Cost impact analysis of enhanced recovery after surgery program implementation in Alberta colon cancer patients

Current Oncology

Volumn 23, Issue 3, 2016, Pages e221-e227

  Nelson, Gregg ^a   Kiyang, L N ^b   Chuck, A ^b   Thanh, N X ^b   Gramlich, L M ^c  

^a UNIVERSITY OF CALGARY   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

^c UNIVERSITY OF ALBERTA   (Canada)

Author keywords

Benefits; Colon cancer; Complications; Cost savings; Eras; Guideline compliance; Length of stay; Readmissions

Indexed keywords

ADULT; ARTICLE; CARDIOVASCULAR DISEASE; CENTRAL NERVOUS SYSTEM INFECTION; COLON CANCER; COLOSTOMY; COMORBIDITY; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DATA ANALYSIS; ENHANCED RECOVERY AFTER SURGERY; ENTEROSTOMY; FEMALE; GASTROINTESTINAL DISEASE; HOSPITAL READMISSION; HUMAN; INFECTION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; POSTOPERATIVE COMPLICATION; PRACTICE GUIDELINE; RESPIRATORY TRACT DISEASE; SAMPLE SIZE; TREATMENT OUTCOME;

EID: 84974577534     PISSN: None     EISSN: 17187729     Source Type: Journal    
DOI: 10.3747/co.23.2980     Document Type: Article

References (24)

1. Walter CJ, Collin J, Dumville JC, Drew PJ, Monson JR. Enhanced recovery in colorectal resections: a systematic review and meta-analysis. Colorectal Dis 2009;11:344–53. [Erratum in: Colorectal Dis 2010;12:728]
2. Wind J, Polle SW, Fung Kon Jin PH, et al. on behalf of the Laparoscopy and/or Fast Track Multimodal Management Versus Standard Care Study Group and the Enhanced Recovery after Surgery Group. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg 2006;93:800–9.
3. Gouvas N, Tan E, Windsor A, Xynos E, Tekkis PP. Fast-track vs standard care in colorectal surgery: a meta-analysis update. Int J Colorectal Dis 2009;24:1119–31.
4. Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery 2011;149:830–40.
5. Varadhan KK, Neal KR, Dejong CHC, Fearon KCH, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (eras) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr 2010;29:434–40.
6. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg 2014;38:1531–41.
7. Lv L, Shao YF, Zhou YB. The enhanced recovery after surgery (eras) pathway for patients undergoing colorectal surgery: an update of meta-analysis of randomized controlled trials. Int J Colorectal Dis 2012;27:1549–54.
8. Eskicioglu C, Forbes SS, Aarts MA, Okrainec A, McLeod RS. Enhanced recovery after surgery (eras) programs for patients having colorectal surgery: a meta-analysis of randomized trials. J Gastrointest Surg 2009;13:2321–9.
9. Roulin D, Donadini A, Gander S, et al. Cost-effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery. Br J Surg 2013;100:1108–14.
10. Lee L, Mata J, Ghitulescu GA, et al. Cost-effectiveness of enhanced recovery versus conventional perioperative management for colorectal surgery. Ann Surg 2015;262:1026–33.
11. Nelson G, Kiyang L, Crumley E, et al. Implementation of Enhanced Recovery After Surgery (eras) across a provincial healthcare system: the eras Alberta colorectal surgery experience. World J Surg 2016;40:1092–103.
12. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (eras) Society recommendations. World J Surg 2013;37:259–84.
13. Nygren J, Thacker J, Carli F, et al. on behalf of the Enhanced Recovery After Surgery (eras) Society, for Perioperative Care, the European Society for Clinical Nutrition and Metabolism, and the International Association for Surgical Metabolism and Nutrition. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (eras) Society recommendations. World J Surg 2013;37:285–305.
14. Bell GV. Sample size. In: Bell GV. Statistical Rules of Thumb. 2nd ed. Hoboken, NJ: John Wiley and Sons; 2008: 27–51.
15. Vittinghoff E, McCulloch CE. Relaxing the rule of ten events per variable in logistic and Cox regression. Am J Epidemiol 2007;165:710–18.
16. Daabiss M. American Society of Anaesthesiologists physical status classification. Indian J Anaesth 2011;55:111–15.
17. Cakir H, van Stijn MF, Lopes Cardozo AM, et al. Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. Colorectal Dis 2013;15:1019–25.
18. Hendry PO, Hausel J, Nygren J, et al. on behalf of the Enhanced Recovery After Surgery study group. Determinants of outcome after colorectal resection within an enhanced recovery programme. Br J Surg 2009;96:197–205.
19. Delaney C, Zutshi M, Senagore A, Remzi F, Hammel J, Fazio V. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum 2003;46:851–9.
20. García-Botello S, Cánovas de Lucas R, Tornero C, et al. Implementation of a perioperative multimodal rehabilitation protocol in elective colorectal surgery. A prospective randomised controlled study [Spanish]. Cir Esp 2011;89:159–66.
21. Vlug MS, Wind J, Hollmann MW, et al. on behalf of the lafa study group. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (lafa-Study). Ann Surg 2011;254:868–75.
22. Wang G, Jiang Z, Zhao K, et al. Immunologic response after laparoscopic colon cancer operation within an enhanced recovery program. J Gastrointest Surg 2012;16:1379–88.
23. Braga M, Frasson M, Zuliani W, Vignali A, Pecorelli N, Di Carlo V. Randomized clinical trial of laparoscopic versus open left colonic resection. Br J Surg 2010;97:1180–6.
24. King PM, Blazeby JM, Ewings P, et al. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme. Br J Surg 2006;93:300–8.