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• W3211004590 abstract "<h3>Objectives</h3> This study evaluates compliance with Enhanced Recovery After Surgery (ERAS) protocol for open gynecologic oncologic surgery at a tertiary center and relationship between levels of compliance and perioperative outcomes. <h3>Methods</h3> Our retrospective cohort study included 1879 patients between November 2014 and December 2020. Two groups were identified based on compliance level (<80% versus ≥80%). Our primary outcomes were 30-day readmission, reoperation, length of stay, and postoperative complications. We also assessed compliance with each ERAS item over time (P1: 2014–2016, P2: 2017–2018, P3: 2019–2020) categorizing patients according to date of surgery. Values were compared between P3 and P1. Multivariable logistic regression analyses were performed to evaluate associations between high compliance and perioperative outcomes. <h3>Results</h3> Overall compliance was 74% (95%, CI 71.9–78.2). Compliance with ERAS >80% was associated with lower Clavien-Dindo grades II (OR 0.74, 95%CI 0.59–0.93), III (OR 0.55, 95%CI 0.33–0.93), and V (OR 0.08, 95%CI 0.01–0.60) complication rates, readmission rates (OR 0.61; 95%CI 0.43–0.88) and shorter length of stay (OR 0.59; 95%CI 0.47–0.75). Preoperatively, there was increased adherence to counseling (50%, p=0.01), optimization (21%, p=0.02), and carbohydrate-loading (74%, p=0.02). Intraoperatively, use of short-acting anesthetics and adherence to avoiding abdominal drainage (7%, p=0.04) increased. Compliance with goal directed fluid therapy (16%, p=0.04) and normothermia (8%, p=0.03) decreased. Postoperatively, there was increased compliance with avoiding saltwater overload (8%, p=0.02) and multimodal analgesia (5%, p=0.02). <h3>Conclusions</h3> Compliance (>80%) with ERAS is associated with lower complication rates, 30-day readmissions, and shorter length of stay without impacting reoperation rates and postoperative opioid use." @default.
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• W3211004590 date "2021-11-01" @default.
• W3211004590 modified "2023-10-12" @default.
• W3211004590 title "EPV259/#288 Patient outcomes and adherence to an enhanced recovery pathway for open gynecologic oncology surgery: a 5-year single center experience" @default.
• W3211004590 doi "https://doi.org/10.1136/ijgc-2021-igcs.330" @default.
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