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Publications (10 of 237) Show all publications
McQueen, K., Oodit, R., Derbew, M., Banguti, P. & Ljungqvist, O. (2018). Authors' Reply: Enhanced Recovery After Surgery for Low and Middle-Income Countries [Letter to the editor]. World Journal of Surgery
Open this publication in new window or tab >>Authors' Reply: Enhanced Recovery After Surgery for Low and Middle-Income Countries
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2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323Article in journal, Letter (Refereed) Epub ahead of print
Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:oru:diva-67024 (URN)10.1007/s00268-018-4652-4 (DOI)29717348 (PubMedID)
Available from: 2018-05-18 Created: 2018-05-18 Last updated: 2018-05-18Bibliographically approved
Oodit, R. L., Ljungqvist, O. & Moodley, J. (2018). Can an Enhanced Recovery After Surgery (ERAS) programme improve colorectal cancer outcomes in South Africa?. South African Journal of Wurgery, 56(1), 8-11
Open this publication in new window or tab >>Can an Enhanced Recovery After Surgery (ERAS) programme improve colorectal cancer outcomes in South Africa?
2018 (English)In: South African Journal of Wurgery, ISSN 0038-2361, E-ISSN 2078-5151, Vol. 56, no 1, p. 8-11Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
South African Medical Association, 2018
National Category
Surgery
Identifiers
urn:nbn:se:oru:diva-68339 (URN)10.17159/2078-5151/2018/v56n1a2320 (DOI)000439026800002 ()29638086 (PubMedID)2-s2.0-85045381998 (Scopus ID)
Available from: 2018-08-02 Created: 2018-08-02 Last updated: 2018-09-14Bibliographically approved
Francis, N. K., Walker, T., Carter, F., Hübner, M., Balfour, A., Jakobsen, D. H., . . . Ljungqvist, O. (2018). Consensus on Training and Implementation of Enhanced Recovery After Surgery: A Delphi Study. World Journal of Surgery, 42(7), 1919-1928
Open this publication in new window or tab >>Consensus on Training and Implementation of Enhanced Recovery After Surgery: A Delphi Study
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2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 42, no 7, p. 1919-1928Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Enhanced Recovery After Surgery (ERAS) is widely accepted in current surgical practice due to its positive impact on patient outcomes. The successful implementation of ERAS is challenging and compliance with protocols varies widely. Continual staff education is essential for successful ERAS programmes. Teaching modalities exist, but there remains no agreement regarding the optimal training curriculum or how its effectiveness is assessed. We aimed to draw consensus from an expert panel regarding the successful training and implementation of ERAS.

METHODS: A modified Delphi technique was used; three rounds of questionnaires were sent to 58 selected international experts from 11 countries across multiple ERAS specialities and multidisciplinary teams (MDT) between January 2016 and February 2017. We interrogated opinion regarding four topics: (1) the components of a training curriculum and the structure of training courses; (2) the optimal framework for successful implementation and audit of ERAS including a guide for data collection; (3) a framework to assess the effectiveness of training; (4) criteria to define ERAS training centres of excellence.

RESULTS: An ERAS training course must cover the evidence-based principles of ERAS with team-oriented training. Successful implementation requires strong leadership, an ERAS facilitator and an effective MDT. Effectiveness of training can be measured by improved compliance. A training centre of excellence should show a willingness to teach and demonstrable team working.

CONCLUSIONS: We propose an international expert consensus providing an ERAS training curriculum, a framework for successful implementation, methods for assessing effectiveness of training and a definition of ERAS training centres of excellence.

