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Objective:

To perform a systematic review of economic evaluations of enhanced recovery pathways (ERP) for colorectal surgery.

Background:

Although there is extensive literature investigating the clinical effectiveness of ERP, little is known regarding its cost-effectiveness.

Methods:

A systematic literature search identified all relevant articles published between 1997 and 2012 that performed an economic evaluation of ERP for colorectal surgery. Studies were included only if their ERP included all 5 of the key components (patient information, preservation of GI function, minimization of organ dysfunction, active pain control, and promotion of patient autonomy). Quality assessment was performed using the Consensus on Health Economic Criteria instrument (scored 0–19; high quality≥ 12). Incremental cost-effectiveness ratios were calculated if sufficient data were provided, using difference in length of stay and overall …