Why the study?
Despite recent consensus guidelines for perioperative care in hip and knee replacement, a reanalysis of the evidence and recommendations was still needed.
Are the recommended components of enhanced recovery after surgery (ERAS) for total joint arthroplasty supported by evidence?
Are the recommended components of enhanced recovery after surgery (ERAS) for total joint arthroplasty supported by evidence?
Most ERAS components for total joint arthroplasty are evidence-based, though implementation details require further optimization to maximize clinical benefits.
Supports most ERAS components in TJA; leaves open optimal implementation details for prospective trials.
Recent guidelines have produced a consensus statement for perioperative care in hip and knee replacement. However, there is still a need for reanalysis of the evidence and recommendations. Therefore, we retrieved and reanalyzed the evidence of each recommended components of enhanced recovery after surgery (ERAS) based on the guidelines of total joint arthroplasty. For each one, we included for the highest levels of evidence and those systematic reviews and meta-analyses were preferred. The full texts were analyzed and the evidence of all components were summarized. We found that most of the recommended components of ERAS are supported by evidence, however, the implementation details of each recommended components need to be further optimized. Therefore, implementation of a full ERAS program may maximize the benefits of our clinical practice but this combined effect still needs to be further determined.
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Chen et al. (2023) studied this question.
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