Do Patients With Inflammatory Bowel Disease Benefit from an Enhanced Recovery Pathway?

Inflammatory Bowel Diseases
David LiskaStefan Holubar

Abstract

Enhanced recovery pathways (ERPs) have been shown to reduce length of stay (LOS), complications, and costs after colorectal surgery; yet, little data exists regarding patients with inflammatory bowel disease (IBD). We hypothesized that implementation of ERP for IBD patients is associated with shorter LOS and improved economic outcomes. An IRB-approved prospective clinical database was used to identify consecutive patients from 2015 to 2017. Patients were grouped as "pre-ERP" and "post-ERP" based on the date of implementation of a comprehensive ERP. Ileostomy closures, redo pouch operations, and outpatient operations were excluded. The relationship between ERP, LOS, and secondary outcomes was assessed using univariate and multivariate analysis. Overall, a total of 671 patients were included: 345 (51.4%) with Crohn's disease (CD) and 326 (48.6%) with ulcerative colitis (UC). Of these, 425 were pre-ERP (63.4%), and 246 were post-ERP (36.6%). The groups did not differ in terms of age, gender, American Society of Anesthesiologist (ASA) scores, comorbidities, estimated blood loss, or ostomy construction. The post-ERP group had a significantly higher mean body mass index (BMI), more patients with CD, longer operative time, and more mi...Continue Reading

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Citations

Aug 20, 2020·Expert Review of Anticancer Therapy·Alessandro VitelloMarcello Maida
Sep 14, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Angela MujukianKaren Zaghiyan
Oct 26, 2020·Gastroenterology·Edward L BarnesMichael D Kappelman
Oct 8, 2019·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Edward L BarnesMiguel Regueiro
Jun 24, 2021·Journal of Crohn's & Colitis·Tim RaineGarret Cullen

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