医学
关节置换术
关节置换术
循证医学
围手术期
循证实践
系统回顾
关节置换术
临床实习
外科
梅德林
重症监护医学
物理疗法
替代医学
病理
政治学
法学
作者
Changjun Chen,Xin Zhao,Yue Luo,Liyile Chen,Pengde Kang
摘要
Recent guidelines have produced a consensus statement for perioperative care in hip and knee replacement. However, there is still a need for reanalysis of the evidence and recommendations. Therefore, we retrieved and reanalyzed the evidence of each recommended components of enhanced recovery after surgery (ERAS) based on the guidelines of total joint arthroplasty. For each one, we included for the highest levels of evidence and those systematic reviews and meta-analyses were preferred. The full texts were analyzed and the evidence of all components were summarized. We found that most of the recommended components of ERAS are supported by evidence, however, the implementation details of each recommended components need to be further optimized. Therefore, implementation of a full ERAS program may maximize the benefits of our clinical practice but this combined effect still needs to be further determined.
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