Enhanced Recovery Pathways in Gynecology and Gynecologic Oncology

Emma L. Barber*, Linda Van Le

*Corresponding author for this work

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

Importance Enhanced recovery programs (ERPs) are considered standard of care across a variety of surgical disciplines, but ERPs have not been widely adopted in gynecology. Objective The aim of this study was to describe ERP principles and the role of ERPs in gynecology and gynecologic oncology. Evidence Acquisition Comprehensive literature search was performed using MEDLINE, the Cochrane Collaboration Database, and PubMed. Results Meta-analyses of a substantial number of randomized controlled trials have shown that implementation of ERP protocols is associated with decreased length of hospital stay, a decrease in rates of postoperative complication, decreased morbidity, and cost savings while preserving patient satisfaction and quality of life. Conclusions and Relevance High-quality evidence exists for improved outcomes among patients in ERPs. Enhanced recovery programs save resources and costs across the health care system. As quality metrics and bundled payments increase in health care, ERPs will have increasing prominence. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner will be better able to specify the key components of enhanced recovery protocols, explain the rationale and benefit of enhanced recovery protocols across all surgical disciplines, and discuss the current body of evidence regarding enhanced recovery protocols in gynecology and gynecologic oncology patients.

Original languageEnglish (US)
Pages (from-to)780-792
Number of pages13
JournalObstetrical and Gynecological Survey
Volume70
Issue number12
DOIs
StatePublished - Dec 1 2015

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Gynecology
Length of Stay
Delivery of Health Care
Cost Savings
Family Physicians
Standard of Care
Patient Satisfaction
PubMed
MEDLINE
Meta-Analysis
Randomized Controlled Trials
Quality of Life
Learning
Databases
Morbidity
Costs and Cost Analysis

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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title = "Enhanced Recovery Pathways in Gynecology and Gynecologic Oncology",
abstract = "Importance Enhanced recovery programs (ERPs) are considered standard of care across a variety of surgical disciplines, but ERPs have not been widely adopted in gynecology. Objective The aim of this study was to describe ERP principles and the role of ERPs in gynecology and gynecologic oncology. Evidence Acquisition Comprehensive literature search was performed using MEDLINE, the Cochrane Collaboration Database, and PubMed. Results Meta-analyses of a substantial number of randomized controlled trials have shown that implementation of ERP protocols is associated with decreased length of hospital stay, a decrease in rates of postoperative complication, decreased morbidity, and cost savings while preserving patient satisfaction and quality of life. Conclusions and Relevance High-quality evidence exists for improved outcomes among patients in ERPs. Enhanced recovery programs save resources and costs across the health care system. As quality metrics and bundled payments increase in health care, ERPs will have increasing prominence. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner will be better able to specify the key components of enhanced recovery protocols, explain the rationale and benefit of enhanced recovery protocols across all surgical disciplines, and discuss the current body of evidence regarding enhanced recovery protocols in gynecology and gynecologic oncology patients.",
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Enhanced Recovery Pathways in Gynecology and Gynecologic Oncology. / Barber, Emma L.; Van Le, Linda.

In: Obstetrical and Gynecological Survey, Vol. 70, No. 12, 01.12.2015, p. 780-792.

Research output: Contribution to journalReview article

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AU - Van Le, Linda

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N2 - Importance Enhanced recovery programs (ERPs) are considered standard of care across a variety of surgical disciplines, but ERPs have not been widely adopted in gynecology. Objective The aim of this study was to describe ERP principles and the role of ERPs in gynecology and gynecologic oncology. Evidence Acquisition Comprehensive literature search was performed using MEDLINE, the Cochrane Collaboration Database, and PubMed. Results Meta-analyses of a substantial number of randomized controlled trials have shown that implementation of ERP protocols is associated with decreased length of hospital stay, a decrease in rates of postoperative complication, decreased morbidity, and cost savings while preserving patient satisfaction and quality of life. Conclusions and Relevance High-quality evidence exists for improved outcomes among patients in ERPs. Enhanced recovery programs save resources and costs across the health care system. As quality metrics and bundled payments increase in health care, ERPs will have increasing prominence. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner will be better able to specify the key components of enhanced recovery protocols, explain the rationale and benefit of enhanced recovery protocols across all surgical disciplines, and discuss the current body of evidence regarding enhanced recovery protocols in gynecology and gynecologic oncology patients.

AB - Importance Enhanced recovery programs (ERPs) are considered standard of care across a variety of surgical disciplines, but ERPs have not been widely adopted in gynecology. Objective The aim of this study was to describe ERP principles and the role of ERPs in gynecology and gynecologic oncology. Evidence Acquisition Comprehensive literature search was performed using MEDLINE, the Cochrane Collaboration Database, and PubMed. Results Meta-analyses of a substantial number of randomized controlled trials have shown that implementation of ERP protocols is associated with decreased length of hospital stay, a decrease in rates of postoperative complication, decreased morbidity, and cost savings while preserving patient satisfaction and quality of life. Conclusions and Relevance High-quality evidence exists for improved outcomes among patients in ERPs. Enhanced recovery programs save resources and costs across the health care system. As quality metrics and bundled payments increase in health care, ERPs will have increasing prominence. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner will be better able to specify the key components of enhanced recovery protocols, explain the rationale and benefit of enhanced recovery protocols across all surgical disciplines, and discuss the current body of evidence regarding enhanced recovery protocols in gynecology and gynecologic oncology patients.

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