ArticleInternational journal of colorectal disease2023
Adherence to fast track measures in colorectal surgery-a survey among German and Austrian surgeons.
Article in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Practice Guideline: Recommendations for the Perioperative Management of Pancreatic and Colorectal Cancer Patients.Deutsches Arzteblatt international · 2024Guideline
- The Dissemination of Standardised Care Protocol Guidelines for High-Risk Emergency Abdominal Surgery Patients in Denmark.Acta anaesthesiologica Scandinavica · 2026Article
- [Evaluation of Multimodal Perioperative Care Pathway Supported by a Patient-facing Mobile App in Colorectal Surgery - First Clinical Experience and Patient Satisfaction].Zentralblatt fur Chirurgie · 2026Observational
- Implementation of an Enhanced Recovery After Surgery (ERAS) Pathway Is Associated with Improved Short-Term Outcomes After Colorectal Surgery: A Retrospective Bi-Centre Study.Journal of clinical medicine · 2026Article
- Adherence to an enhanced recovery protocol in colorectal surgery before and during a structured implementation - a prospective cohort study from nine German hospitals.Innovative surgical sciences · 2026Article
- Cost Saving Analysis of an Enhanced Recovery After Surgery (ERAS) Program for Elective Colorectal Surgery in an ERAS Qualified and Training Center.World journal of surgery · 2025Article
- RE: Comment on: "Implementing a no-drain policy for extraperitoneal colorectal anastomosis in a real-life setting: analysis of outcomes and surgeons' adherence".International journal of colorectal disease · 2024Article
- Comment on "Implementing a no‑drain policy for extraperitoneal colorectal anastomosis in a real‑life setting: analysis of outcomes and surgeons' adherence".International journal of colorectal disease · 2024Article
- Bowel preparation for elective colorectal resection: multi-treatment machine learning analysis on 6241 cases from a prospective Italian cohort.International journal of colorectal disease · 2024Article
- Oral Antibiotics Alone versus Oral Antibiotics Combined with Mechanical Bowel Preparation for Elective Colorectal Surgery: A Propensity Score-Matching Re-Analysis of the iCral 2 and 3 Prospective Cohorts.Antibiotics (Basel, Switzerland) · 2024Article
- [Structured implementation of fast-track pathways to enhance recovery after elective colorectal resection : First results from five German hospitals].Chirurgie (Heidelberg, Germany) · 2024Article
- Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort.BJS open · 2024Article
- Mechanical bowel preparation in elective colorectal surgery: a propensity score-matched analysis of the Italian colorectal anastomotic leakage (iCral) study group prospective cohorts.Updates in surgery · 2024Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe effectiveness of modern perioperative treatment concepts has been demonstrated in several studies and meta-analyses. Despite good evidence, limited implementation of the fast track (FT) concept is still a widespread concern. To assess the status quo in Austrian and German hospitals, a survey on the implementation of FT measures was conducted among members of the German Society of General and Visceralsurgery (DGAV), the German Society of Coloproctology (DGK) and the Austrian Society of Surgery (OEGCH) to analyze where there is potential for improvement.
methodsTwenty questions on perioperative care of colorectal surgery patients were sent to the members of the DGAV, DGK and OEGCH using the online survey tool SurveyMonkey
resultsWhile some of the FT measures have already been routinely adopted in clinical practice (e.g. minimally invasive surgical approach, early mobilization and diet buildup), for other components there are discrepancies between current recommendations and present implementation (e.g. the use of local nerve blocks to provide opioid-sparing analgesia or the use of abdominal drains).
conclusionThe implementation of the FT concept in Austria and Germany is still in need of improvement. Particularly regarding the use of abdominal drains and postoperative analgesia, there is a tendency to stick to traditional structures. To overcome the issues with FT implementation, the development of an evidence-based S3 guideline for perioperative care, followed by the founding of a surgical working group to conduct a structured education and certification process, may lead to significant improvements in perioperative patient care.
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