Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice

M Nunns; JB John; JS McGrath; L Shaw; S Briscoe; Coon J Thompson; A Hemsley; CJ Lovegrove; D Thomas; MG Mythen; R Anderson

doi:10.1186/s13741-020-00157-1

Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice

M Nunns, JB John, JS McGrath, L Shaw, S Briscoe, Coon J Thompson, A Hemsley, CJ Lovegrove, D Thomas, MG Mythen, R Anderson

School of Health Professions

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Abstract

AbstractMulticomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.

Original language	English
Number of pages	0
Journal	Perioperative Medicine
Volume	9
Issue number	1
Early online date	14 Sept 2020
DOIs	https://doi.org/10.1186/s13741-020-00157-1
Publication status	Published - Dec 2020

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S13741-020-00157-1

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title = "Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice",

abstract = "AbstractMulticomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.",

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AU - Nunns, M

AU - John, JB

AU - McGrath, JS

AU - Shaw, L

AU - Briscoe, S

AU - Thompson, Coon J

AU - Hemsley, A

AU - Lovegrove, CJ

AU - Thomas, D

AU - Mythen, MG

AU - Anderson, R

PY - 2020/12

Y1 - 2020/12

N2 - AbstractMulticomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.

AB - AbstractMulticomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.

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DO - 10.1186/s13741-020-00157-1

M3 - Article

SN - 2047-0525

VL - 9

JO - Perioperative Medicine

JF - Perioperative Medicine

IS - 1

ER -

Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice

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