Seyfried S.a· Herrle F.a· Téoule P.a· Betzler A.a· Reissfelder C.a,b

Author affiliations

aDepartment of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
bDKFZ-Hector Cancer Institute, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany

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Article / Publication Details

First-Page Preview

Received: April 23, 2022
Accepted: August 05, 2022
Published online: October 13, 2022

Number of Print Pages: 6
Number of Figures: 2
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: https://www.karger.com/VIS

Abstract

Background: Enhanced recovery after surgery (ERAS®) is increasingly finding its way into clinical practice. ERAS® protocols have not been universally adopted, and they have often been criticized for being difficult to implement. So, the question for more tailor-made approaches arises. Methods: We conducted a literature search on March 16, 2022, using the following search string, which was modified to fit the input of each of the queried databases: (“ERAS®” or “enhanced recovery after surgery” or “fast recovery” or “fast track”) and (“tailored” or “individual”). Results: Despite the massive increase in general hits on the subject, stratification according to phenotypic characteristics such as age or a classification according to disease patterns in the sense of specific guidelines is still fundamentally apparent. Evidence suggests that generic protocols can be followed by almost all patients. Prehabilitation, in particular, can be used as an adaptive tool. Conclusion: ERAS® works only in the totality of its tools and can be followed by almost all patients. Prehabilitation is more adaptive and can also increase adherence to ERAS® protocols. A tailored program outside of disease-specific pathways does not seem to be useful.

