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Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass

Introduction: Enhanced Recovery After Surgery (ERAS) protocols have proven to be cost-effective in various surgical procedures, mainly in colorectal surgeries. However, there is still little scientific evidence evaluating the economic impact of their application in bariatric surgery. The present stu...

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Autores principales: Higueras, Alfonso, Gonzalez, Gilberto, de Lourdes Bolaños, Maria, Redondo, Maria Victoria, Olazabal, Isabel M., Ruiz-Tovar, Jaime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690327/
https://www.ncbi.nlm.nih.gov/pubmed/36429661
http://dx.doi.org/10.3390/ijerph192214946
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author Higueras, Alfonso
Gonzalez, Gilberto
de Lourdes Bolaños, Maria
Redondo, Maria Victoria
Olazabal, Isabel M.
Ruiz-Tovar, Jaime
author_facet Higueras, Alfonso
Gonzalez, Gilberto
de Lourdes Bolaños, Maria
Redondo, Maria Victoria
Olazabal, Isabel M.
Ruiz-Tovar, Jaime
author_sort Higueras, Alfonso
collection PubMed
description Introduction: Enhanced Recovery After Surgery (ERAS) protocols have proven to be cost-effective in various surgical procedures, mainly in colorectal surgeries. However, there is still little scientific evidence evaluating the economic impact of their application in bariatric surgery. The present study aimed to compare the economic cost of performing a laparoscopic Roux-en-Y gastric bypass following an ERAS protocol, with the costs of following a standard-of-care protocol. Patients and methods: A prospective non-randomized study of patients undergoing Roux-en-Y gastric bypass was performed. Patients were divided into two groups: patients following an ERAS protocol and patients following a standard-of-care protocol. The total costs of the procedure were subdivided into pharmacological expenditures, surgical material, and time expenses, the price of complementary tests performed during the hospital stay, and costs related to the hospital stay. Results: The 84 patients included 58 women (69%) and 26 men (31%) with a mean age of 44.3 ± 11.6 years. There were no significant differences in age, gender, and distribution of comorbidities between groups. Postoperative pain, nausea or vomiting, and hospital stay were significantly lower within the ERAS group. The pharmacological expenditures, the price of complementary tests performed during the hospital stay, and the costs related to the hospital stay, were significantly lower in the ERAS group. There were no significant differences in the surgical material and surgical time costs between groups. Globally, the total cost of the procedure was significantly lower in the ERAS group with a mean saving of 1458.62$ per patient. The implementation of an ERAS protocol implied a mean saving of 21.25% of the total cost of the procedure. Conclusions: The implementation of an ERAS protocol significantly reduces the perioperative cost of Roux-en-Y gastric bypass.
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spelling pubmed-96903272022-11-25 Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass Higueras, Alfonso Gonzalez, Gilberto de Lourdes Bolaños, Maria Redondo, Maria Victoria Olazabal, Isabel M. Ruiz-Tovar, Jaime Int J Environ Res Public Health Article Introduction: Enhanced Recovery After Surgery (ERAS) protocols have proven to be cost-effective in various surgical procedures, mainly in colorectal surgeries. However, there is still little scientific evidence evaluating the economic impact of their application in bariatric surgery. The present study aimed to compare the economic cost of performing a laparoscopic Roux-en-Y gastric bypass following an ERAS protocol, with the costs of following a standard-of-care protocol. Patients and methods: A prospective non-randomized study of patients undergoing Roux-en-Y gastric bypass was performed. Patients were divided into two groups: patients following an ERAS protocol and patients following a standard-of-care protocol. The total costs of the procedure were subdivided into pharmacological expenditures, surgical material, and time expenses, the price of complementary tests performed during the hospital stay, and costs related to the hospital stay. Results: The 84 patients included 58 women (69%) and 26 men (31%) with a mean age of 44.3 ± 11.6 years. There were no significant differences in age, gender, and distribution of comorbidities between groups. Postoperative pain, nausea or vomiting, and hospital stay were significantly lower within the ERAS group. The pharmacological expenditures, the price of complementary tests performed during the hospital stay, and the costs related to the hospital stay, were significantly lower in the ERAS group. There were no significant differences in the surgical material and surgical time costs between groups. Globally, the total cost of the procedure was significantly lower in the ERAS group with a mean saving of 1458.62$ per patient. The implementation of an ERAS protocol implied a mean saving of 21.25% of the total cost of the procedure. Conclusions: The implementation of an ERAS protocol significantly reduces the perioperative cost of Roux-en-Y gastric bypass. MDPI 2022-11-13 /pmc/articles/PMC9690327/ /pubmed/36429661 http://dx.doi.org/10.3390/ijerph192214946 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Higueras, Alfonso
Gonzalez, Gilberto
de Lourdes Bolaños, Maria
Redondo, Maria Victoria
Olazabal, Isabel M.
Ruiz-Tovar, Jaime
Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title_full Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title_fullStr Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title_full_unstemmed Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title_short Economic Impact of the Implementation of an Enhanced Recovery after Surgery (ERAS) Protocol in a Bariatric Patient Undergoing a Roux-En-Y Gastric Bypass
title_sort economic impact of the implementation of an enhanced recovery after surgery (eras) protocol in a bariatric patient undergoing a roux-en-y gastric bypass
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690327/
https://www.ncbi.nlm.nih.gov/pubmed/36429661
http://dx.doi.org/10.3390/ijerph192214946
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