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The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis

OBJECTIVE: In this study, we aimed to describe the prospective implementation of the Enhanced Recovery after Surgery (ERAS) protocol in an Italian tertiary academic centre. METHODS: Adult patients receiving surgery for primary or recurrent clinical stage III/IV squamous cell carcinoma of the oral ca...

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Autores principales: Bertazzoni, Giacomo, Testa, Gabriele, Tomasoni, Michele, Mattavelli, Davide, Del Bon, Francesca, Montalto, Nausica, Ferrari, Marco, Andreoli, Marco, Morello, Riccardo, Sbalzer, Nicola, Vecchiati, Daniela, Piazza, Cesare, Nicolai, Piero, Deganello, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore Srl 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577693/
https://www.ncbi.nlm.nih.gov/pubmed/36254650
http://dx.doi.org/10.14639/0392-100X-N2072
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author Bertazzoni, Giacomo
Testa, Gabriele
Tomasoni, Michele
Mattavelli, Davide
Del Bon, Francesca
Montalto, Nausica
Ferrari, Marco
Andreoli, Marco
Morello, Riccardo
Sbalzer, Nicola
Vecchiati, Daniela
Piazza, Cesare
Nicolai, Piero
Deganello, Alberto
author_facet Bertazzoni, Giacomo
Testa, Gabriele
Tomasoni, Michele
Mattavelli, Davide
Del Bon, Francesca
Montalto, Nausica
Ferrari, Marco
Andreoli, Marco
Morello, Riccardo
Sbalzer, Nicola
Vecchiati, Daniela
Piazza, Cesare
Nicolai, Piero
Deganello, Alberto
author_sort Bertazzoni, Giacomo
collection PubMed
description OBJECTIVE: In this study, we aimed to describe the prospective implementation of the Enhanced Recovery after Surgery (ERAS) protocol in an Italian tertiary academic centre. METHODS: Adult patients receiving surgery for primary or recurrent clinical stage III/IV squamous cell carcinoma of the oral cavity, oropharynx, larynx, or hypopharynx were enrolled. The primary objective was to evaluate the impact of the ERAS protocol on length of hospital stay (LOS). The secondary objective was to assess its impact on complications. To evaluate the results of the ERAS protocol, a matched-pair analysis was conducted, comparing ERAS patients with comparable cases treated before 2018. RESULTS: Forty ERAS and 40 non-ERAS patients were analysed. There were no significant differences between the cohorts regarding age, gender, stage of disease, comorbidity, ASA score, and duration of surgery. A significantly shorter LOS for the ERAS group (median, 14 days; range, 10-19) than for non-ERAS patients (median, 17.5 days; range, 13-21) was observed (p = 0.0128). The incidence of complications was not significantly different (p = 0.140). CONCLUSIONS: Our study demonstrates that the introduction of an ERAS protocol in the daily practice is feasible, and can result in significant reduction in LOS.
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spelling pubmed-95776932022-10-24 The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis Bertazzoni, Giacomo Testa, Gabriele Tomasoni, Michele Mattavelli, Davide Del Bon, Francesca Montalto, Nausica Ferrari, Marco Andreoli, Marco Morello, Riccardo Sbalzer, Nicola Vecchiati, Daniela Piazza, Cesare Nicolai, Piero Deganello, Alberto Acta Otorhinolaryngol Ital Head and Neck OBJECTIVE: In this study, we aimed to describe the prospective implementation of the Enhanced Recovery after Surgery (ERAS) protocol in an Italian tertiary academic centre. METHODS: Adult patients receiving surgery for primary or recurrent clinical stage III/IV squamous cell carcinoma of the oral cavity, oropharynx, larynx, or hypopharynx were enrolled. The primary objective was to evaluate the impact of the ERAS protocol on length of hospital stay (LOS). The secondary objective was to assess its impact on complications. To evaluate the results of the ERAS protocol, a matched-pair analysis was conducted, comparing ERAS patients with comparable cases treated before 2018. RESULTS: Forty ERAS and 40 non-ERAS patients were analysed. There were no significant differences between the cohorts regarding age, gender, stage of disease, comorbidity, ASA score, and duration of surgery. A significantly shorter LOS for the ERAS group (median, 14 days; range, 10-19) than for non-ERAS patients (median, 17.5 days; range, 13-21) was observed (p = 0.0128). The incidence of complications was not significantly different (p = 0.140). CONCLUSIONS: Our study demonstrates that the introduction of an ERAS protocol in the daily practice is feasible, and can result in significant reduction in LOS. Pacini Editore Srl 2022-08-01 2022-08 /pmc/articles/PMC9577693/ /pubmed/36254650 http://dx.doi.org/10.14639/0392-100X-N2072 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Head and Neck
Bertazzoni, Giacomo
Testa, Gabriele
Tomasoni, Michele
Mattavelli, Davide
Del Bon, Francesca
Montalto, Nausica
Ferrari, Marco
Andreoli, Marco
Morello, Riccardo
Sbalzer, Nicola
Vecchiati, Daniela
Piazza, Cesare
Nicolai, Piero
Deganello, Alberto
The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title_full The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title_fullStr The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title_full_unstemmed The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title_short The Enhanced Recovery After Surgery (ERAS) protocol in head and neck cancer: a matched-pair analysis
title_sort enhanced recovery after surgery (eras) protocol in head and neck cancer: a matched-pair analysis
topic Head and Neck
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577693/
https://www.ncbi.nlm.nih.gov/pubmed/36254650
http://dx.doi.org/10.14639/0392-100X-N2072
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