Place, publisher, year, edition, pages
Springer, 2018
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Surgery
Identifiers
urn:nbn:se:oru:diva-64040 (URN)10.1007/s00268-017-4436-2 (DOI)000434470100002 ()29302724 (PubMedID)2-s2.0-85040090064 (Scopus ID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2018-09-12Bibliographically approved
Blixt, C., Ahlstedt, C., Ljungqvist, O., Isaksson, B., Kalman, S. & Rooyackers, O. (2018). Corrigendum to ‘The effect of perioperative glucose control on postoperative insulin resistance’ [Clin Nutr 31 (5) (2012) 676–681]. Clinical Nutrition, 37(3), 1091-1091
Open this publication in new window or tab >>Corrigendum to ‘The effect of perioperative glucose control on postoperative insulin resistance’ [Clin Nutr 31 (5) (2012) 676–681]
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2018 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 37, no 3, p. 1091-1091Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:oru:diva-67204 (URN)10.1016/j.clnu.2018.03.007 (DOI)000432879800054 ()29599083 (PubMedID)2-s2.0-85044278044 (Scopus ID)
Available from: 2018-06-11 Created: 2018-06-11 Last updated: 2018-08-30Bibliographically approved
McQueen, K., Oodit, R., Derbew, M., Banguti, P. & Ljungqvist, O. (2018). Enhanced Recovery After Surgery for Low- and Middle-Income Countries. World Journal of Surgery, 42(4), 950-952
Open this publication in new window or tab >>Enhanced Recovery After Surgery for Low- and Middle-Income Countries
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2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 42, no 4, p. 950-952Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2018
National Category
Surgery
Identifiers
urn:nbn:se:oru:diva-64847 (URN)10.1007/s00268-018-4481-5 (DOI)000427050900006 ()29383424 (PubMedID)2-s2.0-85041176141 (Scopus ID)
Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2018-04-03Bibliographically approved
Ljungqvist, O. & Hubner, M. (2018). Enhanced recovery after surgery-ERAS-principles, practice and feasibility in the elderly. Aging Clinical and Experimental Research, 30(3), 249-252
Open this publication in new window or tab >>Enhanced recovery after surgery-ERAS-principles, practice and feasibility in the elderly
2018 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 30, no 3, p. 249-252Article, review/survey (Refereed) Published
Abstract [en]

This is a short overview of the principles of a novel development in surgery called enhanced recovery after surgery (ERAS) programs. This is an evidence-based approach to perioperative care that has shown to reduce complications and recovery time by 30-50%. The main mechanism is reduction of the stress reactions to the operation. These principles have been shown to be particularly well suited for the compromised patient and hence very good for the elderly people who often have co-morbidities and run a higher risk of complications.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Surgery; Stress; Recovery; Elderly
National Category
Geriatrics
Identifiers
urn:nbn:se:oru:diva-65196 (URN)10.1007/s40520-018-0905-1 (DOI)000427751600006 ()29453605 (PubMedID)
Note

Funding Agency:

Nyckelfonden, Örebro, Sweden

Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-08-20Bibliographically approved
Frauche, P., Hübner, M. & Ljungqvist, O. (2018). Fast-track and ERAS programs i Geriatric Surgery (1ed.). In: G. Bettelli (Ed.), Perioperative Care of the Elderly: Clinical and Organizational Aspects (pp. 226-232). Cambridge, United Kingdom: Cambridge University Press
Open this publication in new window or tab >>Fast-track and ERAS programs i Geriatric Surgery
2018 (English)In: Perioperative Care of the Elderly: Clinical and Organizational Aspects / [ed] G. Bettelli, Cambridge, United Kingdom: Cambridge University Press, 2018, 1, p. 226-232Chapter in book (Refereed)
Place, publisher, year, edition, pages
Cambridge, United Kingdom: Cambridge University Press, 2018 Edition: 1
National Category
Medical and Health Sciences Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:oru:diva-64365 (URN)978-1-107-13934-3 (ISBN)
Available from: 2018-01-17 Created: 2018-01-17 Last updated: 2018-02-21Bibliographically approved
Wijk, L., Nilsson, K. & Ljungqvist, O. (2018). Metabolic and inflammatory responses and subsequent recovery in robotic versus abdominal hysterectomy: A randomised controlled study. Clinical Nutrition, 37(1), 99-106
Open this publication in new window or tab >>Metabolic and inflammatory responses and subsequent recovery in robotic versus abdominal hysterectomy: A randomised controlled study
2018 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 37, no 1, p. 99-106Article in journal (Refereed) Published
Abstract [en]

BACKGROUND & AIMS: Surgery causes inflammatory and metabolic responses in the body. The aim of the study was to investigate whether robotic-assisted total laparoscopic hysterectomy induces less insulin resistance than abdominal hysterectomy, and to compare inflammatory response and clinical recovery between the two techniques.

