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- W3042556069 endingPage "e20983" @default.
- W3042556069 startingPage "e20983" @default.
- W3042556069 abstract "Abstract Background: Previously, many meta-analyses have reported the impact of enhanced recovery after surgery (ERAS) programs on many surgical specialties. Objectives: To systematically assess the effects of ERAS pathways on multiple clinical outcomes in surgery. Design: An umbrella review of meta-analyses. Date sources: PubMed, Embase, Web of Science and the Cochrane Library. Results: The umbrella review identified 23 meta-analyses of interventional study and observational study. Consistent and robust evidence shown that the ERAS programs can significantly reduce the length of hospital stay (MD: −2.349 days; 95%CI: −2.740 to −1.958) and costs (MD: −$639.064; 95%CI:: −933.850 to −344.278) in all the surgery patients included in the review compared with traditional perioperative care. The ERAS programs would not increase mortality in all surgeries and can even reduce 30-days mortality rate (OR: 0.40; 95%CI: 0.23 to 0.67) in orthopedic surgery. Meanwhile, it also would not increase morbidity except laparoscopic gastric cancer surgery (RR: 1.49; 95%CI: 1.04 to 2.13). Moreover, readmission rate was increased in open gastric cancer surgery (RR: 1.92; 95%CI: 1.00 to 3.67). Conclusion: The ERAS programs are considered to be safe and efficient in surgery patients. However, precaution is necessary for gastric cancer surgery." @default.
- W3042556069 created "2020-07-23" @default.
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- W3042556069 date "2020-07-17" @default.
- W3042556069 modified "2023-10-09" @default.
- W3042556069 title "Enhanced recovery after surgery on multiple clinical outcomes" @default.
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- W3042556069 doi "https://doi.org/10.1097/md.0000000000020983" @default.
- W3042556069 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7373593" @default.
- W3042556069 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32702839" @default.
- W3042556069 hasPublicationYear "2020" @default.
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