دورية أكاديمية
أعرض في EDS

Outcomes before and after Implementation of the ERAS (Enhanced Recovery after Surgery) Protocol in Open and Laparoscopic Colorectal Surgery: A Comparative Real-World Study from Northern Italy.

التفاصيل البيبلوغرافية
العنوان: Outcomes before and after Implementation of the ERAS (Enhanced Recovery after Surgery) Protocol in Open and Laparoscopic Colorectal Surgery: A Comparative Real-World Study from Northern Italy.
المؤلفون: Mangone L; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Mereu F; Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Zizzo M; Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Morini A; Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Zanelli M; Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Marinelli F; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Bisceglia I; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Braghiroli MB; Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Morabito F; Biotechnology Research Unit, AO di Cosenza, 87100 Cosenza, Italy., Neri A; Scientific Directorate, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy., Fabozzi M; Surgical Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.
المصدر: Current oncology (Toronto, Ont.) [Curr Oncol] 2024 May 21; Vol. 31 (6), pp. 2907-2917. Date of Electronic Publication: 2024 May 21.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9502503 Publication Model: Electronic Cited Medium: Internet ISSN: 1718-7729 (Electronic) Linking ISSN: 11980052 NLM ISO Abbreviation: Curr Oncol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2021- : Basel, Switzerland : MDPI
Original Publication: Toronto : Multimed, c1994-
مواضيع طبية MeSH: Enhanced Recovery After Surgery* , Colorectal Neoplasms*/surgery , Laparoscopy*/methods , Postoperative Complications*/epidemiology , Length of Stay*/statistics & numerical data, Humans ; Female ; Male ; Italy ; Aged ; Middle Aged ; Retrospective Studies ; Colorectal Surgery/methods ; Treatment Outcome ; Patient Readmission/statistics & numerical data ; Aged, 80 and over
مستخلص: Enhanced Recovery After Surgery (ERAS) protocols have changed perioperative care, aiming to optimize patient outcomes. This study assesses ERAS implementation effects on postoperative complications, length of hospital stay (LOS), and mortality in colorectal cancer (CRC) patients. A retrospective real-world analysis was conducted on CRC patients undergoing surgery within a Northern Italian Cancer Registry. Outcomes including complications, re-surgeries, 30-day readmission, mortality, and LOS were assessed in 2023, the year of ERAS protocol adoption, and compared with data from 2022. A total of 158 surgeries were performed, 77 cases in 2022 and 81 in 2023. In 2023, a lower incidence of postoperative complications was observed compared to that in 2022 (17.3% vs. 22.1%), despite treating a higher proportion of patients with unfavorable prognoses. However, rates of reoperations and readmissions within 30 days post-surgery increased in 2023. Mortality within 30 days remained consistent between the two groups. Patients diagnosed in 2023 experienced a statistically significant reduction in LOS compared to those in 2022 (mean: 5 vs. 8.1 days). ERAS protocols in CRC surgery yield reduced postoperative complications and shorter hospital stays, even in complex cases. Our study emphasizes ERAS' role in enhancing surgical outcomes and recovery.
Competing Interests: The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.
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فهرسة مساهمة: Keywords: colorectal cancer; complications; enhanced recovery; fast-track surgery; length of hospital stay; minimally invasive surgery
تواريخ الأحداث: Date Created: 20240626 Date Completed: 20240626 Latest Revision: 20240628
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC11202664
DOI: 10.3390/curroncol31060222
PMID: 38920706
قاعدة البيانات: MEDLINE
الوصف
تدمد:1718-7729
DOI:10.3390/curroncol31060222