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Journal of Gastrointestinal Surgery

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01-12-2009 | Review Article

Enhanced Recovery after Surgery (ERAS) Programs for Patients Having Colorectal Surgery: A Meta-analysis of Randomized Trials

Authors: Cagla Eskicioglu, Shawn S. Forbes, Mary-Anne Aarts, Allan Okrainec, Robin S. McLeod

Published in: Journal of Gastrointestinal Surgery | Issue 12/2009

Abstract

Background

Enhanced recovery after surgery programs have been introduced with aims of improving patient care, reducing complication rates, and shortening hospital stay following colorectal surgery. The aim of this meta-analysis was to determine whether enhanced recovery after surgery programs, when compared to traditional perioperative care, are associated with reduced primary hospital length of stay in adult patients undergoing elective colorectal surgery.

Methods

MEDLINE, EMBASE, the Cochrane Central Registry of Controlled Trials, and the reference lists were searched for relevant articles. Only randomized controlled trials comparing an enhanced recovery program with traditional postoperative care were included.

Results

Three of four included studies showed significantly shorter primary lengths of stay for patients enrolled in enhanced recovery programs. There was no significant difference in postoperative mortality when the two groups were compared [relative risk (RR) = 0.53; 95% CI = 0.12–2.38; test for heterogeneity, p = 0.40 and I ² = 0], and patients in enhanced recovery programs were less likely to develop postoperative complications (RR = 0.61, 95% CI = 0.42–0.88; test for heterogeneity, p = 0.95 and I ² = 0).

Authors’ Conclusions

There is some evidence to suggest that enhanced recovery after surgery programs are better than traditional perioperative care, but evidence from a larger, better quality randomized controlled trial is necessary.

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Title: Enhanced Recovery after Surgery (ERAS) Programs for Patients Having Colorectal Surgery: A Meta-analysis of Randomized Trials
Authors: Cagla Eskicioglu
Shawn S. Forbes
Mary-Anne Aarts
Allan Okrainec
Robin S. McLeod
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 12/2009
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-009-0927-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Enhanced Recovery after Surgery (ERAS) Programs for Patients Having Colorectal Surgery: A Meta-analysis of Randomized Trials

Abstract

Background

Methods

Results

Authors’ Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Authors’ Conclusions

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