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Impact of enhanced ...
Impact of enhanced recovery protocols after pancreatoduodenectomy : meta-analysis
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- Kuemmerli, Christoph (author)
- University Hospital Basel,University Hospital Southampton
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- Tschuor, Christoph (author)
- Copenhagen University Hospital,Carolinas Medical Center
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Kasai, Meidai (author)
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- Alseidi, Adnan A. (author)
- University of California, San Francisco
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- Balzano, Gianpaolo (author)
- San Raffaele Hospital
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- Bouwense, Stefan (author)
- Maastricht University
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- Braga, Marco (author)
- University of Milano-Bicocca
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- Coolsen, Mariëlle (author)
- Maastricht University
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- Daniel, Sara K. (author)
- University of Washington
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- Dervenis, Christos (author)
- Athens General Hospital
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- Falconi, Massimo (author)
- San Raffaele Hospital
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- Hwang, Dae Wook (author)
- University of Ulsan
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- Kagedan, Daniel J. (author)
- University of Toronto
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- Kim, Song Cheol (author)
- University of Ulsan
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- Lavu, Harish (author)
- Thomas Jefferson University
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Liang, Tingbo (author)
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- Nussbaum, Daniel (author)
- Duke University Medical Center
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- Partelli, Stefano (author)
- San Raffaele Hospital
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- Passeri, Michael J. (author)
- Carolinas Medical Center
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- Pecorelli, Nicolò (author)
- San Raffaele Hospital
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Pillai, Sastha Ahanatha (author)
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- Pillarisetty, Venu G. (author)
- University of Washington
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- Pucci, Michael J. (author)
- Thomas Jefferson University
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Su, Wei (author)
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- Sutcliffe, Robert P. (author)
- University Hospitals Birmingham
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- Tingstedt, Bobby (author)
- Lund University,Lunds universitet,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital
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- van der Kolk, Marion (author)
- Radboud University Medical Center
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- Vrochides, Dionisios (author)
- Carolinas Medical Center
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- Wei, Alice (author)
- Memorial Sloan-Kettering Cancer Center
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- Williamsson, Caroline (author)
- Lund University,Lunds universitet,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital
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- Yeo, Charles J. (author)
- Thomas Jefferson University
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- Zani, Sabino (author)
- Duke University Medical Center
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- Zouros, Efstratios (author)
- Athens General Hospital
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- Abu Hilal, Mohammed (author)
- University Hospital Southampton
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(creator_code:org_t)
- 2022-01-17
- 2022
- English 11 s.
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In: The British journal of surgery. - : Oxford University Press (OUP). - 1365-2168 .- 0007-1323. ; 109:3, s. 256-266
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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Abstract
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- BACKGROUND: This individual-patient data meta-analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared with conventional care on postoperative outcomes in patients undergoing pancreatoduodenectomy. METHODS: The Cochrane Library, MEDLINE, Embase, Scopus, and Web of Science were searched systematically for articles reporting outcomes of ERAS after pancreatoduodenectomy published up to August 2020. Comparative studies were included. Main outcomes were postoperative functional recovery elements, postoperative morbidity, duration of hospital stay, and readmission. RESULTS: Individual-patient data were obtained from 17 of 31 eligible studies comprising 3108 patients. Time to liquid (mean difference (MD) -3.23 (95 per cent c.i. -4.62 to -1.85) days; P < 0.001) and solid (-3.84 (-5.09 to -2.60) days; P < 0.001) intake, time to passage of first stool (MD -1.38 (-1.82 to -0.94) days; P < 0.001) and time to removal of the nasogastric tube (3.03 (-4.87 to -1.18) days; P = 0.001) were reduced with ERAS. ERAS was associated with lower overall morbidity (risk difference (RD) -0.04, 95 per cent c.i. -0.08 to -0.01; P = 0.015), less delayed gastric emptying (RD -0.11, -0.22 to -0.01; P = 0.039) and a shorter duration of hospital stay (MD -2.33 (-2.98 to -1.69) days; P < 0.001) without a higher readmission rate. CONCLUSION: ERAS improved postoperative outcome after pancreatoduodenectomy. Implementation should be encouraged.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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- art (subject category)
- ref (subject category)
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Kuemmerli, Chris ...
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Tschuor, Christo ...
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Kasai, Meidai
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Alseidi, Adnan A ...
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Balzano, Gianpao ...
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Bouwense, Stefan
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show more...
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Braga, Marco
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Coolsen, Mariëll ...
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Daniel, Sara K.
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Dervenis, Christ ...
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Falconi, Massimo
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Hwang, Dae Wook
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Kagedan, Daniel ...
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Kim, Song Cheol
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Lavu, Harish
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Liang, Tingbo
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Nussbaum, Daniel
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Partelli, Stefan ...
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Passeri, Michael ...
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Pecorelli, Nicol ...
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Pillai, Sastha A ...
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Pillarisetty, Ve ...
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Pucci, Michael J ...
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Su, Wei
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Sutcliffe, Rober ...
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Tingstedt, Bobby
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van der Kolk, Ma ...
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Vrochides, Dioni ...
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Wei, Alice
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Williamsson, Car ...
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Yeo, Charles J.
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Zani, Sabino
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Zouros, Efstrati ...
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Abu Hilal, Moham ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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The British jour ...
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Lund University