Enhanced Recovery After Surgery (ERAS) in gynecologic oncology: System-wide implementation and audit leads to improved value and patient outcomes

Gynecologic Oncology

Volumn 151, Issue 1, 2018, Pages 117-123

  Bisch, S P ^a   Wells, T ^b   Gramlich, L ^c   Faris, P ^d   Wang, X ^d   Tran, D T ^e   Thanh, N X ^e   Glaze, S ^a   Chu, P ^a   Ghatage, P ^a   Nation, J ^a   Capstick, V ^b   Steed, H ^b   Sabourin, J ^b   Nelson, G ^a  

^a TOM BAKER CANCER CENTRE   (Canada)

^b CROSS CANCER INSTITUTE   (Canada)

^c UNIVERSITY OF ALBERTA   (Canada)

^d ALBERTA HEALTH SERVICES   (Canada)

^e INSTITUTE OF HEALTH ECONOMICS   (Canada)

Author keywords

Clinical outcomes; Cost savings; ERAS; Gynecologic oncology

Indexed keywords

ADULT; ANASTOMOSIS LEAKAGE; ANESTHESIA COMPLICATION; ARTICLE; CANCER STAGING; CARDIOVASCULAR DISEASE; CLINICAL ASSESSMENT; CLINICAL AUDIT; CLINICAL EVALUATION; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; CONVALESCENCE; COST CONTROL; CYTOREDUCTIVE SURGERY; ECONOMIC ASPECT; ENHANCED RECOVERY AFTER SURGERY; FEMALE; GYNECOLOGY; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH INSURANCE; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; INFECTIOUS COMPLICATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MENTAL DISEASE; MIDDLE AGED; ONCOLOGY; OVARY CANCER; POSTOPERATIVE COMPLICATION; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; RESPIRATORY TRACT DISEASE; TREATMENT OUTCOME; UTERUS CANCER; AGED; ECONOMICS; FEMALE GENITAL TRACT TUMOR; GYNECOLOGIC SURGERY; PERIOPERATIVE PERIOD; PROCEDURES; PROGRAM EVALUATION; STANDARDS; STATISTICS AND NUMERICAL DATA;

AGED; COST SAVINGS; CYTOREDUCTION SURGICAL PROCEDURES; FEMALE; GENITAL NEOPLASMS, FEMALE; GUIDELINE ADHERENCE; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; LENGTH OF STAY; MEDICAL AUDIT; MIDDLE AGED; PATIENT DISCHARGE; PATIENT READMISSION; PERIOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PRACTICE GUIDELINES AS TOPIC; PROGRAM EVALUATION;

EID: 85051103495     PISSN: 00908258     EISSN: 10956859     Source Type: Journal    
DOI: 10.1016/j.ygyno.2018.08.007     Document Type: Article

References (34)

