The Effectiveness of a Clinical Pathway in Liver Surgery: a Case-Control Study
| Autor: | Hans Pottel, Sander Ovaere, Isabelle Boscart, Mathieu D'Hondt, Pieter Jan Steelant, I. Parmentier, Junior Allewaert, Franky Vansteenkiste, Tino Gabriel |
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| Rok vydání: | 2017 |
| Předmět: |
Liver surgery
Male medicine.medical_specialty Cost-Benefit Analysis 030230 surgery Patient Readmission Perioperative Care 03 medical and health sciences 0302 clinical medicine Patient satisfaction Clinical pathway Postoperative Complications Internal medicine medicine Hepatectomy Humans Tumor location Hospital Costs Aged business.industry Liver Neoplasms Gastroenterology Case-control study Length of Stay Middle Aged Readmission rate Patient Satisfaction 030220 oncology & carcinogenesis Case-Control Studies Cost analysis Critical Pathways Surgery Observational study Female business |
| Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 22(4) |
| ISSN: | 1873-4626 |
| Popis: | In the field of liver surgery, evidence on the effectiveness of clinical pathways based on ERAS principles is limited. This is a single-center observational study from a prospectively maintained database. Two cohorts were formed of all patients undergoing liver surgery during a defined period before (traditional management) and after introduction of a clinical pathway. Additionally, a case-match analysis—based on approach, tumor location, and Brisbane classification of resection—was performed. A cost analysis and patient satisfaction questionnaire were carried out. In both the overall analysis (n = 229) as well as the case-match analysis (n = 100), hospital stay was significantly reduced from 8 to 4 days and from 6.5 to 4 days, respectively (p |
| Databáze: | OpenAIRE |
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