Fast-track programmes for hepatopancreatic resections: where do we stand?
(2011) In HPB 13(12). p.833-838- Abstract
- Background: Fast-track (FT) programmes represent a series of multimodal concepts that may reduce surgical stress and speed up convalescence after surgery. The aim of this systematic review was to evaluate FT programmes for patients undergoing hepatopancreatic surgery. Methods: PubMed, Embase and the Cochrane Library databases were searched for studies of FT vs. conventional recovery strategies for liver and pancreatic resections. Results: For liver surgery, three cohort studies were included. Primary hospital stay was significantly reduced after FT care in two of the three studies. There were no significant differences in rates of readmission, morbidity and mortality. For pancreatic surgery, three cohort studies and one case-control study... (More)
- Background: Fast-track (FT) programmes represent a series of multimodal concepts that may reduce surgical stress and speed up convalescence after surgery. The aim of this systematic review was to evaluate FT programmes for patients undergoing hepatopancreatic surgery. Methods: PubMed, Embase and the Cochrane Library databases were searched for studies of FT vs. conventional recovery strategies for liver and pancreatic resections. Results: For liver surgery, three cohort studies were included. Primary hospital stay was significantly reduced after FT care in two of the three studies. There were no significant differences in rates of readmission, morbidity and mortality. For pancreatic surgery, three cohort studies and one case-control study were included. Primary hospital stay was significantly shorter after FT care in three out of the four studies. One study reported a significantly decreased readmission rate (7% vs. 25%; P= 0.027), and another study showed lower morbidity (47.2% vs. 58.7%; P < 0.01) in favour of the FT group. There was no difference in mortality between the FT and control groups. Conclusions: FT rehabilitation for liver and pancreatic surgical patients is feasible. Future investigation should focus on optimizing individual elements of the FT programme within the context of liver and pancreatic surgery. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2220773
- author
- Spelt, Lidewij LU ; Ansari, Daniel LU ; Sturesson, Christian LU ; Tingstedt, Bobby LU and Andersson, Roland LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- HPB
- volume
- 13
- issue
- 12
- pages
- 833 - 838
- publisher
- Elsevier
- external identifiers
-
- wos:000297051400002
- pmid:22081917
- scopus:81255171431
- ISSN
- 1477-2574
- DOI
- 10.1111/j.1477-2574.2011.00391.x
- language
- English
- LU publication?
- yes
- id
- 0e3fe0ea-0a18-4cc5-806b-d99e3161f352 (old id 2220773)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22081917?dopt=Abstract
- date added to LUP
- 2016-04-04 08:41:27
- date last changed
- 2022-04-08 00:23:10
@article{0e3fe0ea-0a18-4cc5-806b-d99e3161f352, abstract = {{Background: Fast-track (FT) programmes represent a series of multimodal concepts that may reduce surgical stress and speed up convalescence after surgery. The aim of this systematic review was to evaluate FT programmes for patients undergoing hepatopancreatic surgery. Methods: PubMed, Embase and the Cochrane Library databases were searched for studies of FT vs. conventional recovery strategies for liver and pancreatic resections. Results: For liver surgery, three cohort studies were included. Primary hospital stay was significantly reduced after FT care in two of the three studies. There were no significant differences in rates of readmission, morbidity and mortality. For pancreatic surgery, three cohort studies and one case-control study were included. Primary hospital stay was significantly shorter after FT care in three out of the four studies. One study reported a significantly decreased readmission rate (7% vs. 25%; P= 0.027), and another study showed lower morbidity (47.2% vs. 58.7%; P < 0.01) in favour of the FT group. There was no difference in mortality between the FT and control groups. Conclusions: FT rehabilitation for liver and pancreatic surgical patients is feasible. Future investigation should focus on optimizing individual elements of the FT programme within the context of liver and pancreatic surgery.}}, author = {{Spelt, Lidewij and Ansari, Daniel and Sturesson, Christian and Tingstedt, Bobby and Andersson, Roland}}, issn = {{1477-2574}}, language = {{eng}}, number = {{12}}, pages = {{833--838}}, publisher = {{Elsevier}}, series = {{HPB}}, title = {{Fast-track programmes for hepatopancreatic resections: where do we stand?}}, url = {{http://dx.doi.org/10.1111/j.1477-2574.2011.00391.x}}, doi = {{10.1111/j.1477-2574.2011.00391.x}}, volume = {{13}}, year = {{2011}}, }