A systematic review of patient reported outcomes and patient experience
in enhanced recovery after orthopaedic surgery |
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Authors: | EL Jones TW Wainwright JD Foster JRA Smith RG Middleton NK Francis |
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Institution: | 1.Yeovil District Hospital NHS Foundation Trust, UK;2.Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, UK;3.North Bristol NHS Trust, UK |
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Abstract: | IntroductionOrthopaedic enhanced recovery after surgery (ERAS) providers are encouraged to
estimate the actual benefit of ERAS according to the patient’s opinion by
using patient generated data alongside traditional measures such as length of
stay. The aim of this paper was to systemically review the literature on the use
of patient generated information in orthopaedic ERAS across the whole
perioperative pathway.MethodsPublications were identified using Embase™,
MEDLINE®, AMED, CINAHL® (Cumulative Index
to Nursing and Allied Health Literature), the Cochrane Library and the British
Nursing Index. Search terms related to experiences, acceptance, satisfaction or
perception of ERAS and quality of life (QoL).FindingsOf the 596 abstracts found, 8 papers were identified that met the inclusion
criteria. A total of 2,208 patients undergoing elective hip and knee arthroplasty
were included. Patient satisfaction was reported in 6 papers. Scores were high in
all patients and not adversely affected by length of stay. QoL was reported in 2
papers and showed that QoL scores continued to increase up to 12 months following
ERAS. Qualitative methods were used in one study, which highlighted problems with
support following discharge. There is a paucity of data reporting on patient
experience in orthopaedic ERAS. However, ERAS does not compromise patient
satisfaction or QoL after elective hip or knee surgery. The measurement of patient
experience should be standardised with further research. |
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Keywords: | Enhanced recovery after surgery Fast track Patient experience Orthopaedic |
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