Prehabilitation in an ERAS program for endometrial cancer patients: impact on post-operative recovery
| Autor: | Ester Miralpeix, Berta Fabregó, Cristina Rodriguez-Cosmen, Josep-Maria Solé-Sedeño, Sonia Gayete, David Jara-Bogunya, Marta Corcoy, Gemma Mancebo |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | International Journal of Gynecologic Cancer. 33:528-533 |
| ISSN: | 1525-1438 1048-891X |
| Popis: | ObjectivesEnhanced recovery after surgery (ERAS) and prehabilitation programs are multidisciplinary care pathways that aim to reduce stress response and improve perioperative outcomes. However, literature is limited regarding the impact of ERAS and prehabilitation in gynecologic oncology surgery. The aim of this study was to assess the impact of implementing an ERAS and prehabilitation program on post-operative outcomes of endometrial cancer patients undergoing laparoscopic surgery.MethodsWe evaluated consecutive patients undergoing laparoscopy for endometrial cancer that followed ERAS and the prehabilitation program at a single center. A pre-intervention cohort that followed the ERAS program alone was identified. The primary outcome was length of stay, and secondary outcomes were normal oral diet restart, post-operative complications and readmissions.ResultsA total of 128 patients were included: 60 patients in the ERAS group and 68 patients in the prehabilitation group. The prehabilitation group had a shorter length of hospital stay of 1 day (pConclusionsThe integration of ERAS and a prehabilitation program in endometrial cancer patients undergoing laparoscopy significantly reduced hospital stay and time to first oral diet as compared with ERAS alone, without increasing overall complications or the readmissions rate. |
| Databáze: | OpenAIRE |
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