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Published in: Current Anesthesiology Reports 1/2020

Open Access 01-03-2020 | Preoperative Evaluation (BJ Sweitzer, Section Editor)

Enhanced Recovery After Surgery

Authors: Nicole Greenshields, Monty Mythen

Published in: Current Anesthesiology Reports | Issue 1/2020

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Abstract

Purpose of Review

To provide a brief summary of the progress of enhanced recovery over the last 5 to 10 years and set out what the future might hold for such programmes.

Recent Findings

There has been significant progress in the adoption of enhanced recovery programmes across multiple surgical specialities. However there is still difficulty in sustaining a target of > 80% compliance, which has been identified through research as the optimal level to observe best patient results. With increasing interest in perioperative medicine and prehabilitation, more focus is being put into enhanced recovery programmes.

Summary

The evidence continues to support the use of enhanced recovery programmes to reduce patient mortality, morbidity and length of stay and therefore saving cost and resource. However more progress needs to be made in adoption and compliance to these programmes. In the future, advances in technology may aid programme implementation and data collection.
Literature
7.
go back to reference Enhanced Recovery Partnership Programme. Delivering enhanced recovery–helping patients to get better sooner after surgery. London: Department of Health; 2010. Enhanced Recovery Partnership Programme. Delivering enhanced recovery–helping patients to get better sooner after surgery. London: Department of Health; 2010.
9.
go back to reference Li L, Jin J, Min S, Liu D, Liu L. Compliance with the enhanced recovery after surgery protocol and prognosis after colorectal cancer surgery: A prospective cohort study [published correction appears in Oncotarget. 2017 Oct 27;8(52):90605]. Oncotarget. 2017;8(32):53531–53541. Published 2017 Jun 22. https://doi.org/10.18632/oncotarget.18602. Li L, Jin J, Min S, Liu D, Liu L. Compliance with the enhanced recovery after surgery protocol and prognosis after colorectal cancer surgery: A prospective cohort study [published correction appears in Oncotarget. 2017 Oct 27;8(52):90605]. Oncotarget. 2017;8(32):53531–53541. Published 2017 Jun 22. https://​doi.​org/​10.​18632/​oncotarget.​18602.
11.
go back to reference The fourth patient report of the National Emergency Laparotomy Audit 2018 – Full Patient Report. The fourth patient report of the National Emergency Laparotomy Audit 2018 – Full Patient Report.
20.
25.
go back to reference Bulletin; Magazine for members of the Royal College of Anaesthetists. September 2019:29–43. Bulletin; Magazine for members of the Royal College of Anaesthetists. September 2019:29–43.
28.
go back to reference Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol group. Ann Med. 2001;33(5):337–43.CrossRef Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol group. Ann Med. 2001;33(5):337–43.CrossRef
33.
go back to reference • West MA, Loughney L, Lythgoe D, Barben CP, Sripadam R, Kemp GJ, et al. Effect of prehabilitation on objectively measured physical fitness after neoadjuvant treatment in preoperative rectal cancer patients: a blinded interventional pilot study. Br J Anaesth. 2015;114(2):244–51. https://doi.org/10.1093/bja/aeu318Benefits of prehabilitation in cancer surgery, the pilot study. CrossRefPubMed • West MA, Loughney L, Lythgoe D, Barben CP, Sripadam R, Kemp GJ, et al. Effect of prehabilitation on objectively measured physical fitness after neoadjuvant treatment in preoperative rectal cancer patients: a blinded interventional pilot study. Br J Anaesth. 2015;114(2):244–51. https://​doi.​org/​10.​1093/​bja/​aeu318Benefits of prehabilitation in cancer surgery, the pilot study. CrossRefPubMed
34.
go back to reference • Moran J, Guinan E, McCormick P, Larkin J, Mockler D, Hussey J, et al. The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: a systematic review and meta-analysis. Surgery. 2016;160(5):1189–201 Meta-analysis of the effects of prehabilitation on outcomes. CrossRef • Moran J, Guinan E, McCormick P, Larkin J, Mockler D, Hussey J, et al. The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: a systematic review and meta-analysis. Surgery. 2016;160(5):1189–201 Meta-analysis of the effects of prehabilitation on outcomes. CrossRef
35.
go back to reference Chen Y, Ahmad M. Effectiveness of adjunct psychotherapy for cancer treatment: a review. Future Oncol. 2018;14(15):1487–96.CrossRef Chen Y, Ahmad M. Effectiveness of adjunct psychotherapy for cancer treatment: a review. Future Oncol. 2018;14(15):1487–96.CrossRef
36.
go back to reference Hoon LS, Sally CWC, Hong-Gu H. Effect of psychosocial interventions on outcomes of patients with colorectal cancer: A review of the literature. 2013;17(6):883–91. Hoon LS, Sally CWC, Hong-Gu H. Effect of psychosocial interventions on outcomes of patients with colorectal cancer: A review of the literature. 2013;17(6):883–91.
37.
go back to reference Rodriguez-Larrad A, Lascurain-Aguirrebena I, Abecia-Inchaurregui LC, Seco J. Perioperative physiotherapy in patients undergoing lung cancer resection. Interact Cardiovasc Thorac Surg. 2014;19(2):269–81.CrossRef Rodriguez-Larrad A, Lascurain-Aguirrebena I, Abecia-Inchaurregui LC, Seco J. Perioperative physiotherapy in patients undergoing lung cancer resection. Interact Cardiovasc Thorac Surg. 2014;19(2):269–81.CrossRef
38.
go back to reference Crandall K, Maguire R, Campbell A, Kearney N. Exercise intervention for patients surgically treated for non-small cell lung Cancer (NSCLC): a systematic review. Surg Oncol. 2014;23(1):17–30.CrossRef Crandall K, Maguire R, Campbell A, Kearney N. Exercise intervention for patients surgically treated for non-small cell lung Cancer (NSCLC): a systematic review. Surg Oncol. 2014;23(1):17–30.CrossRef
39.
go back to reference Padilha, Marinello PC, Galvao DA, Newton RU, Borges FH, Frajacomo F, et al. Evaluation of resistance training to improve muscular strength and body composition in cancer patients undergoing neoadjuvant and adjuvant therapy: a meta-analysis. J Cancer Surviv. 2017;11(3):339–49.CrossRef Padilha, Marinello PC, Galvao DA, Newton RU, Borges FH, Frajacomo F, et al. Evaluation of resistance training to improve muscular strength and body composition in cancer patients undergoing neoadjuvant and adjuvant therapy: a meta-analysis. J Cancer Surviv. 2017;11(3):339–49.CrossRef
40.
go back to reference Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, et al. (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11–48.CrossRef Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, et al. (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11–48.CrossRef
Metadata
Title
Enhanced Recovery After Surgery
Authors
Nicole Greenshields
Monty Mythen
Publication date
01-03-2020
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 1/2020
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-020-00372-y

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