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- W2998005320 abstract "Background: Implementation of ERAS program after pancreaticoduodenectomy was associated with decreased length of hospital stay (LOS) without compromising morbidity. However, there were only retrospective uncontrolled study and care protocols were heterogeneous. We aimed to evaluate the impact of ERAS program on post-operative outcomes after pancreatectomy through a prospective controlled study. Methods: A before/after study with a contemporary control group was undertaken in patients undergoing pancreatectomy. ERAS program was implemented in the intervention hospital in September, 1st 2013, while the control hospital managed patients according traditional care. A difference-in-differences approach was used to evaluate whether implementation of ERAS program was associated with improved post operative outcomes. Results: Respectively, 97 and 75 patients were included in intervention and control hospital. In multivariate analysis, implementation of ERAS was associated with a significantly shorten LOS (HR=1.61; 95% CI, 1.07-2.44) and higher compliance rate (OR = 1.34; 95% CI, 1.18–1.53). Difference-in-differences analysis revealed a non significant trend in favor of ERAS program with shorten LOS (RHR 1.18, 95% CI 0.62-2.23), higher compliance rate (ROR 1.22; 95% CI 0.97-1.54), morbidity and readmission rate remain stable. Conclusion: Implementation of ERAS program was safe and effective in patients undergoing pancreatectomy with high compliance rate. LOS was significantly reduced without compromising morbidity." @default.
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- W2998005320 date "2019-01-01" @default.
- W2998005320 modified "2023-10-18" @default.
- W2998005320 title "Implementation of enhanced recovery program after surgery (ERAS) in patients undergoing pancreatectomy: a controlled before and after study" @default.
- W2998005320 doi "https://doi.org/10.1016/j.hpb.2019.10.568" @default.
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