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Enhanced recovery protocols in patients undergoing pancreatic surgery: An umbrella review
Journal article   Open access   Peer reviewed

Enhanced recovery protocols in patients undergoing pancreatic surgery: An umbrella review

Jing Li, Frances Lin, Shuhui Yu and Andrea P Marshall
Nursing Open, Vol.9(2), pp.932-941
2022
PMCID: PMC8859084
PMID: 34105896
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Enhanced recovery protocols in patients undergoing pancreatic surgery - An umbrella review416.35 kBDownloadView
Published Version Open Access CC BY V4.0
url
https://doi.org/10.1002/nop2.923View
Published Version

Abstract

enhanced recovery pancreatic surgery umbrella review
Aim: To identify, synthesize and appraise the systematic reviews of ERAS for patients undergoing pancreatic surgery and facilitate ERAS implementation. Design: An umbrella review was used to identify systematic reviews. Methods: A systematic search following the PRISMA guidelines was used to search databases including PubMed, Embase, Cochrane Library, CINAHL, CNKI, WanFang and VJIP. AMSTAR 2 was used to appraise the quality of included reviews. Results: Ten systematic reviews were included. The quality of all included systematic reviews was rated as “critically low.” The most frequently reported ERAS elements were epidurals analgesia/PCA (9/10), goal-directed mobilization (9/10) and early removal of drains (9/10). Only one review mentioned audit protocol compliance. None of the included reviews reported discharge standards. Ten reviews reported decreased length of stay, seven reviews reported lower hospital costs, and six reviews reported decreased total complications rate. There were no adverse effects reported.

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