Background: Enhanced recovery after surgery (ERAS®) is increasingly finding its way into clinical practice. ERAS® protocols have not been universally adopted, and they have often been criticized for being difficult to implement. So, the question for more tailor-made approaches arises. Methods: We conducted a literature search on March 16, 2022, using the following search string, which was modified to fit the input of each of the queried databases: (“ERAS®” or “enhanced recovery after surgery” or “fast recovery” or “fast track”) and (“tailored” or “individual”). Results: Despite the massive increase in general hits on the subject, stratification according to phenotypic characteristics such as age or a classification according to disease patterns in the sense of specific guidelines is still fundamentally apparent. Evidence suggests that generic protocols can be followed by almost all patients. Prehabilitation, in particular, can be used as an adaptive tool. Conclusion: ERAS® works only in the totality of its tools and can be followed by almost all patients. Prehabilitation is more adaptive and can also increase adherence to ERAS® protocols. A tailored program outside of disease-specific pathways does not seem to be useful.
Visc Med

中文翻译：

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为患者量身定制的加速术后康复方法

背景：加速康复外科（ERAS®）越来越多地进入临床实践。ERAS®协议尚未得到普遍采用，并且经常因难以实施而受到批评。因此，出现了更多定制方法的问题。方法：我们于 2022 年 3 月 16 日进行了文献检索，使用以下搜索字符串，该字符串经过修改以适合每个查询数据库的输入：（“ERAS®”或“enhanced recovery after racing”或“fast recovery”或“快速通道”）和（“量身定制”或“个性化”）。结果：尽管该主题的总体点击量大幅增加，但根据年龄等表型特征的分层或根据特定指南意义上的疾病模式的分类仍然基本上是显而易见的。有证据表明，几乎所有患者都可以遵循通用方案。预康复尤其可以用作适应性工具。结论： ERAS® 仅在其工具整体上发挥作用，并且几乎所有患者都可以遵循。预康复更具适应性，还可以提高对 ERAS® 协议的遵守率。在疾病特定途径之外的定制计划似乎没有用。
内脏医学