Results of the Implementation of the Enhanced Recovery Program in Coloproctology

AIM. Evaluation of the results of the implementation of ERP in practice. MATERIALS AND METHODS. Two consecutive series of patients were analyzed. The first cohort was recruited in 2013-2015 (n=124), the second - in 2015-2017 (n=152). Patients were randomized into groups with traditional management and ERP. The postoperative complications, length of stay (LOS) and program adherence were estimated. RESULTS. There was no difference in complication rate in first and second series, and between groups. The postoperative length of stay in the first cohort of patients with ERP was 4.7±0.1, in the second - 5.8±0.2 days (p=0.0003). Age and comorbidity rate did not affect the outcomes of treatment. The factor associated with doctor was significant in terms of discharge. The postoperative LOSin patients with traditional management decreased from 9±0,6 to 7,8±0,3 (p=0,046) with implementation of ERP. CONCLUSION. ERP reduces the postoperative length of stay and does not affect the postoperative complications. This Protocol is doctor-dependent. The implementation of ERP improves the results of treatment for all patients in the clinic.