Outcomes of an enhanced recovery after radical cystectomy program in a prospective multicenter study: compliance and key components for success.

World Journal of Urology
C LlorenteS García Del Valle

Abstract

To investigate the effect of an Enhanced Recovery After Surgery (ERAS) program on complications and length of stay (LOS) after radical cystectomy (RC) and to assess if the number and type of components of ERAS play a key role on the decrease of surgical morbidity. We analyzed the data of 277 patients prospectively recruited in 11 hospitals undergoing RC initially managed according to local practice (Group I) and later within an ERAS program (Group II). Two main outcomes were defined: 90-day complications rate and LOS. As secondary variables we studied 90-day mortality, 30-day readmission and transfusion rate. Patients in Group II had a higher use of ERAS measures (98.6%) than those in Group I (78.2%) (p < 0.05). Patients in Groups I and II experienced similar complications (70.5% vs. 66%, p = 0.42). LOS was not different between Groups I and II (12.5 and 14 days, respectively, p = 0.59). The risk of having any complication decreases for patients having more than 15 ERAS measures adopted [RR = 0.815; 95% confidence interval (CI) 0.667-0.996; p = 0.045]. Avoidance of transfusion and nasogastric tube, prevention of ileus, early ambulation and a fast uptake of a regular diet are independently associated with the absence of complica...Continue Reading

References

Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
May 6, 2009·International Journal of Colorectal Disease·Nikolaos GouvasParis P Tekkis
Jul 21, 2009·The Journal of Urology·Giacomo NovaraVincenzo Ficarra
Jun 28, 2012·World Journal of Surgery·Rishabh SehgalRonan A Cahill
Aug 8, 2018·Diseases of the Colon and Rectum·Nancy L GreerTimothy J Wilt
Jul 16, 2019·World Journal of Urology·Carlos LlorenteStuart Pocock

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Citations

Feb 6, 2021·Seminars in Oncology Nursing·Ulla Nordström JoensenAlicia Martin Poulsen
Sep 20, 2020·Actas urologicas españolas·E García-RojoA Rodríguez-Antolín
Apr 16, 2021·BMJ Open·Sophia Liff MaibomMartin Andreas Røder
Jun 3, 2021·World Journal of Urology·Simone AlbisinniUNKNOWN European Association of Urology–Young Academic Urologists Urothelial Carcinoma Working Group (EAU-YAU)

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