1. Kehlet, H., Fast-track colorectal surgery program reduces hospital length of stay. Lancet 371 (2008), 791–793, 10.1097/NUR.0b013e3181e3604c.
2. Nelson, G., Altman, A.D., Nick, A., Meyer, L.A., Ramirez, P.T., Achtari, C., et al. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery after Surgery (ERAS®) Society recommendations - Part i. Gynecol. Oncol. 140 (2016), 313–322, 10.1016/j.ygyno.2015.11.015.
3. Nelson, G., Altman, A.D., Nick, A., Meyer, L.A., Ramirez, P.T., Achtari, C., et al. Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery after Surgery (ERAS®) Society recommendations - Part II. Gynecol. Oncol. 140 (2016), 323–332, 10.1016/j.ygyno.2015.12.019.
4. Ren, L., Zhu, D., Wei, Y., Pan, X., Liang, L., Xu, J., et al. Enhanced Recovery after Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J. Surg. 36 (2012), 407–414, 10.1007/s00268-011-1348-4.
5. Ljungqvist, O., Scott, M., Fearon, K.C., Enhanced recovery after surgery a review. JAMA Surg. 152 (2017), 292–298, 10.1001/jamasurg.2016.4952.
6. Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int. J. Cancer 136 (2015), E359–E386, 10.1002/ijc.29210.
7. Nelson, G., Dowdy, S.C., Lasala, J., Mena, G., Bakkum-Gamez, J., Meyer, L.A., et al. Enhanced recovery after surgery (ERAS®) in gynecologic oncology – practical considerations for program development. Gynecol. Oncol. 147 (2017), 617–620, 10.1016/j.ygyno.2017.09.023.
8. Kalogera, E., Bakkum-Gamez, J.N., Jankowski, C.J., Trabuco, E., Lovely, J.K., Dhanorker, S., et al. Enhanced recovery in gynecologic surgery. Obstet. Gynecol. 122 (2013), 319–328, 10.1097/AOG.0b013e31829aa780.
9. Bergstrom, J.E., Scott, M.E., Alimi, Y., Yen, T.T., Hobson, D., Machado, K.K., et al. Narcotics reduction, quality and safety in gynecologic oncology surgery in the first year of enhanced recovery after surgery protocol implementation. Gynecol. Oncol., 2018, 10.1016/j.ygyno.2018.04.003.
10. Nelson, G., Kiyang, L.N., Crumley, E.T., Chuck, A., Nguyen, T., Faris, P., et al. Implementation of Enhanced Recovery after Surgery (ERAS) across a provincial healthcare system: the ERAS Alberta colorectal surgery experience. World J. Surg. 40 (2016), 1092–1103, 10.1007/s00268-016-3472-7.
11. Aletti, G.D., Santillan, A., Eisenhauer, E.L., Hu, J., Aletti, G., Podratz, K.C., et al. A new frontier for quality of care in gynecologic oncology surgery: multi-institutional assessment of short-term outcomes for ovarian cancer using a risk-adjusted model. Gynecol. Oncol. 107 (2007), 99–106, 10.1016/j.ygyno.2007.05.032.
12. Charlson, M., Szatrowski, T., Peterson, J., Gold, J., Validation of a combined comorbidity index. J. Clin. Epidemiol. 47 (1994), 1245–1251.
13. Leeper, T.J., Margins: Marginal Effects for Model Objects. 2018.
14. Canadian Institute for Health Information (CIHI), CMG+. n.d. https://www.cihi.ca/en/cmg. (Accessed 11 June 2018)
15. Thanh, N.X., Chuck, A.W., Wasylak, T., Lawrence, J., Faris, P., Ljungqvist, O., et al. An economic evaluation of the Enhanced Recovery After Surgery (ERAS) multisite implementation program for colorectal surgery in Alberta. Can. J. Surg. 59 (2016), 415–421, 10.1503/cjs.006716.
16. Organisation for Economic Co-operation and Development, Purchasing Power Parities 2015. http://stats.oecd.org/Index.aspx?datasetcode=SNA_TABLE4, 2015. (Accessed 18 June 2018)
17. Stone, A.B., Grant, M.C., Pio Roda, C., Hobson, D., Pawlik, T., Wu, C.L., et al. Implementation costs of an enhanced recovery after surgery program in the United States: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J. Am. Coll. Surg. 222 (2016), 219–225, 10.1016/j.jamcollsurg.2015.11.021.
18. Dindo, D., Demartines, N., Clavien, P.A., Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann. Surg. 240 (2004), 205–213, 10.1097/01.sla.0000133083.54934.ae.
