# QA Silent Uploads — GCMD Library living collection

Updated: n/a · 2 episodes · 20 cited statements

## Episodes
### Recordings
- [The International Neuroblastoma Risk Group (INRG) staging system: an INRG Task Force report](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727) — video · 0:59 · [machine version](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727.md)
- [Enhanced Recovery After Surgery (ERAS) Improves Length of Stay and Decreases Complications After Resection of Abdominal Neuroblastoma](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522) — video · 1:02 · [machine version](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522.md)

## Chapters
- [0:00](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=0) ERAS Protocol for Neuroblastoma Resection (Ep 2)
- [0:00](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=0) Image-Defined Risk Factors in Neuroblastoma (Ep 1)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- A multi-center prospective study evaluated a structured ERAS pathway for children undergoing abdominal neuroblastoma resection — Sophia Schermerhorn (clinical) [Ep 2 · 0:03](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=3)
- The ERAS protocol included 20 evidence-based elements spanning the entire perioperative process — Sophia Schermerhorn (clinical) [Ep 2 · 0:13](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=13)
- ERAS protocol elements included preoperative counseling, hydrate loading, standardized multimodal analgesia, early feeding, and early mobilization — Sophia Schermerhorn (clinical) [Ep 2 · 0:13](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=13)
- Length of stay decreased from about 7 days to 3.7 days — Sophia Schermerhorn (clinical) [Ep 2 · 0:28](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=28)
- Post-operative opioid use dropped by over half — Sophia Schermerhorn (clinical) [Ep 2 · 0:32](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=32)
- Patients resumed regular diets and ambulated about 3 days earlier — Sophia Schermerhorn (clinical) [Ep 2 · 0:32](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=32)
- The proportion of patients experiencing any postoperative complication decreased by over 50% — Sophia Schermerhorn (clinical) [Ep 2 · 0:39](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=39)
- Patients were cleared to resume adjuvant chemotherapy earlier at around 8 days as opposed to 10 days — Sophia Schermerhorn (clinical) [Ep 2 · 0:46](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=46)
- A structured ERAS pathway meaningfully improves recovery even after complex neuroblastoma resections — Sophia Schermerhorn (opinion) [Ep 2 · 0:51](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=51)
- ERAS represents a tangible opportunity to standardize perioperative care for neuroblastoma resection — Sophia Schermerhorn (opinion) [Ep 2 · 0:51](https://qa.library.globalcastmd.com/watch/enhanced-recovery-after-surgery-improves-length-of-stay-and-decreases-complicati-11522?t=51)
- IDRFs are necessary knowledge for clinicians treating neuroblastoma to determine safety of surgical intervention — Sophia Schermerhorn (clinical) [Ep 1 · 0:00](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=0)
- IDRFs are imaging findings on CT or MRI that predict when neuroblastoma may be difficult or dangerous to remove surgically — Sophia Schermerhorn (clinical) [Ep 1 · 0:14](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=14)
- The IDRF concept was first introduced in 2009 by the International Neuroblastoma Risk Group — Sophia Schermerhorn (guideline) [Ep 1 · 0:21](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=21)
- The International Neuroblastoma Risk Group defined 20 specific imaging risk factors — Sophia Schermerhorn (guideline) [Ep 1 · 0:21](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=21)
- Most IDRFs relate to how the tumor interacts with critical anatomy — Sophia Schermerhorn (clinical) [Ep 1 · 0:29](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=29)
- In the abdomen, a tumor that infiltrates the portahepati or hepatoduodenal ligament is considered to contain an IDRF — Sophia Schermerhorn (clinical) [Ep 1 · 0:34](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=34)
- The presence of an IDRF does not mean a tumor cannot be resected — Sophia Schermerhorn (clinical) [Ep 1 · 0:41](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=41)
- IDRF presence signals that surgery may be technically more complex — Sophia Schermerhorn (clinical) [Ep 1 · 0:41](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=41)
- Patients with IDRFs often receive neoadjuvant therapy first to try to shrink the tumor — Sophia Schermerhorn (clinical) [Ep 1 · 0:41](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=41)
- Surgeons use IDRFs to predict surgical risk and guide the safest treatment approach using imaging — Sophia Schermerhorn (clinical) [Ep 1 · 0:52](https://qa.library.globalcastmd.com/watch/the-international-neuroblastoma-risk-group-staging-system-an-inrg-task-force-rep-11727?t=52)

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