Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series

<i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materi...
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Gespeichert in:

Autor*in:	Gabriele Tulone [verfasserIn] Nicola Pavan [verfasserIn] Alberto Abrate [verfasserIn] Ettore Dalmasso [verfasserIn] Piero Mannone [verfasserIn] Davide Baiamonte [verfasserIn] Sofia Giannone [verfasserIn] Rosa Giaimo [verfasserIn] Marco Vella [verfasserIn] Carlo Pavone [verfasserIn] Riccardo Bartoletti [verfasserIn] Vincenzo Ficarra [verfasserIn] Alchiede Simonato [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer

Übergeordnetes Werk:	In: Medicina - MDPI AG, 2016, 58(2022), 9, p 1234
Übergeordnetes Werk:	volume:58 ; year:2022 ; number:9, p 1234

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/medicina58091234

Katalog-ID:	DOAJ005631483

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allfields	10.3390/medicina58091234 doi (DE-627)DOAJ005631483 (DE-599)DOAJc1d7f9fc93d34d4393f508d69d53e289 DE-627 ger DE-627 rakwb eng R5-920 Gabriele Tulone verfasserin aut Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes. enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General) Nicola Pavan verfasserin aut Alberto Abrate verfasserin aut Ettore Dalmasso verfasserin aut Piero Mannone verfasserin aut Davide Baiamonte verfasserin aut Sofia Giannone verfasserin aut Rosa Giaimo verfasserin aut Marco Vella verfasserin aut Carlo Pavone verfasserin aut Riccardo Bartoletti verfasserin aut Vincenzo Ficarra verfasserin aut Alchiede Simonato verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1234 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1234 https://doi.org/10.3390/medicina58091234 kostenfrei https://doaj.org/article/c1d7f9fc93d34d4393f508d69d53e289 kostenfrei https://www.mdpi.com/1648-9144/58/9/1234 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1234
spelling	10.3390/medicina58091234 doi (DE-627)DOAJ005631483 (DE-599)DOAJc1d7f9fc93d34d4393f508d69d53e289 DE-627 ger DE-627 rakwb eng R5-920 Gabriele Tulone verfasserin aut Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes. enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General) Nicola Pavan verfasserin aut Alberto Abrate verfasserin aut Ettore Dalmasso verfasserin aut Piero Mannone verfasserin aut Davide Baiamonte verfasserin aut Sofia Giannone verfasserin aut Rosa Giaimo verfasserin aut Marco Vella verfasserin aut Carlo Pavone verfasserin aut Riccardo Bartoletti verfasserin aut Vincenzo Ficarra verfasserin aut Alchiede Simonato verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1234 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1234 https://doi.org/10.3390/medicina58091234 kostenfrei https://doaj.org/article/c1d7f9fc93d34d4393f508d69d53e289 kostenfrei https://www.mdpi.com/1648-9144/58/9/1234 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1234
allfields_unstemmed	10.3390/medicina58091234 doi (DE-627)DOAJ005631483 (DE-599)DOAJc1d7f9fc93d34d4393f508d69d53e289 DE-627 ger DE-627 rakwb eng R5-920 Gabriele Tulone verfasserin aut Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes. enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General) Nicola Pavan verfasserin aut Alberto Abrate verfasserin aut Ettore Dalmasso verfasserin aut Piero Mannone verfasserin aut Davide Baiamonte verfasserin aut Sofia Giannone verfasserin aut Rosa Giaimo verfasserin aut Marco Vella verfasserin aut Carlo Pavone verfasserin aut Riccardo Bartoletti verfasserin aut Vincenzo Ficarra verfasserin aut Alchiede Simonato verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1234 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1234 https://doi.org/10.3390/medicina58091234 kostenfrei https://doaj.org/article/c1d7f9fc93d34d4393f508d69d53e289 kostenfrei https://www.mdpi.com/1648-9144/58/9/1234 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1234
allfieldsGer	10.3390/medicina58091234 doi (DE-627)DOAJ005631483 (DE-599)DOAJc1d7f9fc93d34d4393f508d69d53e289 DE-627 ger DE-627 rakwb eng R5-920 Gabriele Tulone verfasserin aut Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes. enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General) Nicola Pavan verfasserin aut Alberto Abrate verfasserin aut Ettore Dalmasso verfasserin aut Piero Mannone verfasserin aut Davide Baiamonte verfasserin aut Sofia Giannone verfasserin aut Rosa Giaimo verfasserin aut Marco Vella verfasserin aut Carlo Pavone verfasserin aut Riccardo Bartoletti verfasserin aut Vincenzo Ficarra verfasserin aut Alchiede Simonato verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1234 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1234 https://doi.org/10.3390/medicina58091234 kostenfrei https://doaj.org/article/c1d7f9fc93d34d4393f508d69d53e289 kostenfrei https://www.mdpi.com/1648-9144/58/9/1234 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1234
