增强恢复途径对腹部手术后患者报告结果的影响:系统性审查
Charbel El-Kefraoui1,2,3, Uyen Do4, Andrew Miller5
1Division of Experimental Surgery, McGill University, Montreal, QC, Canada.
Surgical endoscopy
|July 20, 2023
概括
增强的恢复途径 (ERP) 可以改善患者报告的结果,如腹部手术后的整体健康状况,疼痛和疲劳. 然而,这些证据在很大程度上是基于低质量的试验,需要进一步的研究以改进PRO评估.
科学领域:
- 手术恢复协议 手术恢复协议
- 患者报告的结果
- 基于证据的医学 基于证据的医学
背景情况:
- 增强恢复途径 (ERP) 越来越多地实施以优化手术恢复,重点关注客观措施,如停留时间和并发症率.
- 患者报告的结果 (PROs) 对于了解患者的体验至关重要,但在ERP研究中不常被评估.
- 本系统性审查批判性地评估了ERP对腹部手术后PRO的影响的现有证据.
结论:
- 增强的康复途径显示出积极影响患者报告的健康状况和腹部手术后的症状经历的希望.
- 目前的证据基础主要来自低质量的试验,这凸显了对更高质量的研究的关键需求.
- 未来的研究必须优先考虑强大的PRO评估,以更好地告知ERP的实施和改进.
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