Effect of an Enhanced Recovery After Surgery Program on Opioid Use and Patient-Reported Outcomes.

ABSTRACT:

Objective

To investigate the effect of an enhanced recovery after surgery (ERAS) program on perioperative outcomes with an emphasis on opioid consumption and patient-reported outcomes in the immediate and extended postoperative periods.

Methods

We initiated our ERAS program as part of a quality improvement initiative in November 2014. We compared clinical outcomes among a cohort of 607 women undergoing open gynecologic surgery before or after implementation of ERAS. For 293 patients, patient-reported outcomes were compared using the MD Anderson Symptom Inventory-Ovarian Cancer.

Results

Median age was 58 years (range 18-85 years). Median length of stay decreased by 25% for patients in the ERAS pathway (P<.001). Overall, patients in the ERAS group had a 72% reduction in

SUBMITTER: Meyer LA 

PROVIDER: S-EPMC6245646 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature