The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Krishna K VaradhanDileep N Lobo

Abstract

The aim of the Enhanced Recovery After Surgery (ERAS) pathway is to attenuate the stress response to surgery and enable rapid recovery. The objective of this meta-analysis was to study the differences in outcomes in patients undergoing major elective open colorectal surgery within an ERAS pathway and those treated with conventional perioperative care. Medline, Embase and Cochrane database searches were performed for relevant studies published between January 1966 and November 2009. All randomized controlled trials comparing ERAS with conventional perioperative care were selected. The outcome measures studied were length of hospital stay, complication rates, readmission rates and mortality. Six randomized controlled trials with 452 patients were included. The number of individual ERAS elements used ranged from 4 to 12, with a mean of 9. The length of hospital stay [weighted mean difference (95% confidence interval): -2.55 (-3.24, -1.85)] and complication rates [relative risk (95% confidence interval): 0.53 (0.44, 0.64)] were significantly reduced in the enhanced recovery group. There was no statistically significant difference in readmission and mortality rates. ERAS pathways appear to reduce the length of stay and complication ...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
May 1, 1995·Diseases of the Colon and Rectum·E L BokeyR C Newland
Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Jun 22, 2000·Annals of Surgery·L BasseH Kehlet
Jul 4, 2002·American Journal of Surgery·Henrik Kehlet, Douglas W Wilmore
Dec 4, 2003·The British Journal of Surgery·A D G AndersonC J Mitchell
Jan 6, 2007·The British Journal of Surgery·J MaessenM F von Meyenfeldt
Feb 12, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C J WalterJ R Monson
May 6, 2009·International Journal of Colorectal Disease·Nikolaos GouvasParis P Tekkis
May 19, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Sherif AwadDileep N Lobo
Jun 19, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Zuzana SerclováFrantisek Antos

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Citations

Apr 7, 2011·Langenbeck's Archives of Surgery·Henrik Kehlet
Oct 18, 2012·Surgical Endoscopy·L PellegrinoA Kartheuser
May 17, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Takanobu YamadaAkira Tsuburaya
May 29, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M HübnerB G Wolff
Apr 11, 2012·Obesity Surgery·Daniel P LemanuAndrew G Hill
Aug 13, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jonathan D Antrobus, Gregory L Bryson
Oct 2, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Michael KollerUNKNOWN Clinical Nutrition Guideline Group
Jul 26, 2011·The Proceedings of the Nutrition Society·Federico Bozzetti
Feb 15, 2011·British Journal of Anaesthesia·H Kehlet, M Mythen
Mar 23, 2011·British Journal of Anaesthesia·M Chikhani, I K Moppett
Jul 12, 2012·British Journal of Anaesthesia·L A ColvinD J Buggy
Oct 16, 2012·British Journal of Anaesthesia·W J FawcettM J P Scott
Apr 26, 2012·Regional Anesthesia and Pain Medicine·Narinder Rawal
Oct 15, 2013·Annals of Surgery·Pierre-Alain Clavien
Feb 22, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Bobo ZhengKehu Yang
Mar 26, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Karem Slim
Oct 12, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M S VlugUNKNOWN Collaborative LAFA Study Group
Oct 12, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J AhmedJ MacFie
Dec 21, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H Kehlet, H Harling
Jul 28, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Karem Slim, Henrik Kehlet
Dec 15, 2011·Polski przeglad chirurgiczny·Daniel Antoni F Morończyk, Ireneusz Wojciech Krasnodębski
Oct 26, 2011·World Journal of Gastroenterology : WJG·Misha D P LuyerWim Buurman
Jun 27, 2013·World Journal of Gastroenterology : WJG·Fan FengQing-Chuan Zhao
Apr 26, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Chiara BianchiniAndrea Ciorba
Feb 4, 2014·Best Practice & Research. Clinical Gastroenterology·T A Rockall, N Demartines
Dec 18, 2013·Langenbeck's Archives of Surgery·Zhen YuBi-Cheng Chen
Dec 18, 2013·International Journal of Colorectal Disease·Luca GianottiMarco Braga
Jan 18, 2014·International Journal of Colorectal Disease·Manuel Alcántara-MoralUNKNOWN E.B.S.Q.-C on behalf of the collaborative Group of Coloproctology Section of The Spanish Association of Surgeons
Apr 11, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A WeimannUNKNOWN DGEM Steering Committee
Aug 21, 2013·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Masanori Terashima
Feb 22, 2014·Age and Ageing·Darren Aw, Opinder Sahota
Mar 19, 2014·International Journal of Obstetric Anesthesia·S Aluri, I J Wrench
Nov 12, 2010·International Journal of Colorectal Disease·Leonardo Maciel da FonsecaRodrigo Gomes da Silva
Dec 26, 2013·World Journal of Surgery·Massimiliano GrecoMarco Braga
Dec 29, 2013·World Journal of Surgery·Philip H PucherAra Darzi
Jan 5, 2014·World Journal of Surgery·Alison LyonJames D Harrison

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