Enhanced Recovery After Surgery for Noncolorectal Surgery?: A Systematic Review and Meta-analysis of Major Abdominal Surgery.

Published on Jan 1, 2018in Annals of Surgery12.969
路 DOI :10.1097/SLA.0000000000002267
Anthony Visioni3
Estimated H-index: 3
(Roswell Park Cancer Institute),
Rupen Shah10
Estimated H-index: 10
(Roswell Park Cancer Institute)
+ 3 AuthorsSteven J. Nurkin19
Estimated H-index: 19
(Roswell Park Cancer Institute)
Sources
Abstract
Objective:To evaluate the impact of enhanced recovery after surgery (ERAS) protocols across noncolorectal abdominal surgical procedures.Background:ERAS programs have been studied extensively in colorectal surgery and adopted at many centers. Several studies testing such protocols have shown promisin
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References53
Newest
#1Ira L. Leeds (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 13
#2Emily F. Boss (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 22
Last. Eric B. Jelin (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 15
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Abstract Standardization in perioperative care has led to major improvements in surgical outcomes during the last two decades. Enhanced recovery after surgery (ERAS) programs are one example of a clinical pathway impacting both surgical outcomes and efficiency of care, but these programs have not yet been widely adapted for surgery in children. In adults, ERAS pathways have been shown to reduce length of stay, reduce complication rates, and improve patient satisfaction. These pathways improve ou...
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#1Xueli Bai (ZJU: Zhejiang University)H-Index: 22
#2Xiaoyu Zhang (ZJU: Zhejiang University)H-Index: 19
Last. Tingbo Liang (ZJU: Zhejiang University)H-Index: 27
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Abstract Introduction The experience of implementing enhanced recovery after surgery (ERAS) programs in pancreatic surgery is limited. The aim of this study was to evaluate the feasibility of ERAS program in pancreatic surgery in an academic medical center of China. Methods Between May 2014 and August 2015, 124 patients managed with an ERAS program following pancreatic surgery (ERAS group), were compared to a historical cohort of 63 patients, treated with traditional perioperative care between A...
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#1T. KruszynaH-Index: 1
#2B. NiekowalH-Index: 1
Last. J. SadowskiH-Index: 1
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Abstract Background Enhanced recovery after surgery (ERAS) protocols have gained widespread recognition in general surgery, decreasing the length of hospital stay while maintaining equivalent or lower morbidity and increased patient satisfaction. The feasibility of the ERAS protocol has not been studied in kidney transplantation. In this single-center retrospective case series, we describe the outcomes of 45 consecutive deceased-donor kidney transplant recipients subjected to a modified ERAS pro...
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#1Andrew J. Page (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 14
#2Faiz Gani (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 26
Last. Timothy M. Pawlik (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 121
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Background Enhanced recovery after surgery (ERAS) pathways have been associated with improved perioperative outcomes following several surgical procedures. Less is known, however, regarding their use following hepatic surgery. Methods An evidence-based, standardized perioperative care pathway was developed and implemented prospectively among patients undergoing open liver surgery between 1 January 2014 and 31 July 2015. Perioperative outcomes, including length of hospital stay, postoperative com...
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#1Katherine A. Morgan (MUSC: Medical University of South Carolina)H-Index: 23
#2William P. Lancaster (MUSC: Medical University of South Carolina)H-Index: 5
Last. David B. Adams (MUSC: Medical University of South Carolina)H-Index: 34
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Background There is increasing interest in implementing comprehensive perioperative protocols, including preoperative optimization and education, perioperative goal-directed fluid management, and postoperative fast tracking, to enhance recovery after surgery. Data on the outcomes of these protocols in pancreatic surgery, however, are limited. Study Design A retrospective review of a prospectively maintained pancreas surgery database at a single institution from August 2012 to April 2015 was unde...
