Key result
Enhanced recovery after surgery pathway cuts median stay ~45% in vaginal hysterectomy.
Why the study?
The cost effectiveness of Enhanced Recovery After Surgery programmes in benign vaginal surgery remains unclear.
Does an enhanced recovery pathway reduce perioperative expenditure in women undergoing vaginal hysterectomy?
Case-Control (n=90)
No
Does an enhanced recovery pathway reduce perioperative expenditure in women undergoing vaginal hysterectomy?
Absolute Event Rate: 23.5% vs 42.9%
p-value: p=<0.05
Implementing an enhanced recovery pathway for vaginal hysterectomy is cost-effective, reducing length of stay and saving £164.86 per patient without increasing morbidity.
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Perioperative cost data in vaginal hysterectomy warrant cautious interpretation; leaves open ERAS cost-effectiveness in benign vaginal surgery.
Relph et al. (2013) conducted a case-control in Vaginal hysterectomy (n=90). Enhanced recovery after surgery programme vs. Standard care prior to implementation was evaluated on Median length of stay (hours) (p=<0.05). An enhanced recovery after surgery programme for vaginal hysterectomy significantly reduced median length of stay (23.5 vs. 42.9 hours, p<0.05) and yielded a 15.2% cost saving per patient.
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