Observational studyBMC surgery2017
Enhanced recovery after surgery program in Gynaecologic Oncological surgery in a minimally invasive techniques expert center.
Observational study in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03950011 (Database for Data Collection in the Context of an Enhanced Recovery After Surgery Program in Oncology Surgery), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Database for Data Collection in the Context of an Enhanced Recovery After Surgery Program in Oncology Surgery
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perioperative enhanced recovery programmes for women with gynaecological cancers.The Cochrane database of systematic reviews · 2022Pooled it
- Fast-track surgery applied in gynecological oncological surgical treatment: a prospective randomized trial.African health sciences · 2024Trial
- Minimally Invasive Gynecologic Surgery and Enhanced Recovery and Outcomes: A Literature Review.Cureus · 2025Review
- Ultrasound-guided paravertebral nerve block anesthesia for percutaneous endoscopic laser unroofing treatment of symptomatic simple renal cysts-An innovative ambulatory surgery mode.Asian journal of urology · 2024Article
- Factors Associated with 1-Year Mortality in Elderly Patients (Age ≥ 80 Years) with Cancer Undergoing Major Abdominal Surgery: A Retrospective Cohort Study.Annals of surgical oncology · 2023Article
- Medical staff's perception of factors contributing to accelerated rehabilitation in patients with cervical spinal cord injury: A qualitative research.Nursing open · 2023Article
- Enhanced Recovery after Surgery and Endometrial Cancers: Results from an Initial Experience Focused on Elderly Patients.Cancers · 2023Article
- Article
- Outcomes of Enhanced Recovery after Surgery (ERAS) in Gynecologic Oncology: A Review.Current oncology (Toronto, Ont.) · 2022Review
- New surgical realities: implementation of an enhanced recovery after surgery protocol for gynecological laparoscopy-a prospective study.Perioperative medicine (London, England) · 2021Article
- Systematic review of the effect of implementing enhanced recovery after surgery on selected attributes of surgical recovery in gynecologyTurkish journal of obstetrics and gynecology · 2021Article
- Care as Usual: An Acceptable Strategy to Apply During the COVID-19 Pandemic in a French Tertiary Gynecologic Oncology Department.Frontiers in oncology · 2021Article
- Prediction of early discharge after gynaecological oncology surgery within ERAS.Surgical endoscopy · 2020Article
- Article
- Enhanced Recovery After Surgery (ERAS): New Concepts in the Perioperative Management of Gynecologic Surgery.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced Recovery After Surgery Programs (ERP) includes multimodal approaches of perioperative patient's clinical pathways designed to achieve early recovery after surgery and a decreased length of hospital stay (LOS).
methodsThis observational study evaluated the implementation of ERP in gynaecologic oncological surgery in a minimally invasive techniques (MIT) expert center with more than 85% of procedures done with MIT. We compared a prospective cohort of 100 patients involved in ERP between December 2015 and June 2016 to a 100 patients control group, without ERP, previously managed in the same center between April 2015 and November 2015. All the included patients were referred for hysterectomy and/or pelvic or para-aortic lymphadenectomy for gynaecological cancer. The primary objective was to achieve a significant decrease of median LOS in the ERP group. Secondary objectives were decreases in proportion of patients achieving target LOS (2 days), morbidity and readmissions.
resultsExcept a disparity in oncological indications with a higher proportion of endometrial cancer in the group with ERP vs. the group without ERP (42% vs. 22%; p = 0.003), there were no differences in patient's characteristics and surgical procedures. ERP were associated with decreases of median LOS (2.5 [0 to 11] days vs. 3 [1 to 14] days; p = 0.002) and proportion of discharged patient at target LOS (45% vs. 24%; p = 0.002). Morbidities occurred in 25% and 26% in the groups with and without ERP and readmission rates were respectively of 6% and 8%, without any significant difference.
conclusionERP in gynaecologic oncological surgery is associated with a decrease of LOS without increases of morbidity or readmission rates, even in a center with a high proportion of MIT. Although it is already widely accepted that MIT improves early recovery, our study shows that the addition of ERP's clinical pathways improve surgical outcomes and patient care management.
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