Retrospective Cohort Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2025; 17(5): 103340
Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.103340
Enhanced recovery after surgery continuity nursing in elderly gastric cancer patients
Cai-Ping Lu, Ying Gao, Zhi-Hong Zhang
Cai-Ping Lu, Department of Medicine, Henan Vocational University of Science and Technology, Zhoukou 466000, Henan Province, China
Ying Gao, Department of General Surgery, Zhoukou First People’s Hospital, Zhoukou 466000, Henan Province, China
Zhi-Hong Zhang, Department of Oncology, Zhoukou Hospital of Traditional Chinese Medicine, Zhoukou 466000, Henan Province, China
Author contributions: Lu CP and Gao Y designed the experiments, conducted clinical data collection, conducted the collation, statistical analysis, and wrote the original manuscript and revised the paper; Zhang ZH performed postoperative follow-up and recorded the data; All authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the Zhoukou First People’s Hospital.
Informed consent statement: The Ethics Committee agreed to waive informed consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
STROBE statement: The authors have read the STROBE Statement—a checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-a checklist of items.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cai-Ping Lu, BSc, Doctor, Department of Medicine, Henan Vocational University of Science and Technology, No. 6 East Wenchang Avenue, Zhoukou 466000, Henan Province, China. hkzdhuli111@163.com
Received: December 27, 2024
Revised: March 6, 2025
Accepted: April 17, 2025
Published online: May 27, 2025
Processing time: 146 Days and 19 Hours
Core Tip

Core Tip: Enhanced recovery after surgery (ERAS) principles, when integrated with continuity nursing care, significantly improve postoperative outcomes in elderly gastric cancer patients. This study demonstrates that ERAS-based continuity nursing reduces inflammation and stress while enhancing immune response and patient satisfaction. Key findings include lower interleukin-6 levels, higher cluster of differentiation (CD) 4:CD8 ratios, reduced postoperative complications, and improved quality of life. These results highlight the potential of ERAS protocols to address the unique challenges faced by elderly patients undergoing gastric cancer resection, providing a robust foundation for future multi-center studies.