ERAS and patient reported outcomes in thoracic surgery: a review of current data.

Autor:	Medbery RL; Section of General Thoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA., Fernandez FG; Section of General Thoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA., Khullar OV; Section of General Thoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	Journal of thoracic disease [J Thorac Dis] 2019 Apr; Vol. 11 (Suppl 7), pp. S976-S986.
DOI:	10.21037/jtd.2019.04.08
Abstrakt:	Quality-focused, cost-effective, patient-centered care is at the forefront of current healthcare reform. Recent data show that enhanced recovery after surgery (ERAS) results in improved surgical outcomes and decreased hospital costs. As a result, ERAS has been widely accepted among multiple surgical subspecialties as a modality for increasing the value of healthcare delivered to our patients. While this objective data is convincing for practitioners and administrators alike, how ERAS directly impacts the patient experience is unclear. Patient reported outcomes (PRO) are starting to drive patterns of healthcare delivery and influence surgical decision-making. In order to improve surgical outcomes and deliver patient-centered care, it is imperative that clinicians start reviewing objective metrics contained within morbidity and mortality data alongside subjective data regarding patients' experience. This article reviews the current data surrounding both ERAS and PROs within thoracic surgery and investigates how the two concepts are ultimately related. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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