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#1Xiao Liang (SRRSH: Sir Run Run Shaw Hospital)H-Index: 20
#2Hanning YingH-Index: 6
Last. Xiujun CaiH-Index: 30
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AbstractEnhanced recovery after surgery (ERAS) has shown effectiveness in terms of reducing the hospital stay and cost associated with open liver resection. However, the benefit of ERAS in patients undergoing laparoscopic liver resection is still unclear, and clinical studies on this topic are limit
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Last. L. Ulas BiterH-Index: 6
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Background With the increasing prevalence of morbid obesity and healthcare costs in general, interest is shown in safe, efficient, and cost-effective bariatric care. This study describes an Enhanced Recovery After Bariatric Surgery (ERABS) protocol and the results of implementing such protocol on procedural times, length of stay in hospital (LOS), and the number of complications, such as readmissions and reoperations.
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#1Ryan W. Day (University of Texas MD Anderson Cancer Center)H-Index: 11
#2Charles S. Cleeland (University of Texas MD Anderson Cancer Center)H-Index: 115
Last. Thomas A. Aloia (University of Texas MD Anderson Cancer Center)H-Index: 65
view all 9 authors...
Background Enhanced recovery (ER) pathways have become increasingly integrated into surgical practice. Studies that compare ER and traditional pathways often focus on outcomes confined to inpatient hospitalization and rarely assess a patient's functional recovery. The aim of this study was to compare functional outcomes for patients treated on an Enhanced Recovery in Liver Surgery (ERLS) pathway vs a traditional pathway. Study Design One hundred and eighteen hepatectomy patients rated symptom se...
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#2N KarlssonH-Index: 1
Last. Bobby TingstedtH-Index: 22
view all 6 authors...
Fast-track (FT) programmes are multimodal, evidence-based approaches to optimize patient outcome after surgery. The aim of this study was to evaluate the safety, clinical outcome and patients' experience of a FT programme after pancreaticoduodenectomy (PD) in a high-volume institution in Sweden.
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#1Beata Persson (脰rebro University)H-Index: 5
#2Malcolm Carringer (脰rebro University)H-Index: 6
Last. Olle Ljungqvist (脰rebro University)H-Index: 92
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AbstractObjective.This article describes the authors鈥 experiences with the implementation of the Enhanced Recovery After Surgery (ERAS庐) protocol for open radical cystectomy (ORC). Adherence to the ERAS cystectomy protocol was assessed; secondary outcome measures were impact on perioperative complication rate (Clavien-Dindo classification), time to first defecation, postoperative length of stay and hospital readmission rate. Materials and methods.This retrospective feasibility study compared out...
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#1Monish KarunakaranH-Index: 2
#2Pavan JonnadaH-Index: 2
Last. Savio G. Barreto (Flinders University)H-Index: 22
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BACKGROUND Clinical pathways (CP) based on Enhanced recovery after surgery (ERAS庐) are increasingly utilised in patients undergoing pancreatoduodenectomy (PD). This systematic review aimed to compare the impact of CPs versus conventional care (CC) on peri-PD costs. METHODS A systematic review of major reference databases was undertaken. Quality assessment was performed using the CHEERS checklist. Incremental cost-effectiveness ratios were calculated as part of the cost-effectiveness analysis. A ...
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Objective To explore the effects and value of establishing a multi-target nursing group (MTNG) for facilitating goal-oriented enhanced recovery after surgery (ERAS) using the LEER ("less pain", "early movement", "early return to a normal diet" and "reassurance") model. Methods The clinical data of 198 patients with hepatobiliary and pancreatic malignancies were retrospectively analyzed. The patients were divided into two groups: 91 cases were collected in a traditional group, which adopted tradi...
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#1Andres Guerra (NU: Northwestern University)H-Index: 1
#2Calvin L Chao (NU: Northwestern University)
Last. Mark K. Eskandari (NU: Northwestern University)H-Index: 38
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BACKGROUND Enhanced recovery after surgery (ERAS) programs provide a streamlined approach for expedient postoperative care of high-volume procedures. Endovascular aortic repair (EVAR) has become standard treatment for abdominal aortic aneurysms and implementation of an early recovery program is warranted. Postoperative urinary retention (POUR) remains a problem lending to longer hospital stays and patient discomfort. We aim to demonstrate the utility of monitored anesthetic care (MAC) plus local...
