Enhanced recovery pathways vs standard care pathways in esophageal cancer surgery: systematic review and meta-analysis
| Autor: | Dimitrios Theodorou, Tania Triantafyllou, Dimitrios Schizas, Michael T. Olson, Saurabh Singhal |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Lung Diseases Male medicine.medical_specialty Time Factors Esophageal Neoplasms Non-Randomized Controlled Trials as Topic medicine.medical_treatment Anastomotic Leak 030230 surgery law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Randomized controlled trial law Internal medicine Outcome Assessment Health Care Flatulence Humans Medicine Prospective Studies Hospital Costs Defecation Aged Data Management Randomized Controlled Trials as Topic business.industry Gastroenterology Absolute risk reduction Odds ratio Length of Stay Middle Aged Confidence interval Esophagectomy Cardiothoracic surgery Meta-analysis Female 030211 gastroenterology & hepatology Patient Care Enhanced Recovery After Surgery business |
| Zdroj: | Esophagus. 17:100-112 |
| ISSN: | 1612-9067 1612-9059 |
| Popis: | Enhanced recovery after surgery (ERAS) protocols vs standard care pathways after esophagectomy for malignancy have gained wide popularity among surgeons. However, the current literature is still lacking level-I evidence to show a clear superiority of one approach. The present study is a detailed systematic review and meta-analysis of the published trials. A systematic review of literature databases was conducted for randomized controlled trials (RCTs) and non-randomized, prospective, comparative studies between January 1990 and September 2019, comparing ERAS pathway group with standard care for esophageal resection for esophageal cancer. Mean difference (MD) for continuous variables and odds ratio (OR) or risk difference (RD) for dichotomous variables with 95% confidence interval (CI) were used. Between-study heterogeneity was evaluated. Eight studies with a total of 1133 patients were included. Hospital stay [Standard mean difference (Std. MD) = − 1.92, 95% CI − 2.78, − 1.06, P |
| Databáze: | OpenAIRE |
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