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Implementation of an Enhanced Recovery After Spine Surgery program at a large cancer center: a preliminary analysis.
Grasu, Roxana M; Cata, Juan P; Dang, Anh Q; Tatsui, Claudio E; Rhines, Laurence D; Hagan, Katherine B; Bhavsar, Shreyas; Raty, Sally R; Arunkumar, Radha; Potylchansky, Yury; Lipski, Ian; Arnold, Benjamin A; McHugh, Thomas M; Bird, Justin E; Rodriguez-Restrepo, Andrea; Hernandez, Mike; Popat, Keyuri U.
Afiliação
  • Grasu RM; Departments of1Anesthesiology and Perioperative Medicine.
  • Cata JP; Departments of1Anesthesiology and Perioperative Medicine.
  • Dang AQ; 5Anesthesiology and Surgical Oncology Research Group, The University of Texas MD Anderson Cancer Center, Houston, Texas; and.
  • Tatsui CE; Departments of1Anesthesiology and Perioperative Medicine.
  • Rhines LD; 2Neurosurgery.
  • Hagan KB; 2Neurosurgery.
  • Bhavsar S; Departments of1Anesthesiology and Perioperative Medicine.
  • Raty SR; Departments of1Anesthesiology and Perioperative Medicine.
  • Arunkumar R; Departments of1Anesthesiology and Perioperative Medicine.
  • Potylchansky Y; Departments of1Anesthesiology and Perioperative Medicine.
  • Lipski I; Departments of1Anesthesiology and Perioperative Medicine.
  • Arnold BA; Departments of1Anesthesiology and Perioperative Medicine.
  • McHugh TM; Departments of1Anesthesiology and Perioperative Medicine.
  • Bird JE; Departments of1Anesthesiology and Perioperative Medicine.
  • Rodriguez-Restrepo A; 3Orthopedic Oncology, and.
  • Hernandez M; 6Department of Surgery, The University of Arizona, Tucson, Arizona.
  • Popat KU; 4Biostatistics, and.
J Neurosurg Spine ; 29(5): 588-598, 2018 Nov 01.
Article em En | MEDLINE | ID: mdl-30117797
ABSTRACT
This study describes the implementation of a multimodal, multidisciplinary, evidence-based ERAS program in oncologic spine surgery, identifies and measures several relevant postoperative recovery outcomes, and demonstrates the feasibility and potential benefit of the program in improving analgesia and decreasing opioid consumption. The study underscores the importance of defining and capturing meaningful, patient-specific, and patient-reported outcomes, and constant evaluation and monitoring of a group's compliance with the program. The study represents the steppingstone for evaluation and improvement of a young ERAS program for spine surgery and serves as a roadmap for further initiatives and larger-scale studies.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças da Coluna Vertebral / Recuperação de Função Fisiológica / Manejo da Dor / Analgésicos Opioides / Tempo de Internação Tipo de estudo: Observational_studies / Prognostic_studies / Sysrev_observational_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças da Coluna Vertebral / Recuperação de Função Fisiológica / Manejo da Dor / Analgésicos Opioides / Tempo de Internação Tipo de estudo: Observational_studies / Prognostic_studies / Sysrev_observational_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2018 Tipo de documento: Article