Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2024; 16(7): 2119-2126
Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.2119
Effect of rapid rehabilitation nursing on improving clinical outcomes in postoperative patients with colorectal cancer
Jing-Yan Song, Jing Cao, Jian Mao, Jiang-Lian Wang
Jing-Yan Song, Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Jing Cao, Department of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Jian Mao, Information Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Jiang-Lian Wang, Department of Oncology, Yunyang County People's Hospital, Chongqing 400016, China
Author contributions: Song JY, Cao J, Mao J, Wang JL designed the research; Cao J, Mao J performed the research; Wang JL contributed new reagents/analytic tools; Cao J, Mao J, Wang JL analyzed data; Song JY wrote the paper.
Institutional review board statement: The study was reviewed and approved by The First Affiliated Hospital of Chongqing Medical University.
Informed consent statement: All study participants or their legal guardian provided informed written consent regarding personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at songjy888@126.com. Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Yan Song, BM BCh, Chief Nurse, Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. songjy888@126.com
Received: March 25, 2024
Revised: May 7, 2024
Accepted: June 6, 2024
Published online: July 27, 2024
Processing time: 118 Days and 23.1 Hours
Abstract
BACKGROUND

Surgical resection is the cornerstone treatment for colorectal cancer. Rapid rehabilitation care predicated on evidence-based medical theory aims to improve postoperative nursing care, subsequently reducing the physical and mental traumatic stress response and helping patients who undergo surgery recover rapidly.

AIM

To assess the effect of rapid rehabilitation care on clinical outcomes, including overall postoperative complications, anastomotic leaks, wound infections, and intestinal obstruction in patients with colorectal cancer.

METHODS

We searched the PubMed, Web of Science, Embase, Elsevier Science Direct, and Springer Link databases from January 1, 2010, to January 1, 2024, to screen eligible studies on rapid rehabilitation care among patients who underwent colorectal cancer surgery. Patients were screened based on the inclusion and exclusion criteria. RevMan 5.4 software was used for statistical analysis of the data.

RESULTS

Twelve studies were enrolled, which included 2420 patients. The results showed that rapid rehabilitation care decreased the incidence of overall postoperative complications (OR: 0.44, 95%CI: 0.26–0.74, P = 0.002), anastomotic leaks (OR: 0.68, 95%CI: 0.41–1.12, P = 0.13), wound infections (OR: 0.45, 95%CI: 0.29–0.72, P = 0.0007), and intestinal obstruction (OR: 0.54, 95%CI: 0.34–0.86, P = 0.01) compared to conventional care. Further trials and studies are needed to confirm these results.

CONCLUSION

Rapid rehabilitation care decreased the occurrence of postoperative complications, anastomotic leaks, wound infections, and intestinal obstruction compared to conventional care in patients who underwent colorectal surgery. Therefore, promoting the application of rapid rehabilitation care in clinical practice cannot be overemphasized.

Keywords: Rapid rehabilitation care; Anastomotic leak; Wound infection; Intestinal obstruction; Colorectal cancer

Core Tip: Rapid rehabilitation care has been applied to optimize postoperative management. This retrospective study focused on the effect of rapid rehabilitation care on clinical outcomes following colorectal cancer surgery. Twelve studies, including 2420 patients undergoing colorectal cancer surgery, were assessed in this study. The findings indicated that rapid rehabilitation care significantly decreased the occurrence of overall postoperative complications, anastomotic leaks, wound infections, and intestinal obstruction compared with conventional care in patients who underwent colorectal cancer surgery.