The progress of evaluation indexes for enhanced recovery after surgery model athome and abroad_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Ka ¹ , YANG Jie ² , HU Yanjie ³ , LIU Yuwei ² , XU Yujie ⁴ ,  FENG Jinhua ⁵

1. Nursing Department, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
2. Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
3. Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
4. West China College of Nursing, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
5. Department of Biliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

FENG Jinhua, Email: fengjinhua327@163.com

Keywords：

enhanced recovery after surgery; evaluation indicator; research progress; review

DOI：

10.7507/1007-9424.201801121

Video：

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Objective To analyze the progress of evaluation indexes for enhanced recovery after surgery (ERAS) model at home and abroad, and to propose suggestions for constructing systematic evaluation model of ERAS. Methods Atfirst checked the Chinese and English databases, including Medline, Embase, Sciencedirect, ACP Journal Club, BioMed Central, the Cochrane Central Register of Controlled Trials (CENTRAL), Science Citation Index Expanded, Cochrane Library, NHS Economic Evaluation Database, CNKI, VIP, and Wanfang databases (retrieval time was from January 1997 to December 2017), and then filtered the literatures, excluded duplicate documents, a total of 1 020 English literatures and 786 Chinese literatures were enrolled eventually to make an review. Results The literatures showed that, at present, there was no comprehensive and systematic evaluation index system about ERAS at home and abroad. The existing evaluation indexes mainly included the following deficiencies: localization and fragmentation of evaluation indicators, lack of evaluation indicators of ERAS organizational framework and process management, as well as lack of standardized operational definition of evaluation indicators. Conclusions The evaluation indexes of ERAS at home and abroad do not constitute a systematic evaluation index system according to scientific principles, which will restrict the standardization of accelerated surgical rehabilitation in our country. To establish a multidimensional and comprehensive quality evaluation index system based on multi-evaluation of hospital, patient, social, and medical management institutions, which covers ERAS organizational structure, process management, and clinical outcomes, is a necessary condition for the development of ERAS model.

Citation： LI Ka, YANG Jie, HU Yanjie, LIU Yuwei, XU Yujie, FENG Jinhua. The progress of evaluation indexes for enhanced recovery after surgery model athome and abroad. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(5): 629-634. doi: 10.7507/1007-9424.201801121 Copy

