加强胸外科术后加速康复研究：未来的方法和基于人群的途径
Enhancing the study of enhanced recovery after thoracic surgery: methodology and population-based approaches for the future.
作者信息
Van Haren Robert M, Atay Scott M
机构信息
Division of Thoracic Surgery, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
出版信息
J Thorac Dis. 2019 Mar;11(Suppl 4):S612-S618. doi: 10.21037/jtd.2019.01.81.
Abstract
Achieving optimal outcomes following thoracic surgery requires a complex multidisciplinary effort spanning the entire peri-operative period. Enhanced recovery after surgery (ERAS) protocols aim to codify essential elements in care across all perioperative settings. As thoracic surgeons have begun to embrace ERAS, identification of optimal protocol elements and novel study endpoints is necessary. In this review we will briefly review the current available evidence for ERAS in thoracic surgery, while focusing on study methods and design. We will discuss methodology for future studies and how a population-based approach can improve the current level of evidence supporting broad implementation of ERAS to thoracic surgery.
摘要
胸外科手术后要实现最佳治疗效果，需要在整个围手术期进行复杂的多学科协作。术后加速康复（ERAS）方案旨在将所有围手术期护理的基本要素进行规范。随着胸外科医生开始采用ERAS，确定最佳方案要素和新的研究终点很有必要。在本综述中，我们将简要回顾目前胸外科ERAS的现有证据，同时重点关注研究方法和设计。我们将讨论未来研究的方法，以及基于人群的方法如何提高目前支持ERAS在胸外科广泛应用的证据水平。
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