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Evaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voice

dc.contributor.authorNunns, M
dc.contributor.authorJohn, JB
dc.contributor.authorMcGrath, JS
dc.contributor.authorShaw, L
dc.contributor.authorBriscoe, S
dc.contributor.authorThompson Coon, J
dc.contributor.authorHemsley, A
dc.contributor.authorLovegrove, CJ
dc.contributor.authorThomas, D
dc.contributor.authorMythen, MG
dc.contributor.authorAnderson, R
dc.date.accessioned2020-12-17T13:02:41Z
dc.date.issued2020-09-14
dc.description.abstractMulticomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns et al. considers the effectiveness and cost-effectiveness of all types of multicomponent interventions for older adults undergoing elective inpatient surgery. Enhanced recovery programmes (ERPs) were the most commonly evaluated intervention. An association between ERPs and decreased length of stay was observed, whilst complication rates and time to recovery were static or sometimes reduced. Important areas which lack research in the context of ERPs are patient-reported outcome measures, patients with complex needs and assessment of factors pertaining to successful ERP implementation. The next generation of ERP studies should seek to develop our understanding in these key areas.en_GB
dc.description.sponsorshipNational Institute for Health Research (NIHR)en_GB
dc.identifier.citationVol. 9, article 27en_GB
dc.identifier.doi10.1186/s13741-020-00157-1
dc.identifier.grantnumberNIHR127747en_GB
dc.identifier.urihttp://hdl.handle.net/10871/124189
dc.language.isoenen_GB
dc.publisherBMCen_GB
dc.rights© The Author(s). 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.en_GB
dc.subjectEnhanced recovery after surgeryen_GB
dc.subjectERASen_GB
dc.subjectERPen_GB
dc.subjectPrehabilitationen_GB
dc.subjectRehabilitationen_GB
dc.subjectElective surgeryen_GB
dc.subjectMeta-analysisen_GB
dc.subjectRecoveryen_GB
dc.subjectComplicationsen_GB
dc.subjectElderlyen_GB
dc.titleEvaluating enhanced recovery after surgery: time to cover new ground and discover the missing patient voiceen_GB
dc.typeArticleen_GB
dc.date.available2020-12-17T13:02:41Z
exeter.article-numberARTN 27en_GB
dc.descriptionThis is the final version. Available on open access from BMC via the DOI in this recorden_GB
dc.descriptionAvailability of data and materials: The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.en_GB
dc.identifier.eissn2047-0525
dc.identifier.journalPerioperative Medicineen_GB
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2020-08-24
exeter.funder::National Institute for Health Research (NIHR)en_GB
exeter.funder::National Institute for Health Research (NIHR)en_GB
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2020-09-14
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2020-12-17T12:58:37Z
refterms.versionFCDVoR
refterms.dateFOA2020-12-17T13:02:47Z
refterms.panelAen_GB
refterms.depositExceptionpublishedGoldOA


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© The Author(s). 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Except where otherwise noted, this item's licence is described as © The Author(s). 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.