Nunns, M;
John, JB;
McGrath, JS;
Shaw, L;
Briscoe, S;
Thompson Coon, J;
Hemsley, A;
... Anderson, R; + view all
(2020)
Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice.
Perioperative Medicine
, 9
, Article 27. 10.1186/s13741-020-00157-1.
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Abstract
Multicomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.
| Type: | Article |
|---|---|
| Title: | Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s13741-020-00157-1 |
| Publisher version: | https://doi.org/10.1186/s13741-020-00157-1 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Complications, ERAS, ERP, Elderly, Elective surgery, Enhanced recovery after surgery, Meta-analysis, Prehabilitation, Recovery, Rehabilitation |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10111165 |
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