Enhanced Recovery Pathways in Living Organ Donation and Solid Organ Transplantation
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".
Deadline for manuscript submissions: closed (10 October 2021) | Viewed by 27737
Special Issue Editor
Special Issue Information
Dear Colleagues,
Solid organ transplantation is the treatment of choice for end-stage organ failure with truly excellent long-term results. All modern transplant centres have developed protocols for the perioperative management of transplant patients. However, the vast majority of those protocols are centre-specific and disparate in their content. Enhanced Recovery After Surgery (ERAS) within elective surgery has revolutionised surgical practice over recent years since its introduction by Henrik Kehlet in the 1990s. The ERAS program is about improving patients’ outcomes and speeding up patients’ recovery after surgery. It also aims to ensure that patients always receive evidence-based care at the right time and have the best possible in-hospital experience related to their care. Compared with traditional perioperative care, the ERAS program represents a fundamental shift in the process of care, by including multiple interventions that attenuate surgical stress, maintain physiological function and expedite a return to the baseline state. While each intervention has a small effect, all together they have a stronger synergistic impact. Although the principles of the pathway were originally developed and integrated for colorectal surgical patients, they have also been used in numerous operative procedures, including general, vascular, and thoracic surgery, as well as orthopaedic, urologic, and gynaecologic operations. Transplant patients are frail, they have challenging operations, experience increased rates of post-operative complications and prolonged admissions compared to the majority of surgical patients. Furthermore, ERAS is massively important for living organ donors who are healthy individuals coming forward altruistically to help their loved ones and deserve the safest and best care including of course their post-operative treatment. The aim of this Special Issue by the Journal of Clinical Medicine (JCM) is to set the scene in ERAS for living organ donation and solid organ transplantation (LD-SOT) by inviting authors to contribute their experience and expertise in the field via submitting articles that fulfil the following (although the list can be expanded to accommodate all ideas offered by authors):
- Present and appraise current successful paradigms of ERAS in LD-SOT;
- Appraise existing research efforts in the field and suggest new research models;
- Analyse published literature in the context of a meta-analysis or a systematic review;
- Analyse current guidelines and protocols for post-operative recovery and offer structured opinion papers as to how they could be improved in the context of ERAS.
We would like to cordially invite you to contribute your well known and respected experience in this Special Issue of the JCM; your contribution can really help the transplant community to shape the future in this game-changing field for the care of our patients.
Prof. Dr. Vassilios Papalois
Guest Editor
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Keywords
- enhanced recovery after surgery
- clinical pathways
- solid organ transplantation
- living organ donation
- post-operative clinical protocols
- guidelines for post-operative transplant care
- post-transplant complications
- length of hospital stay
- transplant outcomes
- patient experience
- patient quality of life
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