In this study, doctors from England compared patients undergoing colorectal cancer resection within an enhanced recovery program with those receiving conventional care.
There were 60 patients who underwent elective resection within an enhanced recovery program (ERP).
|ERP patients stayed in hospital 49% as long as conventional care patients.|
The program incorporated pre-operative counseling, epidural analgesia, early feeding and mobilization.
The team compared clinical outcomes with 86 prospectively studied historic control patients receiving conventional care.
The patients all completed EORTC QLQ-C30, QLQ-CR38 and health economics questionnaires up to 3 months after surgery.
Baseline clinical data were similar in both groups.
The doctors found that postoperative hospital stay was significantly reduced in the ERP group.
ERP patients stayed in hospital 49% as long as those in the conventional care group, including convalescent hospital stay.
Furthermore, there were no differences in the number of complications, readmissions or re-operations.
Additionally, the team determined that there were no significant differences in quality of life or health economic outcomes.
Dr King's team concluded, "Patients undergoing colorectal resection within an ERP stay in hospital half as long as those receiving conventional care".