ArticleJournal of thoracic disease2016
Enhanced recovery pathway for thoracic surgery in the UK.
Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The trial behind it
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
24 citing papers in PubMed.
- Enhanced recovery after video-assisted thoracoscopic surgery lobectomy: a prospective, historically controlled, propensity-matched clinical study.Canadian journal of surgery. Journal canadien de chirurgie · 2020Trial
- Near Misses as Signals of System Vulnerability in Thoracic Surgery: A Narrative Review on Quality Improvement and Patient Safety.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Evaluation of an integrated care program for thoracic surgery in Ontario, Canada: a historical cohort study.BMC health services research · 2025Article
- Review
- Cost-consequence analysis of the enhanced recovery after surgery protocol in major lung resection with minimally invasive technique (VATS).Frontiers in surgery · 2024Article
- The impact of an enhanced recovery after surgery pathway for video-assisted and robotic-assisted lobectomy on surgical outcomes and costs: a retrospective single-center cohort study.Journal of robotic surgery · 2023Article
- Enhanced recovery after surgery (ERASJournal of thoracic disease · 2021Article
- Standardization of Procedures to Contain Cost and Reduce Variability of Care After the Pandemic.Frontiers in surgery · 2021Review
- Enhanced recovery after surgery: adherence and outcomes in elderly patients undergoing VATS lobectomy.General thoracic and cardiovascular surgery · 2020Article
- Non-intubated uniportal VATS surgery is feasible approach.Journal of thoracic disease · 2020Article
- Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019Article
- Enhanced recovery after surgery pathways in thoracic surgery, do they end at discharge?Annals of translational medicine · 2019Article
- ERAS and patient reported outcomes in thoracic surgery: a review of current data.Journal of thoracic disease · 2019Review
- Tubeless thoracic surgery: ready for prime time?Journal of thoracic disease · 2019Article
- Anesthesia and enhanced recovery in subxiphoid video-assisted thoracoscopic surgery.Journal of thoracic disease · 2018Review
- Pathophysiological mechanism of post-lobectomy air leaks.Journal of thoracic disease · 2018Article
- Enhanced recovery after surgery protocols in video-assisted thoracic surgery lobectomies: the best is yet still to come?Journal of thoracic disease · 2018Article
- Enhanced recovery pathways in thoracic surgery: the Quebec experience.Journal of thoracic disease · 2018Article
- Enhanced recovery pathways in thoracic surgery: the Shanghai experience.Journal of thoracic disease · 2018Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced recovery (ER) refers to a combination of perioperative interventions designed to minimise the impact of surgery on patients' recovery in order to reduce postoperative complications and to allow an early discharge reducing hospital costs.
methodsAn ER protocol was established at our institution following a review of the best evidence available. We introduced a multi-disciplinary integrated perioperative pathway by engaging with every person involved, including the patients themselves. The programme was monitored using specifically-designed patients related outcome measures (PROMs).
resultsOne-hundred and fifty-four ER patients were compared with 171 controls from the year before ER was introduced. There was an 80% increase in same-day admissions, with a net gain of more than 300 patient bed-days. The ER group had a significantly higher number of procedures performed by video assisted thoracoscopic surgery (VATS) (ER, 32.9% vs. 9.4%, P=0.0001) and a lower rate of admission to the intensive care unit (ER, 5.8% versus 12.9%, P=0.04). Patients on the ER programme had a significantly reduced postoperative length of stay (mean ER, 5.2 vs. 11.7 days, P<0.0001). Patient satisfaction was higher in the ER group after a patient survey. The project resulted in a net saving of £214,000 for the Trust for the 2013/2014 financial year. We were also able to increase the number of patients who underwent thoracic surgery in 2013/2014 by 30% (159 patients) compared with 2012/2013.
conclusionsThe ER pathway has proven to be a safe perioperative management strategy to improve patient satisfaction and to reduce the length of hospital stay and cost after major thoracic surgery, without increasing morbidity or mortality.
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