Improvement of Outcome by Implementation of Enhanced Recovery Pathway in Gynecologic/ Oncology Surgery

Sarhan, Abdel Magid Mahmoud; Dayem, Hussein Mohammed Abdel; Abdelrahman, Heba Mohamed Fathy; Elnaem, Radwa Atef Ameen

doi:10.21608/ejhm.2021.156458

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…On other hand, the results are contrary to Sarhan et al (2021) who stated that, mean ±SD of age was higher in both studied groups which distributed as 51.25 ± 16.1 and 56.55 ± 11.94 years in the study and control groups, respectively. In the researchers’ point of view, the little observed difference in the current study findings and the other studies could be attributed to the variations in sample size and its selection criteria.…”

Section: Discussioncontrasting

confidence: 99%

“…The findings of the current research were supported by Sarhan et al (2021) who reported that, the mean length of hospital stay was 38.29 ± 4.95 h in the study group and 68.44 ± 6.5 h in the control group with significant difference between the two groups. This finding is also similar to Sibbern et al (2017) who studied “Patients’ experiences of enhanced recovery after surgery” founded that more than half of the studied women stayed from 1 to 3 days in hospital compared to the control group with 4–5 days mean duration of hospitalization, the study group was significantly shorter than those in control group.…”

Section: Discussionsupporting

confidence: 83%

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Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

Ibrahim

Abdelfattah

2023

SAGE Open Nursing

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Background Enhanced recovery after surgery protocol is a standardized, multidisciplinary approach for shorter hospital stay without negatively affecting patient outcomes. The aim of this research was to evaluate the effect of enhanced recovery after surgery protocol on postoperative outcomes of women undergoing abdominal hysterectomy. Design A quasi-experimental design was adopted to fulfil the aim of this research. Setting The research was conducted at Obstetric and Gynecological Department in Benha University Hospital. Sample A purposive sample of 148 women undergoing abdominal hysterectomy divided into two groups. Data collection Three tools were used: Tool (I) structured questionnaire sheet. Tool (II) post-operative pain assessment scale (numerical rating scale). Tool (III) post-operative outcomes assessment sheet. Results There was a highly statistically significant difference between the studied groups regarding all postoperative outcomes ( p = .000). The women in the study group experienced less mean score of pain compared to those in control group on both 2nd and 3rd day after surgery. Also, there was a statistically significant difference between the studied groups regarding postoperative complication and readmission ( p = .000). Conclusion Women undergoing abdominal hysterectomy who received enhanced recovery after surgery protocol had better postoperative outcomes than women who received routine perioperative care.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 83%

Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

Ibrahim

Abdelfattah

2023

SAGE Open Nursing

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“…There were challenges in adhering to the recommended protocols (n = 5) (19,21,27,28,30). Limitations in research design and methodologies compromising the ability to generate strong evidence were acknowledged (n = 3) (27)(28)(29). A lack of trained staff (n = 2) (21,23), patient education (n = 1) (28), and multidisciplinary collaboration (n = 3) (22,28,30), were also reported as challenges to optimize ERAS effectiveness.…”

Section: B Reportedmentioning

confidence: 99%

“…The reported clinical outcomes of ERAS implementation include a reduction in hospital length of stay (n = 12) (16, 17,19-22, 24, 25, 28-31), lower mortality rates (n = 3)(17,19, 26), lower pain scores and improved pain management (n = 7)(20)(21)(22)(26)(27)(28)(29), and a decrease in hospital re-admissions (n = 2)(19, 28). Implementation was also associated with a decrease in morbidity (n = 6)(17,20, 26, 28,30,31), and an increase in early mobility (n = 4)(22,(26)(27)(28).…”

