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April 30, 2021The Medicine ForumOpen Access

Implementation of an enhanced recovery protocol in gynecologic oncology

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Why the study?

Does an ERAS protocol reduce narcotic usage in women undergoing exploratory laparotomy in gynecologic oncology?

Population

724 women who underwent an exploratory laparotomy from 2011 to 2016 for both benign and malignant etiologies…

Comparison

Enhanced Recovery after Surgery (ERAS) protocol vs Traditional perioperative care (non-ERAS cohort)

Design

Cohort

Follow-up

30 days

Authors

TJTanvi JoshiSBShaina F. BruceRGRod Grim

Discussion

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Overview

ERAS was associated with reduced postoperative narcotic use; leaves open whether randomized trials will confirm benefits and safety in gynecologic oncology laparotomy.

Structured PICO

Does an ERAS protocol reduce narcotic usage in women undergoing exploratory laparotomy in gynecologic oncology?

P
Population
724 women who underwent an exploratory laparotomy from 2011 to 2016 for both benign and malignant etiologies by gynecologic oncologists (excluding those who underwent a bowel resection)
I
Intervention
Enhanced Recovery after Surgery (ERAS) protocol
C
Comparator
Traditional perioperative care (non-ERAS cohort)
O
Outcome
Narcotic usage (measured as oral morphine milliequivalents [MMEs])

Implementation of an ERAS protocol in gynecologic oncology significantly reduces postoperative narcotic use and length of stay without increasing complications or readmissions.

Cite This Study

Joshi et al. (2021) studied this question.

synapsesocial.com/papers/6a76b6cf0c6965f1a01e60b9https://doi.org/10.1016/j.gore.2021.100771
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