19. Maessen, J., Dejong, C.H.C., Hausel, J., Nygren, J., Lassen, K., Andersen, J., et al. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br. J. Surg. 94 (2007), 224–231, 10.1002/bjs.5468.
20. Currie, A., Burch, J., Jenkins, J.T., Faiz, O., Kennedy, R.H., Ljungqvist, O., et al. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann. Surg. 261 (2015), 1153–1159, 10.1097/SLA.0000000000001029.
21. Thorup Msn, C., Hansen, J., Grønkjær, M., Andreasen, J.J., Nielsen, G., Sørensen, E.E., et al. Cardiac patients’ walking activity determined by a step counter in cardiac telerehabilitation: Data from the intervention arm of a randomized controlled trial. J. Med. Internet Res., 2016, 10.2196/jmir.5191.
22. Gordon, D., Malhas, A., Goubran, A., Subramanian, P., Messer, C., Houlihan-Burne, D., Implementing the rapid recovery program in primary hip and knee arthroplasty in a UK state run hospital. Eur. J. Orthop. Surg. Traumatol. 21 (2011), 151–158, 10.1007/s00590-010-0690-9.
23. Kalogera, E., Bakkum-Gamez, J.N., Weaver, A.L., Moriarty, J.P., Borah, B.J., Langstraat, C.L., et al. Abdominal incision injection of liposomal bupivacaine and opioid use after laparotomy for gynecologic malignancies. Obstet. Gynecol. 128 (2016), 1009–1017, 10.1097/AOG.0000000000001719.
24. Modesitt, S.C., Sarosiek, B.M., Trowbridge, E.R., Redick, D.L., Shah, P.M., Thiele, R.H., et al. Enhanced recovery implementation in major gynecologic surgeries: effect of care standardization. Obstet. Gynecol. 128 (2016), 457–466, 10.1097/AOG.0000000000001555.
25. Martin, L., Gillis, C., Atkins, M., Gillam, M., Sheppard, C., Buhler, S., et al. Implementation of an Enhanced Recovery After Surgery program can change nutrition care practice: a multi-center experience in elective colorectal surgery. JPEN, 2018, 10.1002/jpen.1417 [Epub ahead of print].
26. Teeuwen, P.H.E., Bleichrodt, R.P., Strik, C., Groenewoud, J.J.M., Brinkert, W., van Laarhoven, C.J.H.M., et al. Enhanced Recovery After Surgery (ERAS) Versus conventional postoperative care in colorectal surgery. J. Gastrointest. Surg. 14 (2010), 88–95, 10.1007/s11605-009-1037-x.
27. 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. 38 (2014), 1531–1541, 10.1007/s00268-013-2416-8.
28. Myles, P.S., Bellomo, R., Corcoran, T., Forbes, A., Peyton, P., Story, D., et al. Restrictive versus liberal fluid therapy for major abdominal surgery. N. Engl. J. Med., 2018, 1–12, 10.1056/NEJMoa1801601.
29. Moore, B., Levit, K., Elixhauser, A., Costs for Hospital Stays in the United States, 2012. 2014 (doi:NBK116744 [bookaccession]).
30. Relph, S., Bell, A., Sivashanmugarajan, V., Munro, K., Chigwidden, K., Lloyd, S., et al. Cost effectiveness of enhanced recovery after surgery programme for vaginal hysterectomy: a comparison of pre and post-implementation expenditures. Int. J. Health Plann. Manag. 29 (2014), 399–406.
31. Narang, L., Mitchelmore, S., Byrne, H., Cost reduction and enhanced patient experience following the introduction of enhanced recovery programme in gynaecological surgery. BJOG Int. J. Obstet. Gynaecol., 120, 2013, 439.
32. Stowers, M.D.J., Lemanu, D.P., Hill, A.G., Health economics in Enhanced Recovery After Surgery programs. Can. J. Anesth. Can d'anesthésie 62 (2015), 219–230, 10.1007/s12630-014-0272-0.
33. Bates, D.W., Evans, R.S., Murff, H., Stetson, P.D., Pizziferri, L., Hripcsak, G., Detecting adverse events using information technology. J. Am. Med. Inform. Assoc. 10 (2003), 115–128, 10.1197/jamia.M1074.supported.
34. Tateo, S., Mereu, L., Salamano, S., Klersy, C., Barone, M., Spyropoulos, A.C., et al. Ovarian cancer and venous thromboembolic risk. Gynecol. Oncol. 99 (2005), 119–125, 10.1016/j.ygyno.2005.05.009.