ArticleInternational journal of colorectal disease2013
The effect of a clinical pathway for enhanced recovery of rectal resections on perioperative quality of care.
Article in International journal of colorectal disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Overall readmissions and readmissions related to dehydration after creation of an ileostomy: a systematic review and meta-analysis.Techniques in coloproctology · 2022Pooled it
- A cost comparison between patients undergoing robotic colorectal surgery with and without a clinical pathway.Cost effectiveness and resource allocation : C/E · 2026Article
- [Initial experiences with the implementation of the enhanced recovery after surgery (ERAS®) protocol].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Article
- Implementation of day of surgery admission for rectal cancer surgery in Ireland following a national centralisation programme.Irish journal of medical science · 2019Article
- Clinical Pathways For Pancreatic Surgery: Are They A Suitable Instrument For Process Standardization To Improve Process And Outcome Quality Of Patients Undergoing Distal And Total Pancreatectomy? - A Retrospective Cohort Study.Therapeutics and clinical risk management · 2019Article
- Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method.BMJ quality & safety · 2019Article
- Preoperative hypoalbuminemia is an independent risk factor for increased high-grade morbidity after elective rectal cancer resection.International journal of colorectal disease · 2017Article
- DRUGS System Improving the Effects of Clinical Pathways: A Systematic Study.Journal of medical systems · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is ample evidence of the benefits of clinical pathways (CPs), but this study is the first to investigate the potential additional benefits of a CP for rectal resections in a setting with an already established policy of enhanced postoperative recovery.
methodsWe compared 36 patients who underwent rectal resections with ileostomy placement and were treated according to a CP (CP group) with 67 patients treated before CP implementation (prepathway group). Indicators of process quality were placement of central venous line and epidural catheter, day of removal of Foley catheter in relation to removal of the epidural catheter, day of first mobilization, day of resumption of regular diet, day of first passage of stool through the stoma, and length of stay. Outcome quality was assessed by morbidity, mortality, reoperation, and readmission rates.
resultsWe found that patients in the CP group resumed regular diet significantly sooner (p = 0.001). There were no significant differences regarding the day of first mobilization (p = 0.69), epidural catheter (p = 0.74), central venous line placement (p = 0.92), and removal of Foley catheter (p = 0.23). The first stool was passed through the stoma earlier (p = 0.04) in the prepathway group. Median length of hospital stay was significantly shorter in the CP group (12.5 vs. 15.0 days; p = 0.008). There were no significant changes in outcome quality, except for a significantly higher need for revisional surgery in the CP group (13.9 vs. 3%, p = 0.05).
conclusionsAfter implementation of a CP for rectal resections, one parameter of process quality improved and length of stay decreased.
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