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References Wilmore DouglasW, Kehlet Henrik. Management of patients in fast track surgery. BMJ. 2001;322:473–476. Ljungqvist O, Thanh NX, Nelson G. ERAS: value based surgery. J Surg Oncol. 2017 [cited 2022 Apr 3];116(5):608–12. Ahmed J, Khan S, Lim M, Chandrasekaran TV, Macfie J. Enhanced recovery after surgery protocols: compliance and variations in practice during routine colorectal surgery. Color Dis. 2012;14(9):1045–51. Bagnall NM, Malietzis G, Kennedy RH, Athanasiou T, Faiz O, Darzi A. A systematic review of enhanced recovery care after colorectal surgery in elderly patients. Color Dis. 2014;16(12):947–56. Lyon A, Payne CJ, MacKay GJ. Enhanced recovery programme in colorectal surgery: does one size fit all? World J Gastroenterol. 2012;18(40):5661–3. Ljungqvist O, De Boer HD, Balfour A, Fawcett WJ, Lobo DN, Nelson G, et al. Opportunities and challenges for the next phase of enhanced recovery after surgery: a review. JAMA Surg. 2021;156(8):775–84. Ripollés-Melchor J, Ramírez-Rodríguez JM, Casans-Francés R, Aldecoa C, Abad-Motos A, Logroño-Egea M, et al. Association between use of enhanced recovery after surgery protocol and postoperative complications in colorectal surgery: the postoperative outcomes within enhanced recovery after surgery protocol (POWER) study. JAMA Surg. 2019 [cited 2022 Apr 3];154:725–36. Wijk L, Udumyan R, Pache B, Altman AD, Williams LL, Elias KM, et al. International validation of enhanced recovery after surgery society guidelines on enhanced recovery for gynecologic surgery. Am J Obstet Gynecol. 2019 [cited 2022 Apr 3];221:237.e1–11. Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011 [cited 2022 Apr 3];146:571–7. Novak M, Blough J, Falola R, Czerwinski W. Enhanced recovery after surgery: standardized postoperative instructions in hand surgery. Hand. 2022:15589447211065075. Epub ahead of print. Lyu HG, Saadat LV, Bertagnolli MM, Wang J, Baldini EH, Stopfkuchen-Evans M, et al. Enhanced recovery after surgery pathway in patients with soft tissue sarcoma. Br J Surg. 2020 [cited 2022 Mar 16];107:1667–72. Lu Q, Lu JW, Wu Z, Liu XM, Li JH, Dong J, et al. Perioperative outcome of elderly versus younger patients undergoing major hepatic or pancreatic surgery. Clin Interv Aging. 2018 [cited 2022 Mar 17];13:133–41. Sukharamwala P, Thoens J, Szuchmacher M, Smith J, DeVito P. Advanced age is a risk factor for post-operative complications and mortality after a pancreaticoduodenectomy: a meta-analysis and systematic review. HPB. 2012;14(10):649–57. Kim SY, Weinberg L, Christophi C, Nikfarjam M. The outcomes of pancreaticoduodenectomy in patients aged 80 or older: a systematic review and meta-analysis. HPB. 2017;19:475–82. Chan DKH, Ang JJ, Tan JKH, Chia DKA. Age is an independent risk factor for increased morbidity in elective colorectal cancer surgery despite an ERAS protocol. Langenbecks Arch Surg. 2020;405:673–89. Bongers BC, Dejong CHC, den Dulk M. Enhanced recovery after surgery programmes in older patients undergoing hepatopancreatobiliary surgery: what benefits might prehabilitation have? Eur J Surg Oncol. 2021;47(3 Pt A):551–9. Wang Q, Suo J, Jiang J, Wang C, Zhao YQ, Cao X. Effectiveness of fast-track rehabilitation vs conventional care in laparoscopic colorectal resection for elderly patients: a randomized trial. Colorectal Dis. 2012 [cited 2022 Mar 17];14:1009–13. Pawa N, Cathcart PL, Arulampalam THA, Tutton MG, Motson RW. Enhanced recovery program following colorectal resection in the elderly patient. World J Surg. 2012;36(2):415–23. Tejedor P, Pastor C, Gonzalez-Ayora S, Ortega-Lopez M, Guadalajara H, Garcia-Olmo D. Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care. Int J Colorectal Dis. 2018;33:1251–8. Forsmo HM, Erichsen C, Rasdal A, Körner H, Pfeffer F. Enhanced recovery after colorectal surgery (ERAS) in elderly patients is feasible and achieves similar results as in younger patients. Gerontol Geriatr Med. 2017 [cited 2022 Mar 17];3:2333721417706299. Compagna R, Aprea G, De Rosa D, Gentile M, Cestaro G, Vigliotti G, et al. Fast track for elderly patients: is it feasible for colorectal surgery? Int J Surg. 2014;12:S20–2. Scharfenberg M, Raue W, Junghans T, Schwenk W. ‟Fast-track” rehabilitation after colonic surgery in elderly patients: is it feasible? Int J Colorectal Dis. 2007;22(12):1469–74. Verheijen PM, Vd Ven AWH, Davids PHP, Wall BJM, Pronk A. Feasibility of enhanced recovery programme in various patient groups. Int J Colorectal Dis. 2012;27:507–11. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery a review. JAMA Surg. 2017;152(3):292–8. Gillis C, Fenton TR, Gramlich L, Sajobi TT, Culos-Reed SN, Bousquet-Dion G, et al. Older frail prehabilitated patients who cannot attain a 400 m 6-min walking distance before colorectal surgery suffer more postoperative complications. Eur J Surg Oncol. 2021;47(4):874–81. Hu WH, Cajas-Monson LC, Eisenstein S, Parry L, Cosman B, Ramamoorthy S. Preoperative malnutrition assessments as predictors of postoperative mortality and morbidity in colorectal cancer: an analysis of ACS-NSQIP. Nutr J. 2015;14:91. Gillis C, Ljungqvist O, Carli F. Prehabilitation, enhanced recovery after surgery, or both? A narrative review. Br J Anaesth. 2022;128:434–48. Carli F, Charlebois P, Stein B, Feldman L, Zavorsky G, Kim DJ, et al. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010;97(8):1187–97. Gillis C, Buhler K, Bresee L, Carli F, Gramlich L, Culos-Reed N, et al. Effects of nutritional prehabilitation, with and without exercise, on outcomes of patients who undergo colorectal surgery: a systematic review and meta-analysis. Gastroenterology. 2018;155:391–410.e4. Heger P, Probst P, Wiskemann J, Steindorf K, Diener MK, Mihaljevic AL. A systematic review and meta-analysis of physical exercise prehabilitation in major abdominal surgery (PROSPERO 2017 CRD42017080366). J Gastrointest Surg. 2019 [cited 2022 Mar 18];24:1375–85. Barberan-Garcia A, Ubré M, Roca J, Lacy AM, Burgos F, Risco R, et al. Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery: a randomized blinded controlled trial. Ann Surg. 2018;267:50–6. Barberan-Garcia A, Cano I, Bongers BC, Seyfried S, Ganslandt T, Herrle F, et al. Digital support to multimodal community-based prehabilitation: looking for optimization of health value generation. Front Oncol. 2021 [cited 2022 Jan 10];11:662013. Berkel AEM, Bongers BC, Kotte H, Weltevreden P, De Jongh FHC, Eijsvogel MMM, et al. Effects of community-based exercise prehabilitation for patients scheduled for colorectal surgery with high risk for postoperative complications: results of a randomized clinical trial. Ann Surg. 2022 [cited 2022 Mar 18];275:E299–306. Molenaar CJ, van Rooijen SJ, Fokkenrood HJ, Roumen RM, Janssen L, Slooter GD. Prehabilitation versus no prehabilitation to improve functional capacity, reduce postoperative complications and improve quality of life in colorectal cancer surgery. Cochrane Database Syst Rev. 2022;5(5):CD013259. Rose G. Strategy of prevention: lessons from cardiovascular disease. Br Med J. 1981;282(6279):1847–51. Onerup A, Angenete E, Bock D, Börjesson M, Fagevik Olsén M, Grybäck Gillheimer E, et al. The effect of pre- and post-operative physical activity on recovery after colorectal cancer surgery (PHYSSURG-C): study protocol for a randomised controlled trial. Trials. 2017 [cited 2019 Sep 22];18:212. Carli F, Awasthi R, Gillis C, Baldini G, Bessissow A, Liberman AS, et al. Integrating prehabilitation in the preoperative clinic: a paradigm shift in perioperative care. Anesth Analg. 2021;132(5):1494–500. Article / Publication Details

First-Page Preview

Received: April 23, 2022
Accepted: August 05, 2022
Published online: October 13, 2022

Number of Print Pages: 6
Number of Figures: 2
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: https://www.karger.com/VIS

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