Cargando…
Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients
The aim of our study was to evaluate the implementation and degree of adherence to the Enhanced Recovery after Surgery (ERAS) protocol in a group of 400 patients operated laparoscopically for colorectal cancer, and to assess its impact on the short-term results. The prospective study included patien...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262379/ https://www.ncbi.nlm.nih.gov/pubmed/30400342 http://dx.doi.org/10.3390/jcm7110412 |
_version_ | 1783375092290420736 |
---|---|
author | Pisarska, Magdalena Gajewska, Natalia Małczak, Piotr Wysocki, Michał Major, Piotr Milian-Ciesielska, Katarzyna Budzyński, Andrzej Pędziwiatr, Michał |
author_facet | Pisarska, Magdalena Gajewska, Natalia Małczak, Piotr Wysocki, Michał Major, Piotr Milian-Ciesielska, Katarzyna Budzyński, Andrzej Pędziwiatr, Michał |
author_sort | Pisarska, Magdalena |
collection | PubMed |
description | The aim of our study was to evaluate the implementation and degree of adherence to the Enhanced Recovery after Surgery (ERAS) protocol in a group of 400 patients operated laparoscopically for colorectal cancer, and to assess its impact on the short-term results. The prospective study included patients with histologically confirmed colorectal cancer undergoing elective laparoscopic resection from years 2012 to 2017. For the purpose of further analysis, patients were divided into four groups: 100 consecutive patients were in each group. There were no statistically significant differences between groups in demographic parameters. The mean compliance with the ERAS protocol in the entire study group was 84.8%. Median adherence differed between the groups 76.9% vs. 92.3% vs. 84.6% vs. 84.6%, respectively (p < 0.0001). There were statistically significant differences between groups in the tolerance of oral diet (54% vs. 83% vs. 83% vs. 64%) and mobilization (74% vs. 92% vs. 91% vs. 94%) on the first postoperative day. In subsequent groups, time to first flatus decreased (2.5 vs. 2.1 vs. 2.0 vs. 1.7 days, p = 0.0001). There were no statistical differences in the postoperative morbidity rate between groups (p = 0.4649). The median length of hospital stay in groups was 5 vs. 4 vs. 4 vs. 4 days, respectively (p = 0.0025). Maintaining high compliance with the ERAS protocol is possible, despite the slight decrease that occurs within a few years after its implementation. This decrease in compliance does not affect short-term results, which are comparable to those shortly after overcoming the learning curve. |
format | Online Article Text |
id | pubmed-6262379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-62623792018-12-03 Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients Pisarska, Magdalena Gajewska, Natalia Małczak, Piotr Wysocki, Michał Major, Piotr Milian-Ciesielska, Katarzyna Budzyński, Andrzej Pędziwiatr, Michał J Clin Med Article The aim of our study was to evaluate the implementation and degree of adherence to the Enhanced Recovery after Surgery (ERAS) protocol in a group of 400 patients operated laparoscopically for colorectal cancer, and to assess its impact on the short-term results. The prospective study included patients with histologically confirmed colorectal cancer undergoing elective laparoscopic resection from years 2012 to 2017. For the purpose of further analysis, patients were divided into four groups: 100 consecutive patients were in each group. There were no statistically significant differences between groups in demographic parameters. The mean compliance with the ERAS protocol in the entire study group was 84.8%. Median adherence differed between the groups 76.9% vs. 92.3% vs. 84.6% vs. 84.6%, respectively (p < 0.0001). There were statistically significant differences between groups in the tolerance of oral diet (54% vs. 83% vs. 83% vs. 64%) and mobilization (74% vs. 92% vs. 91% vs. 94%) on the first postoperative day. In subsequent groups, time to first flatus decreased (2.5 vs. 2.1 vs. 2.0 vs. 1.7 days, p = 0.0001). There were no statistical differences in the postoperative morbidity rate between groups (p = 0.4649). The median length of hospital stay in groups was 5 vs. 4 vs. 4 vs. 4 days, respectively (p = 0.0025). Maintaining high compliance with the ERAS protocol is possible, despite the slight decrease that occurs within a few years after its implementation. This decrease in compliance does not affect short-term results, which are comparable to those shortly after overcoming the learning curve. MDPI 2018-11-04 /pmc/articles/PMC6262379/ /pubmed/30400342 http://dx.doi.org/10.3390/jcm7110412 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pisarska, Magdalena Gajewska, Natalia Małczak, Piotr Wysocki, Michał Major, Piotr Milian-Ciesielska, Katarzyna Budzyński, Andrzej Pędziwiatr, Michał Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title | Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title_full | Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title_fullStr | Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title_full_unstemmed | Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title_short | Is It Possible to Maintain High Compliance with the Enhanced Recovery after Surgery (ERAS) Protocol?—A Cohort Study of 400 Consecutive Colorectal Cancer Patients |
title_sort | is it possible to maintain high compliance with the enhanced recovery after surgery (eras) protocol?—a cohort study of 400 consecutive colorectal cancer patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262379/ https://www.ncbi.nlm.nih.gov/pubmed/30400342 http://dx.doi.org/10.3390/jcm7110412 |
work_keys_str_mv | AT pisarskamagdalena isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT gajewskanatalia isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT małczakpiotr isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT wysockimichał isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT majorpiotr isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT milianciesielskakatarzyna isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT budzynskiandrzej isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients AT pedziwiatrmichał isitpossibletomaintainhighcompliancewiththeenhancedrecoveryaftersurgeryerasprotocolacohortstudyof400consecutivecolorectalcancerpatients |