Another article you should know by Cecilia Gigena from JPS
"Meta-Analysis of Enhanced Recovery After Surgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery"
Authors: Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin
Full article: https://gcmd.co/3u7nnzp
Objective
This meta-analysis aimed to investigate the effects and safety of enhanced recovery after surgery (ERAS) for the management of pediatric colorectal surgery.
Methods
We retrieved relevant studies from PubMed, EMBASE, the Cochrane Library, and China National Knowledgement Infrastructure (CNKI) from its inception until 20 May 2022. Meta-analysis was performed using RevMan 5.4, and power analysis was calculated using G∗Power 3.1.
Results
Ten studies involving 1298 patients were included for meta-analysis. Meta-analysis suggested that ERAS protocol significantly lessened intraoperative fluids (mean difference [MD], −3.11; 95% confidence interval, −4.99 to −1.22) and postoperative opioid usage (MD, −0.58; 95% CI, −1.08 to −0.26), shortened time to bowel return (MD, −12.02; 95% CI, −20.03 to −4.02), first enteral nutrition (MD, −20.88; 95% CI, −28.34 to −13.42) and oral intake (MD, −1.40; 95% CI, −1.96 to −0.84), lowered readmission rate in 30 days (relative risk [RR], 0.61, 95% CI, 0.41 to 0.90), shortened length of hospital stay (MD, −1.50; 95% CI, −1.25 to −1.09), and reduced in-hospital costs (MD, −0.26; 95% CI, −0.34 to −0.18); however, there was a comparable rate of postoperative complications between the two groups. Sensitivity analysis significantly changed the result of the readmission rate in 30 days. The statistical power of all outcomes ranged from 26.84% to 99.44%.
Conclusions
Our findings demonstrate the beneficial role of the ERAS protocol in accelerating rehabilitation, shortening the length of hospital stay, and decreasing in-hospital costs among pediatric patients undergoing colorectal surgery.
Type: video · 0 min · posted 2023-11-08 Canonical: https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597 ## Chapters - [0:00](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=0) ERAS Protocol Meta-Analysis in Pediatric Colorectal Surgery ## Statements - "The meta-analysis included 10 studies with 1,298 patients" (epidemiological) [0:18](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=18) - "Patients with ERAS protocols around colorectal surgery had less length of stay" (clinical) [0:18](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=18) - "Patients with ERAS protocols had less opiate use" (clinical) [0:18](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=18) - "Patients with ERAS protocols had less hospital cost" (clinical) [0:18](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=18) - "Complication rates were the same in both groups (ERAS vs standard care)" (clinical) [0:18](https://library.globalcastmd.com/watch/meta-analysis-of-enhanced-recovery-after-surgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7597?t=18) ## Transcript Do you use US protocol for colorectal surgery? Hi, I'm Cecilia Gena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a meta-analysis that wanted to see the effects of the ERS protocol in pediatric colorectal surgery. And what did they? Find they had 10 studies with 1,298 patients and what they find is that patients that had US protocols around the colorectal surgery had less length of stay, less opiate use, less hospital cost, but the complications rates were the same in both groups. Let us know what you think and stay tuned for more articles that you should know about. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai