Outcomes of enhanced recovery after surgery in lung cancer: A systematic review and meta-analysis

Zhang, Wenhui; Zhang, Yuting; Qin, Yi; Shi, Jiahai

doi:10.1016/j.apjon.2022.100110

Cited by 9 publications

(11 citation statements)

References 64 publications

(46 reference statements)

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“…The rapid rehabilitation nursing protocol involves multidisciplinary integration throughout the perioperative period, optimizing clinical pathways in preoperative preparation, nutritional care, pain management, and catheter care. By minimizing stressors like anxiety, hunger, anesthesia, and pain, it reduces perioperative stress responses and postoperative complications, shortening hospital stays and enhancing patient recovery 47,48 …”

Section: Discussionmentioning

confidence: 99%

“…By minimizing stressors like anxiety, hunger, anesthesia, and pain, it reduces perioperative stress responses and postoperative complications, shortening hospital stays and enhancing patient recovery. 47,48 This study employed rigorous inclusion and exclusion criteria for literature search and selection, along with heterogeneity analysis and sensitivity testing for each included study, enhancing the credibility and reliability of the results. However, limitations include the exclusive inclusion of Chinese-language articles, potentially biasing the findings, and the selection of only Asian patient samples, which may introduce regional variability in the research data.…”

Section: Discussionmentioning

confidence: 99%

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Effects of rapid rehabilitation nursing on surgical‐site wound infection and postoperative complications of patients undergoing thoracoscopic lung cancer surgery: A meta‐analysis

Li,

Huang,

Mei

et al. 2024

International Wound Journal

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This meta‐analysis systematically evaluates the impact of rapid rehabilitation nursing interventions on wound infections and postoperative complications in patients undergoing thoracoscopic lung cancer surgery. A comprehensive literature search was conducted, from database inception to November 2023, using databases including PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases to identify randomized controlled trials (RCTs) that focused on the application of rapid rehabilitation nursing in the perioperative period of thoracoscopic lung cancer surgery. Two researchers independently screened the literature, extracted data, and assessed the quality based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 22 RCTs involving 2319 patients were included in the analysis. The results indicated that the application of rapid rehabilitation nursing in thoracoscopic lung cancer surgery significantly reduced the incidence of wound infections (OR = 0.32, 95% CI: 0.20–0.54, p < 0.001) and postoperative complications (OR = 0.24, 95% CI: 0.18–0.31, p < 0.001). This study demonstrates that implementing rapid rehabilitation nursing interventions during the perioperative period for patients undergoing thoracoscopic lung cancer surgery can significantly decrease the occurrence of wound infections and complications, thereby facilitating rapid patient recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of rapid rehabilitation nursing on surgical‐site wound infection and postoperative complications of patients undergoing thoracoscopic lung cancer surgery: A meta‐analysis

Li,

Huang,

Mei

et al. 2024

International Wound Journal

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“…The concept of ERAS has been widely used in stomach cancer, 13 colorectal cancer, 14 liver transplantation, 15 lung cancer, 16 and many other diseases and has been shown to improve postoperative recovery and reduce postoperative complications. Hallam et al demonstrated the feasibility of ERAS in elderly patients undergoing colorectal cancer surgery 17 .…”

Section: Discussionmentioning

confidence: 99%

“…The concept of ERAS has been widely used in stomach cancer, 13 colorectal cancer, 14 liver transplantation, 15 lung cancer, 16 and many other Surgical resection is the most common treatment method used for colorectal cancer, but it also leads to a large increase in the number of inflammatory cells and an increased stress response, 18,19 which are the main factors affecting the prognosis of patients. 20 CRP, procalcitonin, TNF-α, IL-6, IL-10, and WBC have been used as the most common markers of inflammatory stress, [21][22][23] and Chen used these indices to compare the efficacy of laparoscopic surgery and conventional surgery in the treatment of colorectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Effects of the enhanced recovery after surgery (ERAS) protocol on the postoperative stress state and short‐term complications in elderly patients with colorectal cancer

