Short-term quality of life in patients undergoing colonic surgery using enhanced recovery after surgery program versus conventional perioperative management

Wang, Hao; Zhu, Dongqing; Liang, Li; Ye, Lechi; Qi, Lin; Zhong, Yun‐Shi; Ye, Wei; Li, Ren; Xu, Jianmin; Qin, Xinyu

doi:10.1007/s11136-015-0996-5

Cited by 24 publications

(17 citation statements)

References 31 publications

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“…Wang et al used PROMs to evaluate patient outcomes and short-term quality of life in patients undergoing colonic surgery. 50 Fifty-seven patients were randomized to an ERP and 60 were randomized to conventional care. Using the EORTC QLQ-C30 and EORTC QLQ CR 29 (European organization for research and treatment of cancerquality of life for colorectal cancer questionnaire), they demonstrated that short term quality of life was better in patient in the ERP group on postoperative days 3, 6, 10, 14 and 21.…”

Section: Evaluation Of An Enhanced Recovery Pathwaymentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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Patient-reported outcomes (PROs) are measures of health status that come directly from the patient. PROs are an underutilized tool in the perioperative setting. Enhanced recovery pathways (ERPs) have primarily focused on traditional measures of health care quality such as complications and hospital length of stay. These measures do not capture postdischarge outcomes that are meaningful to patients such as function or freedom from disability. PROs can be used to facilitate shared decisions between patients and providers before surgery and establish benchmark recovery goals after surgery. PROs can also be utilized in quality improvement initiatives and clinical research studies. An expert panel, the Perioperative Quality Initiative (POQI) workgroup, conducted an extensive literature review to determine best practices for the incorporation of PROs in an ERP. This international group of experienced clinicians from North America and Europe met at Stony Brook, NY, on December 2-3, 2016, to review the evidence supporting the use of PROs in the context of surgical recovery. A modified Delphi method was used to capture the collective expertise of a diverse group to answer clinical questions. During 3 plenary sessions, the POQI PRO subgroup presented clinical questions based on a literature review, presented evidenced-based answers to those questions, and developed recommendations which represented a consensus opinion regarding the use of PROs in the context of an ERP. The POQI workgroup identified key criteria to evaluate patient-reported outcome measures (PROMs) for their incorporation in an ERP. The POQI workgroup agreed on the following recommendations: (1) PROMs in the perioperative setting should be collected in the framework of physical, mental, and social domains. (2) These data should be collected preoperatively at baseline, during the immediate postoperative time period, and after hospital discharge. (3) In the immediate postoperative setting, we recommend using the Quality of Recovery-15 score. After discharge at 30 and 90 days, we recommend the use of the World Health Organization Disability Assessment Scale 2.0, or a tailored use of the Patient-Reported Outcomes Measurement Information System. (4) Future study that consistently applies PROMs in an ERP will define the role these measures will have evaluating quality and guiding clinical care. Consensus guidelines regarding the incorporation of PRO measures in an ERP were created by the POQI workgroup. The inclusion of PROMs with traditional measures of health care quality after surgery provides an opportunity to improve clinical care.

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Section: Evaluation Of An Enhanced Recovery Pathwaymentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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“…However, there has been limited research on patients' experiences of accelerated discharge after shortening of post-operative hospital stay [12]. Some studies have included measures of patient satisfaction with enhanced recovery programmes [13,14] and changes in QOL [15]. One study of ERP The final publication is available at Springer via http://dx.doi.org/10.1007/s00520-016-3158-6 4 after liver resection found that the substantial majority of patients rated their satisfaction with perioperative care as "good" or "excellent" both 3 days and 3 months post-discharge [14].…”

Section: Introductionmentioning

confidence: 99%

‘Am I really ready to go home?’: a qualitative study of patients’ experience of early discharge following an enhanced recovery programme for liver resection surgery

Vandrevala

Senior

Spring

et al. 2016

Support Care Cancer

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2 AbstractPurpose: Fast-track surgery or Enhanced Recovery Programmes (ERP) have been shown to improve patient outcomes with shorter post-operative recovery times, fewer complications and more cost-effective care amongst the reported benefits. Traditionally the effectiveness of ERPs have been assessed by measuring clinical outcomes, with the patient experience often being neglected. The aim of this qualitative study was to ascertain patients' expectations and experiences of fast track surgery and recovery at home within the setting of an Enhanced Recovery Programme (ERP).Method: 20 patients enrolled in the treatment group of the randomised controlled trial 'Enhanced recovery in liver resection surgery' were interviewed pre-operatively and 6 weeks post-surgery. Transcripts were analysed using Thematic Analysis.Results: Patients approached the surgery with a sense of renewed hope. Involvement with the ERP was viewed positively and having milestones to aim for gave patients a sense of purpose. Many felt that real recovery from surgery began at home and so felt positive about having an early discharge. Patients did report some concerns about being discharged early and those who failed to meet milestones or were readmitted to hospital experienced this as failure.Conclusions: This qualitative data demonstrates some of the complexities of patients' expectations and experiences of the ERP. Whilst patients generally experience the ERP positively, they also have concerns about the process. The study highlights areas where additional support may be needed for patients enrolled in ERPs and discharged early.Keywords: qualitative research, enhanced recovery programmes, liver cancer, discharge from hospital The final publication is available at Springer via http://dx

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“…In a study that compared ERAS and conventional management in patients undergoing open colon surgery, ERAS patients had faster rehabilitation, decreased hospital LOS, and better shortterm quality of life (physical, emotional, cognitive, and social functioning). 6 In gynecological patients undergoing an ERAS-type pathway, patients reported higher levels of satisfaction with their care. 7,8 The financial models for ERAS protocols also may be favourable because of the reduced hospital LOS and improved surgical outcomes.…”

Section: Adult Evidencementioning

confidence: 99%

Review of the enhanced recovery pathway for children: perioperative anesthetic considerations

George

Koka

Gan

et al. 2017

Can J Anesth/J Can Anesth

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Short-term quality of life in patients undergoing colonic surgery using enhanced recovery after surgery program versus conventional perioperative management

Abstract: Short-term QOL in patients undergoing colonic cancer using ERAS program was better than that using conventional management.

Cited by 24 publications

References 31 publications

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

‘Am I really ready to go home?’: a qualitative study of patients’ experience of early discharge following an enhanced recovery programme for liver resection surgery

Review of the enhanced recovery pathway for children: perioperative anesthetic considerations

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