Implementation of a perioperative multimodal rehabilitation protocol in elective colorectal surgery. A prospective randomised controlled study

Cost Impact Analysis of Enhanced Recovery after Surgery Program Implementation in Alberta Colon Cancer Patients

“…That observation partly explains why the cost saving attributable to eras implementation was higher for the non-cancer patients than for the cancer patients in the present study. In addition, colon cancer patients are typically more likely to require open surgeries, as noted in our study and reported in randomized controlled trials [20][21][22][23] , translating into longer los and therefore a lower cost saving. A fuller economic evaluation, evaluating the economic impact of eras both on the colorectal experience and on other surgery types (as the approach is scaled) is forthcoming.…”

Effects of a nutritional intervention in a fast-track program for a colorectal cancer surgery: systematic review

“…The mean age of the included patients was between 16 and 94 years (5,8), except one of them (16) that had a small group of children of 10 years, whom were not considered in this revision and only adults were included in the review. Men were more predominant within 18 (66.6%) of the studies (10)(11)(12)(13)(14)(17)(18)(19)(20)22,23,(25)(26)(27)(28)(29)(30)(31) and there was no mention about sex proportion in 2 (7.4%) works (6,8). Most of the studies proposed 2 groups, the intervention group (fast-track, G-FT) and the control group (traditional, G-T), only in 2 works 4 groups were designed (22,28) (Table I).…”

“…The assessment of the nutritional status was performed in 13 (48.1%) studies (8,9,(11)(12)(13)(14)18,21,22,26,(28)(29)(30) generally in the preoperative stage, body mass index (BMI) was used in 7 (53.8%) occasions (8,9,11,12,14,18,26) data was reported mostly by medians and interquartile range being the G-FT groups between 17 and 38.8 kg/m 2 and the G-T groups between 17 and 56.8 kg/ m 2 . Only one author (11.1%) used the subjective global assessment (SGA) (21) of patients nutritional status with which he found a higher number of moderately malnourished in G-FT (47.0%) versus a (7%) in G-T, in both groups was observed (7.0%) of severe malnourished.…”

“…A colorectal surgery was performed in all studies, technique wasn't specified in 7 of them (6,11,12,15,24,29,31), others described an open surgery (7,9,14,(16)(17)(18)(19)(20)25,30), a laparoscopic procedure (5,10,13,26,27) and both techniques were used in another occasions (21,22,28).…”

“…In the postoperative phase liquid intake was permit in different times; immediately after surgery (12,14,19,22,31), from the 1 st POD (7,11,23,28), from the second POD (10,13,18,20), until patients tolerance (16), resolution of ileus or the passage of first flatulence (5,6,15,17,21,(24)(25)(26)(27)29), or depending on the attending surgeon (8,9) (Table I).…”