Han,

Wan,

Chen

et al. 2024

Cancer Reports

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ObjectiveThe aim of this study was to evaluate the feasibility and necessity of enhanced recovery after surgery in elderly patients with colorectal cancer by observing inflammatory markers and postoperative complications.MethodsHospitalized colorectal cancer patients from the Affiliated Hospital of Jiangsu University from January 2021 to September 2022 were included in the study and divided into two groups: Enhanced Recovery After Surgery (ERAS) and non‐ERAS. Data on postoperative inflammatory markers and complications were also collected.ResultsA total of 313 patients with colorectal cancer were included: 182 in the ERAS group and 131 in the non‐ERAS group. The patients in the ERAS group had significantly shorter days of postoperative hospitalization, urinary catheter and drainage tube withdrawal times, and recovery of bowel function (P < .05) than those of the non‐ERAS group. Moreover, the ERAS group had lower hospitalization expenses than those of the non‐ERAS group (P < .05). However, the procalcitonin and tumor necrosis factor (TNF)‐α levels in the ERAS group was significantly lower than those in the non‐ERAS group on postoperative days 1 and 3 (P < .05), and the interleukin (IL)‐6 and IL‐10 levels in the ERAS group were significantly lower than those in the non‐ERAS group on the 1st, 3rd, and 5th postoperative days (P < .05). The C‐reactive protein (CRP) and white blood cell (WBC) levels in the ERAS group were lower than those in the non‐ERAS group on postoperative days 3 and 5 (P < .05). However, the hemoglobin levels did not differ significantly (P > .05). The albumin levels did not differ significantly between the two groups before surgery (P > .05); however, the albumin level in the ERAS group was higher than that in the non‐ERAS group on postoperative days 3 and 5 (P < .05). The ERAS patients had lower albumin levels after surgery than those of the non‐ERAS patients (P < .05).ConclusionERAS leads to a series of perioperative optimization measures, thereby reducing the postoperative stress response in elderly patients with colorectal cancer and the occurrence of perioperative complications.

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“…Lung infection, lung atelectasis and haemorrhage are common postoperative complications after lung cancer resection and are highly likely to cause severe psychological stress, delay patient recovery and prolong hospital stay. 52 Zhang et al 53 evaluated the effect of accelerated rehabilitative surgical care on the clinical prognosis of perioperative patients undergoing lung cancer surgery and found that it significantly reduced the rate of complications and shortened the hospital length of stay. Haro et al 54 also demonstrated that the addition of the ERAS concept to the perioperative period could significantly reduce the length of hospital stay and hospital costs.…”

Section: Discussionmentioning

confidence: 99%

Effects of accelerated rehabilitation surgical care on the surgical site wound infection and postoperative complications in patients of lung cancer: A meta‐analysis

Fu,

Xiao

2023

International Wound Journal

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To comprehensively evaluate the effect of accelerated rehabilitation surgical care on perioperative wound infections and complications in patients undergoing lung cancer surgery. A comprehensive computerised search for randomised controlled trials (RCTs) of accelerated rehabilitative surgical care applied to patients undergoing lung cancer surgery was conducted using the Web of Science, PubMed, Cochrane Library, Embase, Wanfang and China National Knowledge Infrastructure databases from inception to September 2023. The literature was screened and evaluated by two investigators, and data were extracted from the final included literature. Stata software (version 17.0) was used for data analysis. Overall, 21 RCTs involving 2187 patients were included, including 1093 cases in the accelerated rehabilitation surgical care group and 1094 cases in the conventional care group. The analyses revealed that patients with lung cancer surgery who implemented accelerated rehabilitation surgical care were significantly less likely to develop postoperative wound infections (odds ratio [OR] = 0.29, 95% confidence interval [CI]: 0.17–0.49, p < 0.001) and postoperative complications (OR = 0.26, 95% CI: 0.20–0.34, p < 0.001) and shortened the hospital length of stay (standardised mean differences [SMD] = −1.93, 95% CI: −2.32 to −1.53, and p < 0.001) compared with conventional care. The effect of accelerated rehabilitation surgical care intervention in the perioperative period of lung cancer surgery patients is remarkable, as it can effectively reduce the incidence of wound infection and complications, shorten hospitalisation time and promote patient recovery.

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Outcomes of enhanced recovery after surgery in lung cancer: A systematic review and meta-analysis

Cited by 9 publications

References 64 publications

Effects of rapid rehabilitation nursing on surgical‐site wound infection and postoperative complications of patients undergoing thoracoscopic lung cancer surgery: A meta‐analysis

Effects of rapid rehabilitation nursing on surgical‐site wound infection and postoperative complications of patients undergoing thoracoscopic lung cancer surgery: A meta‐analysis

Effects of the enhanced recovery after surgery (ERAS) protocol on the postoperative stress state and short‐term complications in elderly patients with colorectal cancer

Effects of accelerated rehabilitation surgical care on the surgical site wound infection and postoperative complications in patients of lung cancer: A meta‐analysis

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