Impact of a Clinical Pathway in Cases of Transurethral Resection of the Prostate

Abstract

With the implementation of the clinical care pathway, average hospital charges and length of stay were reduced. The clinical pathway program is considered to be a good tool for health care cost management. This methodology can be applied to all patients. However, when we make the clinical pathway program, we take into account the individuality of each patients.

Systematic review and meta-analysis of enhanced recovery programmes in surgical patients

“…. Thirty‐eight eligible studies with relevant outcomes were found, including two quasi‐randomized studies. In total 67 papers on these studies were reviewed ( Appendix S1 , supporting information).…”

“…Two studies on patients undergoing colorectal surgery included both open and laparoscopic procedures, and reported separate results; these were entered as separate study populations in the meta‐analyses. There were ten non‐English language papers: eight in Chinese, one in Japanese and one in German. Two studies were reported in abstract form only.…”

“…One study specified that attendance at the emergency department was not classified as readmission. Most studies reported readmission within 30 or 28 days, but six did not give a time frame and one reported readmission within 14 days. One study reported no readmission within 3 months of surgery, so these data were included.…”

“…Twenty studies 11,20,21,23,25,26,28,31,32,34,36,37,38,39,41,42,45,49,53 reported readmission rates. No studies indicated that staff deciding on readmission were blinded to the allocation of patients or gave standardized criteria for readmission.…”

“…Eleven studies 20,23,26,28,34,37,43,44,49,54 reported major complication events by patient and ten 23,27,30,34,39,40,43,47,49 reported count data, with an overlap of five studies. There was no evidence of a reduction in risk of major complications in ERPs in either analysis.…”