The use of enhanced recovery after surgery (ERAS) principles in Scottish orthopaedic units—an implementation and follow-up at 1 year, 2010–2011: a report from the Musculoskeletal Audit, Scotland

Scott, N. B.; McDonald, David A.; Campbell, Jane; Smith, Richard D.; Carey, Adrienne; Johnston, Ian; James, Kate R.; Breusch, Steffen

doi:10.1007/s00402-012-1619-z

Cited by 73 publications

(62 citation statements)

References 22 publications

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“…[11][12][13][14][15][16][17][18][19][20][21] These previous studies certified that FT programs could decrease postoperative complications, postoperative length of stay (LoS), hospitalization costs, and improve patient satisfaction. [4][5][6][11][12][13][14][15][16][17][18][19][20][21] A good deal of publications has inspected the feasibility of FT programs for hepatic surgery, but the potency of these studies has not been discussed profoundly. As a consequence, we performed this meta-analysis for the sake of assessing the effects of implementation of FT programs on surgical outcomes compared with the traditional treatment plans following liver surgery.…”

Section: Introductionmentioning

confidence: 99%

Fast-Track Programs for Liver Surgery: A Meta-Analysis

Xiong

et al. 2015

Journal of Gastrointestinal Surgery

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Section: Introductionmentioning

confidence: 99%

Fast-Track Programs for Liver Surgery: A Meta-Analysis

Xiong

et al. 2015

Journal of Gastrointestinal Surgery

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“…Over the last decade, FT programs have been used in vascular surgery [5], breast surgery [6], urologic [7], and orthopedic surgery [8]. However, FT for liver surgery was first described in 2008 [9].…”

Section: Introductionmentioning

confidence: 99%

Fast-Track Programs Versus Traditional Care in Hepatectomy: A Meta-Analysis of Randomized Controlled Trials

Lei

Wang²,

Tan³

et al. 2014

Dig Surg

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Background/Aims: The role of fast-track programs in hepatectomy is unclear. This meta-analysis aimed to evaluate the efficacy and safety of fast-track programs versus traditional care. Methods: We searched Pubmed, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs) comparing fast-track with traditional care in hepatectomy. Length of hospital stay, time to first flatus, postoperative complications, operating time, and intraoperative blood loss were assessed. Meta-analyses were performed using RevMan 5.2 software. Results: Four original RCTs with 372 patients were included: 187 in the fast-track and 185 in the traditional care group. Fast-track patients had shorter hospital stay (WMD -2.32; 95% CI, -3.54 to -1.11; p < 0.001) and time to first flatus (WMD -0.99; 95% CI, -1.15 to -0.84; p < 0.001), and less postoperative complications (RR 0.66; 95% CI, 0.47 to 0.93; p < 0.05). However, there was significant heterogeneity between the studies regarding hospital stay (I² = 88%; p < 0.001). Operating time and intraoperative blood loss were not different. Conclusions: Patients in fast-track programs had less time to first flatus and postoperative complications compared to traditional care. Fast-track programs may reduce the length of hospital stay. Larger, higher quality prospective RCTs are necessary to draw more robust conclusions.

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“…This approach often requires more dollars to be spent on some services in order to reduce the need for others. Studies have shown that optimized care pathways are associated with decreased postoperative lengths of stay, lower blood transfusion rates, and earlier mobilization 53,54 .…”

Section: Costsmentioning

confidence: 99%