Invited Discussion on: Enhanced Recovery Pathways for Flap-Based Reconstruction: Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
P. Gutierrez-Ontalvilla ◽  
A. Ruiz-Valls
Keyword(s):  
Systematic Review ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

scholarly journals Enhanced recovery pathways in abdominal gynecologic surgery: a systematic review and meta-analysis

2015 ◽  
Vol 95 (4) ◽  
pp. 382-395 ◽  
Author(s):  
Jeanny J.A. de Groot ◽  
Stephanie M.C. Ament ◽  
José M.C. Maessen ◽  
Cornelis H.C. Dejong ◽  
Jos M.P. Kleijnen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Gynecologic Surgery ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

Enhanced recovery pathways vs standard care pathways in esophageal cancer surgery: systematic review and meta-analysis

Esophagus ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 100-112 ◽  
Author(s):  
Tania Triantafyllou ◽  
Michael T. Olson ◽  
Dimitrios Theodorou ◽  
Dimitrios Schizas ◽  
Saurabh Singhal
Keyword(s):  
Systematic Review ◽  
Esophageal Cancer ◽  
Standard Care ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Care Pathways ◽  
Esophageal Cancer Surgery ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

A Systematic Review of Economic Evaluations of Enhanced Recovery Pathways for Colorectal Surgery

2015 ◽  
Vol 261 (5) ◽  
pp. e138 ◽  
Author(s):  
Michel Adamina ◽  
Anthony J. Senagore ◽  
Conor P. Delaney ◽  
Henrik Kehlet
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Economic Evaluations ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways

scholarly journals The effectiveness of acupuncture point stimulation for the prevention of post-operative sore throat: a meta-analysis.

2020 ◽  
Author(s):  
Pin-Yu Jau ◽  
Shang-Chih Chang
Keyword(s):  
General Anesthesia ◽  
Sore Throat ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Acupuncture Point ◽  
Cochrane Central Register ◽  
Enhanced Recovery Pathways ◽  
Secondary Outcomes ◽  
Recovery Pathways ◽  
Acupoint Stimulation

Background: Enhanced recovery pathways can be further improved for postoperative sore throat (POST) which usually occurs after surgery with general anesthesia. Medications have shown some effectiveness in treating and preventing POST, but acupuncture or related techniques with better safety and less cost likely can be used as an alternative or adjuvant therapy to treat perioperative symptoms by stimulating acupuncture point (acupoint). Therefore, we aim to conduct a meta-analysis to assess whether acupoint stimulation help patients prevent or treat POST in adults undergoing tracheal intubation for general anesthesia. Methods: Publication in PubMed, the Cochrane Central Register, ScienceDirect, and ClinicalTrial.gov were surveyed from Jan. 2000 through Jan. 2020. Studies that compared intervention between point stimulation and none or sham point stimulation, were included. Primary outcomes were the incidence and severity of POST at 24h. Secondary outcomes were the incidence of postoperative nausea and vomiting, choking cough, and sputum. Results: Three randomized control trials and one comparative study involving 1358 participants were included. Compared with control, acupoint stimulation was associated with a reduced incidence (risk ratio, 0.3; 95% confidence interval (CI), 0.2 to 0.45; p < 0.001) and severity (standardized mean difference, -2.21; 95% CI, -2.67 to -1.76; p < 0.001) of POST. Secondary outcomes are also in favor of acupoint stimulation. There were no significant adverse events related to acupoint stimulation. Subgroup, the sensitivity, and the trial sequence analyses confirmed that the finding for POST was adequate. Conclusions: Acupoint stimulation with various methods may reduce the occurrence of POST. It could be considered as one of nonpharmacological ways to prevent POST in enhanced recovery pathways. Further rigorous studies are needed to determine the effectiveness of acupoint stimulation.

scholarly journals Cost-effectiveness of enhanced recovery in hip and knee replacement: a systematic review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019740 ◽  
Author(s):  
Jacqueline Murphy ◽  
Mark G Pritchard ◽  
Lok Yin Cheng ◽  
Roshni Janarthanan ◽  
José Leal
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
National Health Service ◽  
Health Service ◽  
Knee Replacement ◽  
Enhanced Recovery ◽  
Economic Evaluations ◽  
Enhanced Recovery Pathways ◽  
Recovery Pathways ◽  
The Cost

IntroductionHip and knee replacement represents a significant burden to the UK healthcare system. ‘Enhanced recovery’ pathways have been introduced in the National Health Service (NHS) for patients undergoing hip and knee replacement, with the aim of improving outcomes and timely recovery after surgery. To support policymaking, there is a need to evaluate the cost-effectiveness of enhanced recovery pathways across jurisdictions. Our aim is to systematically summarise the published cost-effectiveness evidence on enhanced recovery in hip and knee replacement, both as a whole and for each of the various components of enhanced recovery pathways.Methods and analysisA systematic review will be conducted using MEDLINE, EMBASE, Econlit and the National Health Service Economic Evaluations Database. Separate search strategies were developed for each database including terms relating to hip and knee replacement/arthroplasty, economic evaluations, decision modelling and quality of life measures.We will extract peer-reviewed studies published between 2000 and 2017 reporting economic evaluations of preoperative, perioperative or postoperative enhanced recovery interventions within hip or knee replacement. Economic evaluations alongside cohort studies or based on decision models will be included. Only studies with patients undergoing elective replacement surgery of the hip or knee will be included. Data will be extracted using a predefined pro forma following best practice guidelines for economic evaluation, decision modelling and model validation.Our primary outcome will be the cost-effectiveness of enhanced recovery (entire pathway and individual components) in terms of incremental cost per quality-adjusted life year. A narrative synthesis of all studies will be presented, focussing on cost-effectiveness results, study design, quality and validation status.Ethics and disseminationThis systematic review is exempted from ethics approval because the work is carried out on published documents. The results of the review will be disseminated in a peer-reviewed academic journal and at conferences.PROSPERO registration numberCRD42017059473.

Sign in / Sign up

Export Citation Format

Share Document