METHODS: A randomised controlled study at the Department of Obstetrics and Gynaecology, Örebro University Hospital, Sweden. Twenty women scheduled for a planned total hysterectomy with or without salpingo-oophorectomy between October 2014 and May 2015, were randomly allocated to robotic-assisted total laparoscopic hysterectomy or abdominal hysterectomy. Insulin resistance after surgery was measured by the hyperinsulinemic normoglycaemic clamp method, inflammatory response measured in blood samples, and clinical recovery outcomes registered.

RESULTS: There were no differences in development of insulin resistance between the robotic group and the abdominal group (mean ± SD: 39% ± 22 vs. 40% ± 19; p = 0.948). The robotic group had a significantly shorter hospital stay (median 1 vs. 2 days; p = 0.005). Inflammatory reaction differed; in comparison to the robotic group, the abdominal group showed significantly higher increases in serum interleukin 6 levels, white blood cell count and cortisol from preoperative values to postoperative peak values.

CONCLUSIONS: Robotic laparoscopic surgery reduced inflammatory responses and recovery time, but these changes were not accompanied by decreased insulin resistance.

CLINICAL TRIAL REGISTRATION: www.ClinicalTrials.gov Identifier no NCT02291406.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Robotic-assisted hysterectomy; Insulin resistance; Hysterectomy; Inflammatory response
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-58062 (URN)10.1016/j.clnu.2016.12.015 (DOI)000425564200010 ()28043722 (PubMedID)
Note

Funding Agencies:

Research Committee of Örebro County Council

Nyckelfonden

Stiftelsen Gynekologisk Onkologi

Lisa och Göran Grönbergs Stiftelse

Available from: 2017-06-16 Created: 2017-06-16 Last updated: 2018-08-16Bibliographically approved
Elias, K. M., Stone, A. B., McGinigle, K., Tankou, J. I., Scott, M. J., Fawcett, W. J., . . . Eras, S. (2018). The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS® and ERAS® USA Societies. World Journal of Surgery
Open this publication in new window or tab >>The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS® and ERAS® USA Societies
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2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Enhanced recovery after surgery (ERAS) programs are multimodal care pathways designed to minimize the physiological and psychological impact of surgery for patients. Increased compliance with ERAS guidelines is associated with improved patient outcomes across surgical types. As ERAS programs have proliferated, an unintentional effect has been significant variation in how ERAS-related studies are reported in the literature.

METHODS: Society launched an effort to create an instrument to assist authors in manuscript preparation. Criteria to include were selected by a combination of literature review and expert opinion. The final checklist was refined by group consensus.

RESULTS: The Societies present the Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist. The tool contains 20 items including best practices for reporting clinical pathways, compliance auditing, and formatting guidelines.

CONCLUSIONS: The RECOvER Checklist is intended to provide a standardized framework for the reporting of ERAS-related studies. The checklist can also assist reviewers in evaluating the quality of ERAS-related manuscripts. Authors are encouraged to include the RECOvER Checklist when submitting ERAS-related studies to peer-reviewed journals.

Place, publisher, year, edition, pages
Springer, 2018
National Category
Surgery Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-68520 (URN)10.1007/s00268-018-4753-0 (DOI)30116862 (PubMedID)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-09-04Bibliographically approved
Sosa, J. A. & Ljungqvist, O. (2018). World Journal of Surgery Becomes the Official Publication of the ERAS Society. World Journal of Surgery, 42(9), 2689-2690
Open this publication in new window or tab >>World Journal of Surgery Becomes the Official Publication of the ERAS Society
2018 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 42, no 9, p. 2689-2690Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2018
National Category
Surgery
Identifiers
urn:nbn:se:oru:diva-68374 (URN)10.1007/s00268-018-4724-5 (DOI)000441231600001 ()29959489 (PubMedID)2-s2.0-85049149981 (Scopus ID)
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2018-08-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2636-4745

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