The Impact of an Enhanced Recovery After Surgery Program on Patients Treated for Gynecologic Cancer in the Community Hospital Setting

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Alberto A MendivilBram H Goldstein

Abstract

The purpose of this study was to compare the outcomes of gynecologic oncology patients treated in the community hospital setting either under the auspices of an enhanced recovery after surgery (ERAS) protocol or in accordance with physician discretion. We retrospectively evaluated a series of consecutive gynecologic oncology patients who were managed via open surgery in coincident with an ERAS pathway from January 2015 to December 2016. They were compared with a historical open surgery cohort who was treated from November 2013 to December 2014. The primary clinical end points encompassed hospital length of stay, hospital costs, and patient readmission rates. There were 86 subjects accrued in the ERAS group and 91 patients in the historical cohort. The implementation of ERAS occasioned a greater than 3-day mean reduction in hospital stay (8.04 days for the historical group vs 4.88 days for the ERAS subjects; P = 0.001) and correspondingly diminished hospital costs ($11,877.47/patient vs $9305.26/patient; P = 0.04). Moreover, there were 2 readmissions (2.3%) in the ERAS group compared with 4 (4.4%) in the historical cohort (P = 0.282). The results from our investigation suggest that adhering to an ERAS protocol confers beneficial...Continue Reading

References

Oct 26, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·R Barry MelbertRon Rowbotham
Aug 24, 2013·Obstetrics and Gynecology·Eleftheria KalogeraSean C Dowdy
Oct 16, 2014·Gynecologic Oncology·Gregg NelsonSean C Dowdy
Jun 18, 2015·Current Opinion in Critical Care·Ashwin SankarDuminda N Wijeysundera
Nov 4, 2015·Archives of Gynecology and Obstetrics·Eva MyriokefalitakiA S Ahmed
Nov 28, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Jeanny J A de GrootBrigitte F M Slangen
Jan 23, 2016·Gynecologic and Obstetric Investigation·Lena WijkKerstin Nilsson
Aug 9, 2016·Obstetrics and Gynecology·Susan C ModesittTraci L Hedrick
Jan 18, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N J CurtisN K Francis

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Citations

May 6, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Amanda Rae SchwartzLaura Havrilesky
Apr 24, 2020·Current Opinion in Obstetrics & Gynecology·Christine M HelouTed L Anderson
Jun 4, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Amanda Rae SchwartzLaura Havrilesky
Oct 2, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Laurence BernardLimor Helpman

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