1.	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
3.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
4.	江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
5.	Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr, 2005, 24(3): 466-477.
6.	Song W, Wang K, Zhang RJ, et al. The enhanced recovery after surgery (ERAS) program in liver surgery: a meta-analysis of randomized controlled trials. Springerplus, 2016, 5: 207.
7.	Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg, 2012, 36(2): 407-414.
8.	黎介壽. 對 Fast-track Surgery (快通道外科)內涵的認識. 中華醫學雜志, 2007, 87(8): 515-517.
9.	程黎陽. 快速康復外科的現狀分析與前景展望. 實用醫學雜志, 2012, 28(1): 1-4.
10.	Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
11.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
12.	Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
13.	Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 817-830.
14.	中華醫學會外科學分會外科手術學學組, 中國醫療保健國際交流促進會加速康復外科學分會肝臟外科學組. 肝切除術后加速康復中國專家共識 (2017 版). 臨床肝膽病雜志, 2017, 33(10): 1876-1882.
15.	中國研究型醫院學會肝膽胰外科專業委員會. 肝膽胰外科術后加速康復專家共識(2015 版). 消化腫瘤雜志(電子版), 2016, 8(4): 220-225.
16.	中華醫學會腸外腸內營養學分會加速康復外科協作組. 結直腸手術應用加速康復外科中國專家共識(2015 版). 中國實用外科雜志, 2015, 35(8): 841-843.
17.	孫天勝, 沈建雄, 劉忠軍, 等. 中國脊柱手術加速康復——圍術期管理策略專家共識. 中華骨與關節外科雜志, 2017, 10(4): 271-279.
18.	Bond-Smith G, Belgaumkar AP, Davidson BR, et al. Enhanced recovery protocols for major upper gastrointestinal, liver and pancreatic surgery. Cochrane Database Syst Rev, 2016, 2: CD011382.
19.	Feng J, Li K, Li L, et al. The effects of fast-track surgery on inflammation and immunity in patients undergoing colorectal surgery. Int J Colorectal Dis, 2016, 31(10): 1675-1682.
20.	Hübner M, Addor V, Slieker J, et al. The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
21.	黎介壽, 江志偉. 加速康復外科的臨床意義不僅僅是縮短住院日. 中華消化外科雜志, 2015, 14(1): 22-24.
22.	Joliat GR, Labgaa I, Petermann D, et al. Cost-benefit analysis of an enhanced recovery protocol for pancreaticoduodenectomy. Br J Surg, 2015, 102(13): 1676-1683.
23.	Jones EL, Wainwright TW, Foster JD, et al. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery. Ann R Coll Surg Engl, 2014, 96(2): 89-94.
24.	Herbert G, Sutton E, Burden S, et al. Healthcare professionals' views of the enhanced recovery after surgery programme: a qualitative investigation. BMC Health Serv Res, 2017, 17(1): 617.
25.	Gillissen F, Hoff C, Maessen JM, et al. Structured synchronous implementation of an enhanced recovery program in elective colonic surgery in 33 hospitals in The Netherlands. World J Surg, 2013, 37(5): 1082-1093.
26.	Gramlich LM, Sheppard CE, Wasylak T, et al. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci, 2017, 12(1): 67.
27.	李卡, 汪曉東, 陳增蓉, 等. 快速流程下大腸癌術后近期生存質量的前瞻性研究. 四川大學學報(醫學版), 2010, 41(3): 509-512.
28.	馮金華, 李立, 汪曉東, 等. 加速康復外科對結直腸癌患者術后炎性反應及細胞免疫功能影響的隨機對照研究. 四川大學學報(醫學版), 2016, 47(1): 131-134.
29.	車國衛, 劉倫旭, 周清華. 加速康復外科從理論到實踐——我們還需要做什么?. 中國肺癌雜志, 2017, 20(4): 219-225.
30.	張真榕, 李偉峰, 劉德若. 加速康復外科措施完成率對高齡肺部手術患者臨床結局的影響. 中華胸部外科電子雜志, 2017, 4(3): 149-153.
31.	P?dziwiatr M, Kisialeuski M, Wierdak M, et al. Early implementation of Enhanced Recovery After Surgery (ERAS?) protocol - Compliance improves outcomes: A prospective cohort study. Int J Surg, 2015, 21: 75-81.
32.	車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 20(3): 211-215.
33.	Gotlib Conn L, McKenzie M, Pearsall EA, et al. Successful implementation of an enhanced recovery after surgery programme for elective colorectal surgery: a process evaluation of champions' experiences. Implement Sci, 2015, 10: 99.
34.	Martin D, Roulin D, Grass F, et al. A multicentre qualitative study assessing implementation of an Enhanced Recovery After Surgery program. Clin Nutr, 2017, [Epub ahead of print].
35.	Gillissen F, Ament SM, Maessen JM, et al. Sustainability of an enhanced recovery after surgery program (ERAS) in colonic surgery. World J Surg, 2015, 39(2): 526-533.
36.	Martin D, Roulin D, Addor V, et al. Enhanced recovery implementation in colorectal surgery-temporary or persistent improvement? Langenbecks Arch Surg, 2016, 401(8): 1163-1169.
37.	McLeod RS, Aarts MA, Chung F, et al. Development of an Enhanced Recovery After Surgery Guideline and Implementation Strategy Based on the Knowledge-to-action Cycle. Ann Surg, 2015, 262(6): 1016-1025.
38.	ERAS Compliance Group. The Impact of Enhanced Recovery Protocol Compliance on Elective Colorectal Cancer Resection: Results From an International Registry. Ann Surg, 2015, 261(6): 1153-1159.
39.	Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2): 189-198.
40.	Kehlet H. Enhanced Recovery After Surgery (ERAS): good for now, but what about the future? Can J Anaesth, 2015, 62(2): 99-104.
41.	Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg, 2009, 250(2): 187-196.
42.	Parry S, Denehy L, Berney S, et al. Clinical application of the Melbourne risk prediction tool in a high-risk upper abdominal surgical population: an observational cohort study. Physiotherapy, 2014, 100(1): 47-53.
43.	李巖. 美國醫療質量管理之父多那比第安(Avedis Donabedian). 中國醫院, 2003, 7(5): 26.
44.	蘇鴻啟. 醫院管理的綜合評價問題. 中國醫院管理, 1986, (5): 44-47.

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
3. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
4. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
5. Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr, 2005, 24(3): 466-477.
6. Song W, Wang K, Zhang RJ, et al. The enhanced recovery after surgery (ERAS) program in liver surgery: a meta-analysis of randomized controlled trials. Springerplus, 2016, 5: 207.
7. Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg, 2012, 36(2): 407-414.
8. 黎介壽. 對 Fast-track Surgery (快通道外科)內涵的認識. 中華醫學雜志, 2007, 87(8): 515-517.
9. 程黎陽. 快速康復外科的現狀分析與前景展望. 實用醫學雜志, 2012, 28(1): 1-4.
10. Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
11. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
12. Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
13. Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 817-830.
14. 中華醫學會外科學分會外科手術學學組, 中國醫療保健國際交流促進會加速康復外科學分會肝臟外科學組. 肝切除術后加速康復中國專家共識 (2017 版). 臨床肝膽病雜志, 2017, 33(10): 1876-1882.
15. 中國研究型醫院學會肝膽胰外科專業委員會. 肝膽胰外科術后加速康復專家共識(2015 版). 消化腫瘤雜志(電子版), 2016, 8(4): 220-225.
16. 中華醫學會腸外腸內營養學分會加速康復外科協作組. 結直腸手術應用加速康復外科中國專家共識(2015 版). 中國實用外科雜志, 2015, 35(8): 841-843.
17. 孫天勝, 沈建雄, 劉忠軍, 等. 中國脊柱手術加速康復——圍術期管理策略專家共識. 中華骨與關節外科雜志, 2017, 10(4): 271-279.
18. Bond-Smith G, Belgaumkar AP, Davidson BR, et al. Enhanced recovery protocols for major upper gastrointestinal, liver and pancreatic surgery. Cochrane Database Syst Rev, 2016, 2: CD011382.
19. Feng J, Li K, Li L, et al. The effects of fast-track surgery on inflammation and immunity in patients undergoing colorectal surgery. Int J Colorectal Dis, 2016, 31(10): 1675-1682.
20. Hübner M, Addor V, Slieker J, et al. The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
21. 黎介壽, 江志偉. 加速康復外科的臨床意義不僅僅是縮短住院日. 中華消化外科雜志, 2015, 14(1): 22-24.
22. Joliat GR, Labgaa I, Petermann D, et al. Cost-benefit analysis of an enhanced recovery protocol for pancreaticoduodenectomy. Br J Surg, 2015, 102(13): 1676-1683.
23. Jones EL, Wainwright TW, Foster JD, et al. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery. Ann R Coll Surg Engl, 2014, 96(2): 89-94.
24. Herbert G, Sutton E, Burden S, et al. Healthcare professionals' views of the enhanced recovery after surgery programme: a qualitative investigation. BMC Health Serv Res, 2017, 17(1): 617.
25. Gillissen F, Hoff C, Maessen JM, et al. Structured synchronous implementation of an enhanced recovery program in elective colonic surgery in 33 hospitals in The Netherlands. World J Surg, 2013, 37(5): 1082-1093.
26. Gramlich LM, Sheppard CE, Wasylak T, et al. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci, 2017, 12(1): 67.
27. 李卡, 汪曉東, 陳增蓉, 等. 快速流程下大腸癌術后近期生存質量的前瞻性研究. 四川大學學報(醫學版), 2010, 41(3): 509-512.
28. 馮金華, 李立, 汪曉東, 等. 加速康復外科對結直腸癌患者術后炎性反應及細胞免疫功能影響的隨機對照研究. 四川大學學報(醫學版), 2016, 47(1): 131-134.
29. 車國衛, 劉倫旭, 周清華. 加速康復外科從理論到實踐——我們還需要做什么?. 中國肺癌雜志, 2017, 20(4): 219-225.
30. 張真榕, 李偉峰, 劉德若. 加速康復外科措施完成率對高齡肺部手術患者臨床結局的影響. 中華胸部外科電子雜志, 2017, 4(3): 149-153.
31. P?dziwiatr M, Kisialeuski M, Wierdak M, et al. Early implementation of Enhanced Recovery After Surgery (ERAS?) protocol - Compliance improves outcomes: A prospective cohort study. Int J Surg, 2015, 21: 75-81.
32. 車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 20(3): 211-215.
33. Gotlib Conn L, McKenzie M, Pearsall EA, et al. Successful implementation of an enhanced recovery after surgery programme for elective colorectal surgery: a process evaluation of champions' experiences. Implement Sci, 2015, 10: 99.
34. Martin D, Roulin D, Grass F, et al. A multicentre qualitative study assessing implementation of an Enhanced Recovery After Surgery program. Clin Nutr, 2017, [Epub ahead of print].
35. Gillissen F, Ament SM, Maessen JM, et al. Sustainability of an enhanced recovery after surgery program (ERAS) in colonic surgery. World J Surg, 2015, 39(2): 526-533.
36. Martin D, Roulin D, Addor V, et al. Enhanced recovery implementation in colorectal surgery-temporary or persistent improvement? Langenbecks Arch Surg, 2016, 401(8): 1163-1169.
37. McLeod RS, Aarts MA, Chung F, et al. Development of an Enhanced Recovery After Surgery Guideline and Implementation Strategy Based on the Knowledge-to-action Cycle. Ann Surg, 2015, 262(6): 1016-1025.
38. ERAS Compliance Group. The Impact of Enhanced Recovery Protocol Compliance on Elective Colorectal Cancer Resection: Results From an International Registry. Ann Surg, 2015, 261(6): 1153-1159.
39. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2): 189-198.
40. Kehlet H. Enhanced Recovery After Surgery (ERAS): good for now, but what about the future? Can J Anaesth, 2015, 62(2): 99-104.
41. Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg, 2009, 250(2): 187-196.
42. Parry S, Denehy L, Berney S, et al. Clinical application of the Melbourne risk prediction tool in a high-risk upper abdominal surgical population: an observational cohort study. Physiotherapy, 2014, 100(1): 47-53.
43. 李巖. 美國醫療質量管理之父多那比第安(Avedis Donabedian). 中國醫院, 2003, 7(5): 26.
44. 蘇鴻啟. 醫院管理的綜合評價問題. 中國醫院管理, 1986, (5): 44-47.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The progress of evaluation indexes for enhanced recovery after surgery model athome and abroad

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