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.	江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义. 中国实用外科杂志, 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.	黎介寿. 对 Fast-track Surgery (快通道外科)内涵的认识. 中华医学杂志, 2007, 87(8): 515-517.
9.	程黎阳. 快速康复外科的现状分析与前景展望. 实用医学杂志, 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.	中华医学会外科学分会外科手术学学组, 中国医疗保健国际交流促进会加速康复外科学分会肝脏外科学组. 肝切除术后加速康复中国专家共识 (2017 版). 临床肝胆病杂志, 2017, 33(10): 1876-1882.
15.	中国研究型医院学会肝胆胰外科专业委员会. 肝胆胰外科术后加速康复专家共识(2015 版). 消化肿瘤杂志(电子版), 2016, 8(4): 220-225.
16.	中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015 版). 中国实用外科杂志, 2015, 35(8): 841-843.
17.	孙天胜, 沈建雄, 刘忠军, 等. 中国脊柱手术加速康复——围术期管理策略专家共识. 中华骨与关节外科杂志, 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.	黎介寿, 江志伟. 加速康复外科的临床意义不仅仅是缩短住院日. 中华消化外科杂志, 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, 汪晓东, 陈增蓉, 等. 快速流程下大肠癌术后近期生存质量的前瞻性研究. 四川大学学报(医学版), 2010, 41(3): 509-512.
28.	冯金华, 李立, 汪晓东, 等. 加速康复外科对结直肠癌患者术后炎性反应及细胞免疫功能影响的随机对照研究. 四川大学学报(医学版), 2016, 47(1): 131-134.
29.	车国卫, 刘伦旭, 周清华. 加速康复外科从理论到实践——我们还需要做什么?. 中国肺癌杂志, 2017, 20(4): 219-225.
30.	张真榕, 李伟峰, 刘德若. 加速康复外科措施完成率对高龄肺部手术患者临床结局的影响. 中华胸部外科电子杂志, 2017, 4(3): 149-153.
31.	Pędziwiatr 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.	车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 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.	李岩. 美国医疗质量管理之父多那比第安(Avedis Donabedian). 中国医院, 2003, 7(5): 26.
44.	苏鸿启. 医院管理的综合评价问题. 中国医院管理, 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. 江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义. 中国实用外科杂志, 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. 黎介寿. 对 Fast-track Surgery (快通道外科)内涵的认识. 中华医学杂志, 2007, 87(8): 515-517.
9. 程黎阳. 快速康复外科的现状分析与前景展望. 实用医学杂志, 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. 中华医学会外科学分会外科手术学学组, 中国医疗保健国际交流促进会加速康复外科学分会肝脏外科学组. 肝切除术后加速康复中国专家共识 (2017 版). 临床肝胆病杂志, 2017, 33(10): 1876-1882.
15. 中国研究型医院学会肝胆胰外科专业委员会. 肝胆胰外科术后加速康复专家共识(2015 版). 消化肿瘤杂志(电子版), 2016, 8(4): 220-225.
16. 中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015 版). 中国实用外科杂志, 2015, 35(8): 841-843.
17. 孙天胜, 沈建雄, 刘忠军, 等. 中国脊柱手术加速康复——围术期管理策略专家共识. 中华骨与关节外科杂志, 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. 黎介寿, 江志伟. 加速康复外科的临床意义不仅仅是缩短住院日. 中华消化外科杂志, 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, 汪晓东, 陈增蓉, 等. 快速流程下大肠癌术后近期生存质量的前瞻性研究. 四川大学学报(医学版), 2010, 41(3): 509-512.
28. 冯金华, 李立, 汪晓东, 等. 加速康复外科对结直肠癌患者术后炎性反应及细胞免疫功能影响的随机对照研究. 四川大学学报(医学版), 2016, 47(1): 131-134.
29. 车国卫, 刘伦旭, 周清华. 加速康复外科从理论到实践——我们还需要做什么?. 中国肺癌杂志, 2017, 20(4): 219-225.
30. 张真榕, 李伟峰, 刘德若. 加速康复外科措施完成率对高龄肺部手术患者临床结局的影响. 中华胸部外科电子杂志, 2017, 4(3): 149-153.
31. Pędziwiatr 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. 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 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. 李岩. 美国医疗质量管理之父多那比第安(Avedis Donabedian). 中国医院, 2003, 7(5): 26.
44. 苏鸿启. 医院管理的综合评价问题. 中国医院管理, 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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