P162 ENHANCED RECOVERY PROTOCOL COMPLIANCE AND CLINICAL OUTCOMES IN ESOPHAGECTOMY FOR CANCER: DESIGN OF A MEASURING INSTRUMENT. (23rd November 2019)

• Record Type: Journal Article
• Authors: Moons, J; Lerut, T; Van, Achterberg T; Depypere, L; Nafteux, P
• Is Part Of: Diseases of the esophagus. Volume 32(2019)Supplement 2
• Publication Date: 2019-11-23
• Subjects: Esophagus -- Diseases -- Periodicals; 616.32
• DOI: 10.1093/dote/doz092.162
• Languages: English
• ISSNs: 1120-8694

Abstract

Abstract: Objectives: Success of an enhanced recovery program (ERP) is not easily measured/quantified. Can a newly developed measuring instrument help to determine compliance and thus success of an ERP? Methods: From the introduction of our ERP (May 2017), 200 consecutive potential curative esophagectomies for cancer were reviewed. A newly developed instrument with 12 prospectively recorded benchmarks was used to measure compliance. Each patient was scored for all benchmarks, reflecting how well the protocol-timeline was followed. A mean score of ≥70% of all benchmarks in a patient is considered compliant with the ERP-protocol. Results: Sixty-three percent (125/200) of the patients were compliant (Fig1A). Compliance to the ERP showed significant beneficial effects on clinical outcomes: the comprehensive complications index was significantly lower in the compliant group compared to the not-compliant group: 22.6 versus 43.3; p<0.0001. This resulted in a significant lower median (IQR) length of stay between both groups: 9 (8-10) days versus 14 (11-22) days; p<0.0001. Some of the benchmarks showed a direct relation to individual complications, e.g. the percentage of pneumonias is correlated to the benchmark 'active mobilization on postoperative day1' (Fig1B) Conclusion: Higher compliance to the ERP protocol helps to reduce postoperative complications and thus shortens the postoperative hospital stay.