allfieldsSound	10.3390/medicina58091234 doi (DE-627)DOAJ005631483 (DE-599)DOAJc1d7f9fc93d34d4393f508d69d53e289 DE-627 ger DE-627 rakwb eng R5-920 Gabriele Tulone verfasserin aut Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes. enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General) Nicola Pavan verfasserin aut Alberto Abrate verfasserin aut Ettore Dalmasso verfasserin aut Piero Mannone verfasserin aut Davide Baiamonte verfasserin aut Sofia Giannone verfasserin aut Rosa Giaimo verfasserin aut Marco Vella verfasserin aut Carlo Pavone verfasserin aut Riccardo Bartoletti verfasserin aut Vincenzo Ficarra verfasserin aut Alchiede Simonato verfasserin aut In Medicina MDPI AG, 2016 58(2022), 9, p 1234 (DE-627)354543296 (DE-600)2088820-X 16489144 nnns volume:58 year:2022 number:9, p 1234 https://doi.org/10.3390/medicina58091234 kostenfrei https://doaj.org/article/c1d7f9fc93d34d4393f508d69d53e289 kostenfrei https://www.mdpi.com/1648-9144/58/9/1234 kostenfrei https://doaj.org/toc/1010-660X Journal toc kostenfrei https://doaj.org/toc/1648-9144 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2022 9, p 1234
language	English
source	In Medicina 58(2022), 9, p 1234 volume:58 year:2022 number:9, p 1234
sourceStr	In Medicina 58(2022), 9, p 1234 volume:58 year:2022 number:9, p 1234
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer Medicine (General)
isfreeaccess_bool	true
container_title	Medicina
authorswithroles_txt_mv	Gabriele Tulone @@aut@@ Nicola Pavan @@aut@@ Alberto Abrate @@aut@@ Ettore Dalmasso @@aut@@ Piero Mannone @@aut@@ Davide Baiamonte @@aut@@ Sofia Giannone @@aut@@ Rosa Giaimo @@aut@@ Marco Vella @@aut@@ Carlo Pavone @@aut@@ Riccardo Bartoletti @@aut@@ Vincenzo Ficarra @@aut@@ Alchiede Simonato @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	354543296
id	DOAJ005631483
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callnumber-first	R - Medicine
author	Gabriele Tulone
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topic_title	R5-920 Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series enhanced recovery after surgery outcomes ERAS radical cystectomy bladder cancer
topic	misc R5-920 misc enhanced recovery after surgery misc outcomes misc ERAS misc radical cystectomy misc bladder cancer misc Medicine (General)
topic_unstemmed	misc R5-920 misc enhanced recovery after surgery misc outcomes misc ERAS misc radical cystectomy misc bladder cancer misc Medicine (General)
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title	Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series
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title_full	Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series
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author_browse	Gabriele Tulone Nicola Pavan Alberto Abrate Ettore Dalmasso Piero Mannone Davide Baiamonte Sofia Giannone Rosa Giaimo Marco Vella Carlo Pavone Riccardo Bartoletti Vincenzo Ficarra Alchiede Simonato
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title_sort	preliminary results of eras protocol in a single surgeon prospective case series
callnumber	R5-920
title_auth	Preliminary Results of ERAS Protocol in a Single Surgeon Prospective Case Series
abstract	<i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes.
abstractGer	<i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes.
abstract_unstemmed	<i<Background and Objectives</i<: The aim was to compare the intra and postoperative outcomes between the Enhanced Recovery After Surgery (ERAS) protocol versus the standard of care protocol (SCP) in patients who underwent radical cystectomy performed by a single surgeon. <i<Materials and Methods:</i< A retrospective comparative study was conducted including patients who underwent radical cystectomy from 2017 to 2020. Length of stay (LOS), incidence of ileus, early postoperative complications, and number of re-hospitalizations within 30 days were considered as primary comparative outcomes of the study. <i<Results:</i< Data were collected for 91 patients who underwent cystectomy, and 70 and 21 patients followed the SCP and ERAS protocol, respectively. The mean age of the patients was 70.6 (SD 9.5) years. Although there was a statistically significant difference in time to flatus (TTF) [3 (2.7–3) vs. 1 (1–2 IQR) days, <i<p</i< < 0.001, in the SC hospital and in the ERAS center respectively], no difference was reported in time to first defecation (TTD) [5 (4–6) vs. 4 (3–5.8), <i<p</i< = 0.086 respectively]. The median LOS in the SCP group was 12 (IQR 11–13) days vs. 9 (IQR 8–13 <i<p</i< = 0.024). In the postoperative period, patients reported 22 complications (37% in SCP and 42.8% in ERAS group, <i<p</i< = 0.48). <i<Conclusions:</i< The study reveals how even partial adherence to the ERAS protocols leads to similar outcomes when compared to SCP. As a single surgeon series, our study confirmed the role of surgeons in reducing complications and improving surgical outcomes.
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