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#1Johnny Moons (Katholieke Universiteit Leuven)H-Index: 24
#2Lieven Depypere (Katholieke Universiteit Leuven)H-Index: 11
Last. P. Nafteux (Katholieke Universiteit Leuven)H-Index: 8
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Enhanced recovery pathways (ERP) have the potential to improve clinical outcomes. Aim of this study was to determine the impact of ERP on perioperative results as compared with traditional care (TC) after esophagectomy. In this study, two cohorts were compared. Cohort 1 represented 296 patients to whom TC was provided. Cohort 2 consisted of 200 unselected ERP patients. Primary endpoints were postoperative complications. Secondary endpoints were the length of stay and 30-day readmission rates. To...
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#1Monica W. Harbell (Mayo Clinic)H-Index: 5
#2Molly B Kraus (Mayo Clinic)H-Index: 5
Last. Jack W. Harbell (Mayo Clinic)H-Index: 2
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BACKGROUND Patients undergoing kidney transplantation traditionally receive liberal amounts of fluid during surgery. However, excessive fluids can lead to fluid overload and ileus. In this retrospective cohort study, we compared the effect of restrictive versus liberal fluid therapy on kidney transplantation outcomes. METHODS Patients who underwent deceased-donor kidney transplantation at Mayo Clinic from January 2014 to March 2019 were included. Those who received <3 L of intravenous fluids int...
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#1Robert Koucheki (U of T: University of Toronto)H-Index: 1
#2Martin A. Koyle (U of T: University of Toronto)H-Index: 35
Last. David E Lebel (U of T: University of Toronto)H-Index: 2
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The objective of this meta-analysis and systematic review is to compare the methodology and evaluate the efficacy of Enhanced recovery after Spine Surgery (ERAS) for adolescent idiopathic scoliosis (AIS) and to compare the outcomes with traditional discharge (TD) pathways. Using major databases, a systematic search was performed. Studies comparing the implementation of ERAS or ERAS-like and TD pathways in patients with AIS were identified. Data regarding methodology and outcomes were collected a...
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#1Song-Yang Liu (PKU: Peking University)H-Index: 2
#2Ci Li (PKU: Peking University)H-Index: 2
Last. Peixun Zhang (PKU: Peking University)H-Index: 19
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BACKGROUND Enhanced recovery after surgery (ERAS) programs have achieved promising results in many surgical specialties. However, uncertainty still remains regarding the effect of ERAS on hip fractures. The objective of this review was to investigate the clinical prognosis of ERAS programs in terms of (1) hospital-related endpoints (time to surgery [TTS], length of stay [LOS]), (2) readmission rate, (3) complications, and (4) mortality. METHODS Published literature was searched in the PubMed, EM...
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#1Yang Yang (Shanxi Medical University)
#2Yuling Li (Shanxi Medical University)H-Index: 1
Last. Binquan Wang (Shanxi Medical University)H-Index: 20
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BACKGROUND Functional endoscopic sinus surgery (FESS) is required to minimize bleeding to maintain a clear operative field during surgery, so it is important to preoperative anti-anxiety and stable hemodynamics. Initial evidence suggests cognitive behavioral therapy (CBT) is effective to minimize surgery-related stress and to speed up recovery. The study aimed to evaluate the efficacy of a newly developed computer-assisted CBT (cCBT) program on surgery-related psychobiological responses in patie...
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#1Darren W Chua (SGH: Singapore General Hospital)H-Index: 4
#2Dayna Sim (SGH: Singapore General Hospital)
Last. Brian K. P. Goh (NUS: National University of Singapore)H-Index: 54
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Abstract null null Background null Presently, data on the impact of enhanced recovery protocols on the outcomes of laparoscopic liver resection remain limited. We performed propensity matched analysis comparing the outcomes between patients undergoing laparoscopic liver resection before and after the introduction of an enhanced recovery protocol. null null null Methods null Between 2013 and 2019, 462 consecutive patients underwent laparoscopic liver resection by 3 surgeons of which 360 met the s...
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