{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1362825896276523904.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1002/bjs.5384"}},{"identifier":{"@type":"URI","@value":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fbjs.5384"}},{"identifier":{"@type":"URI","@value":"http://academic.oup.com/bjs/article-pdf/93/7/800/36685449/bjs5384.pdf"}}],"dc:title":[{"@value":"Systematic review of enhanced recovery programmes in colonic surgery"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title>\n               <jats:sec>\n                  <jats:title>Background</jats:title>\n                  <jats:p>Fast track (FT) programmes optimize perioperative care in an attempt to accelerate recovery, reduce morbidity and shorten hospital stay. The aim of this review was to assess FT programmes for elective segmental colonic resections.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Methods</jats:title>\n                  <jats:p>A systematic review was performed of all randomized controlled trials and controlled clinical trials on FT colonic surgery. The main endpoints were number of applied FT elements, hospital stay, readmission rate, morbidity and mortality. Quality assessment and data extraction were performed independently by three observers.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>Six papers were eligible for analysis (three randomized controlled and three controlled clinical trials), including 512 patients. FT programmes contained a mean of nine (range four to 12) of the 17 FT elements as defined in the literature. Primary hospital stay (weighted mean difference − 1·56 days, 95 per cent confidence interval (c.i.) − 2·61 to − 0·50 days) and morbidity (relative risk 0·54, 95 per cent c.i. 0·42 to 0·69) were significantly lower for FT programmes. Readmission rates were not significantly different (relative risk 1·17, 95 per cent c.i. 0·73 to 1·86). No increase in mortality was found.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions</jats:title>\n                  <jats:p>FT appears to be safe and shortens hospital stay after elective colorectal surgery. However, as the evidence is limited, a multicentre randomized trial seems justified.</jats:p>\n               </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1382825896276523905","@type":"Researcher","foaf:name":[{"@value":"J Wind"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523904","@type":"Researcher","foaf:name":[{"@value":"S W Polle"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523780","@type":"Researcher","foaf:name":[{"@value":"P H P Fung Kon Jin"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523778","@type":"Researcher","foaf:name":[{"@value":"C H C Dejong"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Hospital Maastricht and Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523776","@type":"Researcher","foaf:name":[{"@value":"M F von Meyenfeldt"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Hospital Maastricht and Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht University, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523779","@type":"Researcher","foaf:name":[{"@value":"D T Ubbink"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"},{"@value":"Department of Clinical Epidemiology and Biostatistics, Academic Medical Centre, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523777","@type":"Researcher","foaf:name":[{"@value":"D J Gouma"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825896276523781","@type":"Researcher","foaf:name":[{"@value":"W A Bemelman"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00071323"},{"@type":"EISSN","@value":"13652168"},{"@type":"PISSN","@value":"http://id.crossref.org/issn/00071323"}],"prism:publicationName":[{"@value":"British Journal of Surgery"}],"dc:publisher":[{"@value":"Oxford University Press (OUP)"}],"prism:publicationDate":"2006-06-14","prism:volume":"93","prism:number":"7","prism:startingPage":"800","prism:endingPage":"809"},"reviewed":"false","dc:rights":["https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model"],"url":[{"@id":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fbjs.5384"},{"@id":"http://academic.oup.com/bjs/article-pdf/93/7/800/36685449/bjs5384.pdf"}],"createdAt":"2006-06-14","modifiedAt":"2021-07-09","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1050282813186037888","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Intraoperative oliguria predicts acute kidney injury after major abdominal surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1360848660742782976","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Outcome of early discharge protocol after appendectomy for pediatric acute appendicitis"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679322023808","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"大腸癌前方切除術後の縫合不全に術後早期の水様便が及ぼす影響"},{"@language":"en","@value":"Association between Watery Stools Early After Anterior Resection in Colorectal Cancer Surgery and Anastomotic Leakage"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679830738048","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Evaluation on Safety and Efficacy of an Enhanced Recovery After Surgery (ERAS) Protocol to Colorectal Cancer Patients"},{"@language":"ja","@value":"大腸癌手術症例に対する術後回復強化（Ｅｎｈａｎｃｅｄ　Ｒｅｃｏｖｅｒｙ　Ａｆｔｅｒ　Ｓｕｒｇｅｒｙ：ＥＲＡＳ）プロトコールの安全性と有効性の検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679832254336","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Symptomatic Anastomotic Leakage after Colon Cancer Surgery"},{"@language":"ja","@value":"縫合不全に対する予防と対策　　Ｉ．結腸癌手術における縫合不全の診断と対策"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1002/bjs.5384"},{"@type":"CROSSREF","@value":"10.3862/jcoloproctology.64.214_references_DOI_J4baytm5bME0p4R9T5AD23988S3"},{"@type":"CROSSREF","@value":"10.3862/jcoloproctology.62.807_references_DOI_J4baytm5bME0p4R9T5AD23988S3"},{"@type":"CROSSREF","@value":"10.1111/ped.13290_references_DOI_J4baytm5bME0p4R9T5AD23988S3"},{"@type":"CROSSREF","@value":"10.1093/bja/aex255_references_DOI_J4baytm5bME0p4R9T5AD23988S3"},{"@type":"CROSSREF","@value":"10.4030/jjcs.39.1033_references_DOI_J4baytm5bME0p4R9T5AD23988S3"}]}