Immediate impact of a multidisciplinary enhanced recovery after surgery program for robotic radical prostatectomies

Graham, J.; Dickerson, Shane; Longhitano, Yaroslava; Zanza, C.; Widjaja, W.; Aron, Monish; Kim, M.

doi:10.1016/j.clnesp.2019.03.057

Cited by 2 publications

(4 citation statements)

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“…However, the long-term indwelling of catheters can lead to various catheter-related problems including urinary tract infections, traumatic injuries of the urethra, bleeding, obstruction, pain, discomfort, and bladder spasms, and all of these adverse effects exert a negative influence on health-related quality of life (39). Recently, several large, high-quality studies have confirmed that early removal of the catheter has no adverse impact on catheter-related complications (40)(41)(42), which is also consistent with the studies included in our meta- analysis (12,(14)(15)(16)(17). Two controversial results need to be discussed specifically.…”

Section: Discussionsupporting

confidence: 85%

“…Some research has shown that ERAS/FTS pathways can lower the rates of complications (9,13), but other research did not bear this out (10,12,(14)(15)(16). Some studies have shown that ERAS/FTS pathways could shorten the time of catheter removal (12,15,17), while others did not corroborate these findings (14,16,18).…”

Section: Introductionmentioning

confidence: 99%

“…Many isolated RCTs and controlled clinical trials (CCTs) have tried to address the feasibility and superiority of ERAS/FTS for miRP surgery, yet the outcomes of these trials were inconsistent. For example, some studies have concluded that ERAS/FTS pathways can reduce the LOS (9)(10)(11)(12)(13)(14), while other studies have contradicted this (15)(16)(17). Some research has shown that ERAS/FTS pathways can lower the rates of complications (9,13), but other research did not bear this out (10,12,(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Lv¹,

Cai²,

Jiang³

et al. 2020

Transl Androl Urol

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Background: The enhanced recovery after surgery (ERAS) and fast track surgery (FTS) protocols have been applied to a variety of surgeries and have been proven to reduce complications, accelerate rehabilitation, and reduce medical costs. However, the effectiveness of these protocols in minimally invasive radical prostatectomy (miRP) is still unclear. Thus, this study aimed to evaluate the impact of ERAS and FTS protocols in miRP.Methods: We searched PubMed, Cochrane Library, Embase, and Web of Science databases to collect randomized and observational studies comparing ERAS/FTS versus conventional care in miRP up to July 1, 2019. After screening for inclusion, data extraction, and quality assessment by two independent reviewers, the meta-analysis was performed with the RevMan 5.3 and STATA 15.1 software. Results were expressed as risk ratio (RR) and weighted mean difference (WMD) with 95% confidence intervals (CIs).Results: In total, 11 studies involving 1,207 patients were included. Pooled data showed that ERAS/FTS was associated with a significant reduction in length of stay (LOS) (WMD: -2.41 days, 95% CI: -4.00 to -0.82 days, P=0.003), time to first anus exhaust (WMD: -0.74 days, 95% CI: -1.14 to -0.34 days, P=0.0003), and lower incidence of postoperative complications (RR: 0.70, 95% CI: 0.53 to 0.92, P=0.01). No significant differences were found between groups for operation time, estimated blood loss, postoperative pain, blood transfusion rate, and readmission rate (P>0.01).Conclusions: Our meta-analysis suggests that the ERAS/FTS protocol is safe and effective in miRP.However, more extensive, long-term, prospective, multicenter follow-up studies, and randomized controlled trials (RCTs) are required to validate our findings.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Lv¹,

Cai²,

Jiang³

et al. 2020

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

“…Of these, a further 71 articles were excluded due to study design differences or insufficient available data. Ultimately, 8 papers were included in this meta-analysis (18)(19)(20)(21)(22)(23)(24)(25). Further details relating to the search process and inclusion and exclusion criteria are presented in Figure 1.…”

Section: Search Processmentioning

confidence: 99%

Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis

Xing¹,

Wang²,

Liu³

et al. 2021

Gland Surg

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Immediate impact of a multidisciplinary enhanced recovery after surgery program for robotic radical prostatectomies

Cited by 2 publications

References 0 publications

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis

Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis

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