs. 17.8 h,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), earlier catheter removal (4.4 vs. 5.4 days,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), shorter hospital stay (5.2 vs. 6.1 days,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001), and lower incontinence at discharge (32.5% vs. 56.5%,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). Pain scores were also lower at 24 h (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001) and 48 h (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). Multivariate logistic regression confirmed PMNC as an independent protective factor for early continence (OR = 0.47, 95% CI: 0.28\u20130.80,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A structured PMNC model was associated with improved early recovery after LRP, including faster mobilization, earlier catheter removal, lower incontinence rates, shorter hospitalization, and reduced pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1705709","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:40:17Z","timestamp":1768372817000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Nursing-led multidisciplinary ERAS collaboration improves early recovery after laparoscopic radical prostatectomy for localized prostate cancer: a retrospective cohort study"],"prefix":"10.3389","volume":"12","author":[{"given":"Chunmei","family":"Chen","sequence":"first","affiliation":[{"name":"Disinfection and Supply Department, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou","place":["Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumei","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou","place":["Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueyan","family":"Chen","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou","place":["Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou","place":["Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Operating Room, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou","place":["Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e15770","DOI":"10.1097\/MD.0000000000015770","article-title":"Robot-assisted and laparoscopic vs open radical prostatectomy in clinically localized prostate cancer: perioperative, functional, and oncological outcomes: a Systematic review and 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