Key result
ERAS protocols in pancreatic surgery were associated with decreased length of stay (10/10 reviews), lower hospital costs (7/10 reviews), and decreased total complications (6/10 reviews).
Why the study?
To identify, synthesize, and appraise systematic reviews of ERAS for patients undergoing pancreatic surgery and facilitate ERAS implementation.
Do Enhanced Recovery After Surgery (ERAS) protocols improve outcomes in patients undergoing pancreatic surgery?
Systematic Review (n=10)
Do Enhanced Recovery After Surgery (ERAS) protocols improve outcomes in patients undergoing pancreatic surgery?
ERAS protocols in pancreatic surgery are associated with decreased length of stay, lower hospital costs, and reduced complication rates, though the quality of existing systematic reviews is critically low.
Supports ERAS consideration in pancreatic surgery; leaves open definitive adoption pending higher-quality reviews.
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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Li et al. (2021) conducted a systematic review in Pancreatic surgery (n=10). Enhanced Recovery After Surgery (ERAS) protocols was evaluated on ERAS elements, length of stay, hospital costs, complications. ERAS protocols in pancreatic surgery were associated with decreased length of stay (10/10 reviews), lower hospital costs (7/10 reviews), and decreased total complications (6/10 reviews).
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