Enhanced Recovery After Surgery Programs Versus Traditional Care for Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials

doi:10.1097/DCR.0b013e3182812842

科研成果详情

题名	Enhanced Recovery After Surgery Programs Versus Traditional Care for Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials
作者	Zhuang, Cheng-Le 1; Ye, Xing-Zhao1; Zhang, Xiao-Dong1; Chen, Bi-Cheng2; Yu, Zhen1
发表期刊	DISEASES OF THE COLON & RECTUM 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Enhanced recovery after surgery Colorectal surgery Meta-analysis Hospital stay Complications
其他关键词	FAST-TRACK ; COLONIC SURGERY ; CLINICAL-TRIAL ; MULTIMODAL OPTIMIZATION ; SURGICAL CARE ; MANAGEMENT ; COMPLICATIONS ; HETEROGENEITY ; LAPAROSCOPY ; RESECTIONS
摘要	BACKGROUND: Enhanced recovery after surgery programs in colorectal surgery aim to attenuate the surgical stress response, reduce complications and shorten hospital stay. OBJECTIVE: This study aimed to assess the safety and efficacy of enhanced recovery after surgery programs in colorectal surgery in comparison with traditional care. DATA SOURCES: PubMed, Embase, and Cochrane databases were electronically searched (date range, January 1966 to July 2012). STUDY SELECTION: Randomized controlled trials were selected that compared enhanced recovery after surgery programs with traditional care in elective colorectal surgery. INTERVENTION: Articles were reviewed independently by 2 reviewers, who extracted the data and assessed the quality of the included studies. The outcome measures were analyzed, and the quality of evidence for each outcome was assessed by using the Grading of Recommendations Assessment, Development, and Evaluation system. MAIN OUTCOME MEASURES: The primary outcome measures were primary and total postoperative hospital stay, readmission rates, total postoperative complications (including general and surgical complications), and mortality. RESULTS: Thirteen studies (total, 1910 patients) were included in the meta-analysis. In comparison with traditional care, enhanced recovery after surgery programs were associated with significantly decreased primary hospital stay (weighted mean difference, -2.44 days; 95% CI, -3.06 to -1.83 days; p < 0.00001), total hospital stay (weighted mean difference, -2.39 days; 95% CI, -3.70 to -1.09 days; p = 0.0003), total complications (relative risk, 0.71; 95% CI, 0.58-0.86; p = 0.0006), and general complications (relative risk, 0.68; 95% CI, 0.56-0.82; p < 0.0001). No significant differences were found for readmission rates, surgical complications, and mortality. LIMITATIONS: This study was limited by the risk of bias in most included studies. CONCLUSIONS: Enhanced recovery after surgery programs are safe and effective, and increased implementation is justified for perioperative care in colorectal surgery. Future studies may examine the benefits of enhanced recovery after surgery programs in elderly patients and in other GI surgery.
资助项目	clinical nutriology of medical supporting discipline of Zhejiang Province [11-ZC24]
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0012-3706
EISSN	1530-0358
卷号	56 期号:5 页码:667-678
DOI	10.1097/DCR.0b013e3182812842
页数	12
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
WOS记录号	WOS:000317590800018
收录类别	SCIE ; PUBMED ; SCOPUS
发表日期	2013-05
URL	查看原文
Pubmed记录号	23575408
Scopus记录号	2-s2.0-84878221558
ESI高被引论文	2020-01 ; 2020-03 ; 2020-05 ; 2020-09 ; 2020-11 ; 2021-01 ; 2021-03 ; 2021-05 ; 2021-07 ; 2021-09 ; 2021-11 ; 2022-01 ; 2022-07 ; 2022-09 ; 2022-11 ; 2023-01 ; 2023-03 ; 2023-05 ; 2023-07 ; 2023-09 ; 2023-11
引用统计	被引频次：319[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/971
专题	附属第一医院
通讯作者	Chen, Bi-Cheng
作者单位	1.Wenzhou Med Coll, Affiliated Hosp 1, Dept Gastrointestinal Surg, Wenzhou, Zhejiang, Peoples R China; 2.Wenzhou Med Coll, Affiliated Hosp 1, Wenzhou Key Lab Surg, Wenzhou, Zhejiang, Peoples R China
第一作者单位	附属第一医院; 胃肠外科
通讯作者单位	附属第一医院
第一作者的第一单位	附属第一医院; 附属第一医院
推荐引用方式 GB/T 7714	Zhuang, Cheng-Le,Ye, Xing-Zhao,Zhang, Xiao-Dong,et al. Enhanced Recovery After Surgery Programs Versus Traditional Care for Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials[J]. DISEASES OF THE COLON & RECTUM,2013,56(5):667-678.
APA	Zhuang, Cheng-Le, Ye, Xing-Zhao, Zhang, Xiao-Dong, Chen, Bi-Cheng, & Yu, Zhen. (2013). Enhanced Recovery After Surgery Programs Versus Traditional Care for Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials. DISEASES OF THE COLON & RECTUM, 56(5), 667-678.
MLA	Zhuang, Cheng-Le,et al."Enhanced Recovery After Surgery Programs Versus Traditional Care for Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials".DISEASES OF THE COLON & RECTUM 56.5(2013):667-678.