Two unique studies highlighting the positive effects of enhanced recovery after surgery (ERAS) pathways on patient care and satisfaction

Street, Austin

doi:10.1097/cj9.0000000000000094

Colombian Journal of Anesthesiology

2019

DOI: 10.1097/cj9.0000000000000094

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Two unique studies highlighting the positive effects of enhanced recovery after surgery (ERAS) pathways on patient care and satisfaction

Austin Street

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Effectiveness and safety of the enhanced recovery program in colorectal surgery: overview of systematic reviews

Acevedo

Reyes

Cruz

et al. 2020

Colomb. J. Anesthesiol.

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Introduction: Multimodal enhanced recovery programs are a new paradigm in perioperative care. Objective: To evaluate the certainty of evidence pertaining to the effectiveness and safety of the multimodal perioperative care program in elective colorectal surgery. Data source: A search was conducted in the Medline, EMBASE, and Cochrane databases, up until February 2020. Eligibility criteria: Systematic reviews that take into account the perioperative multimodal program in patients with an indication for colorectal surgery were included. The primary outcomes were morbidity and postoperative deaths. The secondary outcome was hospital length of stay. Study quality and synthesis method: The reviews were evaluated with AMSTAR-2 and the certainty of the evidence with the GRADE methodology. The findings are presented with measures of frequency, risk estimators, or differences. Results: Six systematic reviews of clinical trials with medium and high quality in AMSTAR-2 were included. Morbidity was reduced between 16 and 48%. Studies are inconclusive regarding postoperative mortality. Hospital length of stay was reduced by an average of 2.5 days (p <0.05). The certainty of the body of evidence is very low. Limitations: The effect of the program, depending on the combination of elements, is not clear. Conclusions and implications: Despite the proven evidence that the program is effective in reducing global postoperative morbidity and hospital stay, the body of evidence is of very low quality. Consequently, results may change with new evidence and further research is required.

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Effectiveness and safety of the enhanced recovery program in colorectal surgery: overview of systematic reviews

Acevedo

Reyes

Cruz

et al. 2020

Colomb. J. Anesthesiol.

View full text Add to dashboard Cite

show abstract

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Two unique studies highlighting the positive effects of enhanced recovery after surgery (ERAS) pathways on patient care and satisfaction

Cited by 1 publication

References 0 publications

Effectiveness and safety of the enhanced recovery program in colorectal surgery: overview of systematic reviews

Effectiveness and safety of the enhanced recovery program in colorectal surgery: overview of systematic reviews

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