mentioning

confidence: 99%

A Scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa

Kifle,

Kenna,

Daniel

et al. 2024

Preprint

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Background Enhanced Recovery After Surgery (ERAS) is a patient-centered approach to surgery designed to reduce stress responses and facilitate faster recovery. ERAS protocols have been widely adopted in high-income countries, supported by robust research demonstrating improved patient outcomes. However, in Africa, there is limited evidence regarding its implementation. This review aims to identify the existing literature on the implementation of ERAS principles in Africa, the reported clinical outcomes, and the challenges and recommendations for successful implementation. Methods We conducted a librarian-assisted literature search of electronic research databases between October and November 2023. Titles and abstracts were screened for eligibility, duplicates were then removed, followed by full-text assessment of potentially eligible studies. We utilized the summative content analysis method to synthesize and group the data into fewer categories based on agreed-upon criteria. Descriptive statistics were used to describe the results. Results The search identified 342 potential studies resulting in 15 eligible studies for inclusion in the review. The publication years ranged from 2016 to 2023. The studies originated from three countries: Egypt (n = 10), South Africa (n = 4), and Uganda (n = 1). Successful implementation was associated with reduced hospital length of stay (n = 12), lower mortality rates (n = 3), and improved pain outcomes (n = 7). Challenges included protocol adherence (n = 5) and limitations in research design to generate strong evidence (n = 3). Recommendations included formal adoption of ERAS principles (n = 5), the need for a sustained research commitment, and exploration of the applicability of ERAS in diverse surgical contexts (n = 8). Large-scale implementation beyond individual institutions was encouraged for further validation of its impact on patient outcomes and healthcare costs (n = 1). Conclusions Despite the limited number of studies on ERAS implementation in Africa, the available evidence suggests that it reduces the length of hospital stays and mortality rates. This is crucial for the region, given its higher mortality rates, necessitating more collaborative, methodically well-designed studies to establish stronger evidence for ERAS in lower resource environments.

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A scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa

Kifle,

Kenna,

Daniel

et al. 2024

Perioper Med

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Background Enhanced Recovery After Surgery (ERAS) is a patient-centered approach to surgery designed to reduce stress responses and facilitate faster recovery. ERAS protocols have been widely adopted in high-income countries, supported by robust research demonstrating improved patient outcomes. However, in Africa, there is limited evidence regarding its implementation. This review aims to identify the existing literature on the implementation of ERAS principles in Africa, the reported clinical outcomes, and the challenges and recommendations for successful implementation. Methods We conducted a librarian-assisted literature search of electronic research databases between October and November 2023. Titles and abstracts were screened for eligibility, and duplicates were then removed, followed by full-text assessment of potentially eligible studies. We utilized the summative content analysis method to synthesize and group the data into fewer categories based on agreed-upon criteria. Descriptive statistics were used to describe the results. Results The search identified 342 potential studies resulting in 15 eligible studies for inclusion in the review. The publication years ranged from 2016 to 2023. The studies originated from three countries: Egypt (n = 10), South Africa (n = 4), and Uganda (n = 1). Successful implementation was associated with reduced hospital length of stay (n = 12), lower mortality rates (n = 3), and improved pain outcomes (n = 7). Challenges included protocol adherence (n = 5) and limitations of the research design to generate strong evidence (n = 3). Recommendations included formal adoption of ERAS principles (n = 5), the need for sustained research commitment, and exploration of the applicability of ERAS in diverse surgical contexts (n = 8). Large-scale implementation beyond individual institutions was encouraged to further validate its impact on patient outcomes and healthcare costs (n = 1). Conclusions Despite the limited number of studies on ERAS implementation in Africa, the available evidence suggests that it reduces the length of hospital stays and mortality rates. This is crucial for the region, given its higher mortality rates, necessitating more collaborative, methodically well-designed studies to establish stronger evidence for ERAS in lower-resource environments.

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Improvement of Outcome by Implementation of Enhanced Recovery Pathway in Gynecologic/ Oncology Surgery

Cited by 3 publications

References 22 publications

Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

A Scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa

A scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa

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