Manso Maria, Schmelz Jacob, Aloia Thomas
Department of Anesthesia, Hospital Beatriz Ângelo-Luz Saúde, Lisbon, Portugal.
Department of Surgical Oncology, MD Anderson Cancer Center, Houston, Texas.
J Surg Oncol. 2017 Oct;116(5):570-577. doi: 10.1002/jso.24791. Epub 2017 Sep 5.
Enhanced recovery programs emphasize implementation of perioperative measures to reduce stress and restore baseline function. Complications and length of stay are greatly improved as a result, but the field is moving toward more patient centric and longer term outcomes that better reflect functional recovery. Programs demonstrating value in these domains will undoubtedly see corollary gains in traditional metrics. Thus, greater focus on patient well-being and treatment success is key to successful implementation of enhanced recovery.
强化康复计划强调实施围手术期措施以减轻应激并恢复基线功能。结果,并发症和住院时间得到了极大改善,但该领域正在朝着更以患者为中心且能更好反映功能恢复的长期结果发展。在这些领域显示出价值的计划无疑将在传统指标上获得相应收益。因此,更关注患者福祉和治疗成功是强化康复成功实施的关键。