Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study
Abstract Introduction Enhanced recovery after surgery (ERAS) is a patient‐centerd, evidence‐based approach to improve postoperative outcomes. The protocol involves multidisciplinary collaboration and standardisation of perioperative interventions. ERAS has shown positive results in reducing hospital...
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Wiley
2024-11-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.438 |
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| author | Waseem Ashraf Arif Hamid Sajad Ahmad Malik Rouf Khawaja Sajad Ahmad Para Mohammad Saleem Wani Saqib Mehdi |
| author_facet | Waseem Ashraf Arif Hamid Sajad Ahmad Malik Rouf Khawaja Sajad Ahmad Para Mohammad Saleem Wani Saqib Mehdi |
| author_sort | Waseem Ashraf |
| collection | DOAJ |
| description | Abstract Introduction Enhanced recovery after surgery (ERAS) is a patient‐centerd, evidence‐based approach to improve postoperative outcomes. The protocol involves multidisciplinary collaboration and standardisation of perioperative interventions. ERAS has shown positive results in reducing hospitalisation and complications. Methods The study conducted in the Department of Urology was a retro‐prospective study. It included an ERAS cohort group of 47 patients, studied prospectively from May 2021 to May 2023. These patients were compared to a historical cohort of 47 consecutive patients who underwent radical cystectomy with traditional care before the ERAS pathway was implemented. The primary outcome was hospital length of stay (LOS). Secondary outcomes included perioperative management, time to recovery milestones and complications. Results Implementation of ERAS pathway for radical cystectomy was associated with reduced hospital LOS (mean LOS 16.19 ± 2.53 days vs. 10.26 ± 3.33 days 7 days; p < 0.0001), reduced time to key recovery milestones, including days to first flatus (3.17 vs. 2.68; p = 0.013) and days to first solid food (5.19 vs. 3.45 p value < 0.0001), first stool (5.53 vs. 4.23; p < 0.0001), reductions in some complications like postoperative ileus (p value = 0.021) and need for total parental nutrition (p value = 0.023). Conclusion In conclusion, the implementation of the integrated approach facilitates a more efficient recovery process, potentially reducing healthcare costs and enhancing patient comfort. |
| format | Article |
| id | doaj-art-1825c21d36584091a9fa12b6c4623086 |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-1825c21d36584091a9fa12b6c46230862025-01-22T02:21:03ZengWileyBJUI Compass2688-45262024-11-015111183119410.1002/bco2.438Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective studyWaseem Ashraf0Arif Hamid1Sajad Ahmad Malik2Rouf Khawaja3Sajad Ahmad Para4Mohammad Saleem Wani5Saqib Mehdi6MCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaMCh Scholar Department of Urology and Renal Transplant Sher‐i‐Kashmir Institute of Medical Sciences Srinagar Kashmir IndiaAbstract Introduction Enhanced recovery after surgery (ERAS) is a patient‐centerd, evidence‐based approach to improve postoperative outcomes. The protocol involves multidisciplinary collaboration and standardisation of perioperative interventions. ERAS has shown positive results in reducing hospitalisation and complications. Methods The study conducted in the Department of Urology was a retro‐prospective study. It included an ERAS cohort group of 47 patients, studied prospectively from May 2021 to May 2023. These patients were compared to a historical cohort of 47 consecutive patients who underwent radical cystectomy with traditional care before the ERAS pathway was implemented. The primary outcome was hospital length of stay (LOS). Secondary outcomes included perioperative management, time to recovery milestones and complications. Results Implementation of ERAS pathway for radical cystectomy was associated with reduced hospital LOS (mean LOS 16.19 ± 2.53 days vs. 10.26 ± 3.33 days 7 days; p < 0.0001), reduced time to key recovery milestones, including days to first flatus (3.17 vs. 2.68; p = 0.013) and days to first solid food (5.19 vs. 3.45 p value < 0.0001), first stool (5.53 vs. 4.23; p < 0.0001), reductions in some complications like postoperative ileus (p value = 0.021) and need for total parental nutrition (p value = 0.023). Conclusion In conclusion, the implementation of the integrated approach facilitates a more efficient recovery process, potentially reducing healthcare costs and enhancing patient comfort.https://doi.org/10.1002/bco2.438bladder tumourERASradical cystectomy |
| spellingShingle | Waseem Ashraf Arif Hamid Sajad Ahmad Malik Rouf Khawaja Sajad Ahmad Para Mohammad Saleem Wani Saqib Mehdi Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study BJUI Compass bladder tumour ERAS radical cystectomy |
| title | Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study |
| title_full | Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study |
| title_fullStr | Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study |
| title_full_unstemmed | Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study |
| title_short | Integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour—A retroprospective study |
| title_sort | integrated enhanced recovery after surgery protocol in radical cystectomy for bladder tumour a retroprospective study |
| topic | bladder tumour ERAS radical cystectomy |
| url | https://doi.org/10.1002/bco2.438 |
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