A systematic review of the intervention components, adherence and outcomes of enhanced recovery programmes in older patients undergoing elective colorectal surgery.

ABSTRACT:

Background

Enhanced recovery programmes (ERPs) aim to attenuate the surgical stress response and accelerate recovery after surgery, but are not specifically designed for older patients. The objective of this study was to review the components, adherence and outcomes of ERPs in older patients (≥65 years) undergoing elective colorectal surgery.

Methods

Pubmed, Embase and Cinahl were searched between 2000 and 2017 for randomised and non-randomised controlled trials, before-after studies, and observational studies. The methodological quality of the studies was evaluated using the MINORS quality assessment. The review was performed and reported according to the PRISMA guidelines.

Results

Twenty-one studies, including 3495 ERP patients aged ≥65 years, were identified. The E

SUBMITTER: Fagard K 

PROVIDER: S-EPMC6555702 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature