Categories
Change Password!
Reset Password!
Enhanced recovery outperforms standard care due to its efficacy, physical and psychological recovery, shorter stays, fewer complications, less pain, and improved quality of life.
In a momentous systematic review and meta-analysis featured recently in 'PLoS One', the Enhanced Recovery After Surgery (ERAS) protocol emerged as a transformative force in patients with chronic rhinosinusitis (CRS) experiencing endoscopic sinus surgery (ESS).
Yuqi Wu and colleagues assessed the safety and efficacy of ERAS in the perioperative management of patients with CRS undergoing ESS.
A database search was performed to look for randomized trials (RCTs) about the ERAS effectiveness and safety in ESS perioperative management of CRS patients. These included searching PubMed, EMBASE, Cochrane CENTRAL, Web of Science, Ovid, China National Knowledge Infrastructure, Chinese BioMedical Literature Database and VIP Database. The Cochrane Collaboration tool assessed the methodological quality of the RCTs under consideration.
The GRADE tool i.e. Grading of Recommendations, Assessment, Development and Evaluation tool helped assess the quality of the evidence. The Egger’s rank, Begg’s, and funnel plot tests were used to capture the possible publication bias. Analyzing 28 studies involving 2636 patients, the results paint a compelling picture of ERAS's superiority over standard care (SC) in various facets of perioperative management. The ERAS group exhibited noteworthy advantages, including:
Also, a significantly lower incidence of adverse events (overall complications, postoperative nausea and vomiting, face edema, pain in the lower back, urinary retention and hemorrhage) was reported. Even though the ERAS protocol was found to be effective and safe in CRS patients who undergo ESS, the elucidation of the results should be done carefully due to inadequate methodological quality studies. Future high-quality, multiple-center, and large-sample studies are needed to authenticate its clinical effectiveness, concluded the study investigators.
PLoS One
The application of enhanced recovery after surgery (ERAS) in chronic rhinosinusitis patients undergoing endoscopic sinus surgery: A systematic review and meta-analysis
Yuqi Wu et al.
Comments (0)