Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery
Abstract Evidence‐based enhanced recovery after surgery (ERAS) programs aim to improve patient outcomes and shorten hospital stays. The objective of this study is to describe the development, implementation, and evolution of an ERAS protocol to optimize the perioperative management for patients unde...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-12-01
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| Series: | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1016/j.wjorl.2021.04.004 |
| _version_ | 1811299627600707584 |
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| author | Stephanie Flukes Ilya Laufer Jennifer Cracchiolo Eliza Geer Andrew L. Lin Jess Brallier Van Tsui Anoushka Afonso Viviane Tabar Marc A. Cohen |
| author_facet | Stephanie Flukes Ilya Laufer Jennifer Cracchiolo Eliza Geer Andrew L. Lin Jess Brallier Van Tsui Anoushka Afonso Viviane Tabar Marc A. Cohen |
| author_sort | Stephanie Flukes |
| collection | DOAJ |
| description | Abstract Evidence‐based enhanced recovery after surgery (ERAS) programs aim to improve patient outcomes and shorten hospital stays. The objective of this study is to describe the development, implementation, and evolution of an ERAS protocol to optimize the perioperative management for patients undergoing endoscopic skull base surgery for pituitary tumors. A systematic review of the literature was performed, best practices were discussed with stakeholders, and institutional guidelines were established and implemented. Key performance indicators (KPI) were measured and patient‐reported outcome surveys were collected. The ERAS protocol was introduced successfully at our institution. We describe the process of initiation of the program and the perioperative management of our patients. We demonstrated the feasibility of integration of ERAS protocols for pituitary tumors with multidisciplinary engagement, with a particular emphasis on the use of data informatics and metrics to monitor outcomes. We expect that this approach will translate to improved quality of care for these often‐complex patients. |
| first_indexed | 2024-04-13T06:38:38Z |
| format | Article |
| id | doaj.art-b57577ff2cd94048b60e6a6a78fd0ff6 |
| institution | Directory Open Access Journal |
| issn | 2095-8811 2589-1081 |
| language | English |
| last_indexed | 2024-04-13T06:38:38Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| spelling | doaj.art-b57577ff2cd94048b60e6a6a78fd0ff62022-12-22T02:57:49ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112589-10812022-12-018433033810.1016/j.wjorl.2021.04.004Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgeryStephanie Flukes0Ilya Laufer1Jennifer Cracchiolo2Eliza Geer3Andrew L. Lin4Jess Brallier5Van Tsui6Anoushka Afonso7Viviane Tabar8Marc A. Cohen9Head and Neck Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York NY USADepartment of Neurosurgery Memorial Sloan Kettering Cancer Center New York NY USAHead and Neck Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York NY USAMultidisciplinary Pituitary and Skull Base Tumor Center Memorial Sloan Kettering Cancer Center New York NY USAMultidisciplinary Pituitary and Skull Base Tumor Center Memorial Sloan Kettering Cancer Center New York NY USADepartment of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Anesthesiology and Critical Care Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Neurosurgery Memorial Sloan Kettering Cancer Center New York NY USAHead and Neck Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York NY USAAbstract Evidence‐based enhanced recovery after surgery (ERAS) programs aim to improve patient outcomes and shorten hospital stays. The objective of this study is to describe the development, implementation, and evolution of an ERAS protocol to optimize the perioperative management for patients undergoing endoscopic skull base surgery for pituitary tumors. A systematic review of the literature was performed, best practices were discussed with stakeholders, and institutional guidelines were established and implemented. Key performance indicators (KPI) were measured and patient‐reported outcome surveys were collected. The ERAS protocol was introduced successfully at our institution. We describe the process of initiation of the program and the perioperative management of our patients. We demonstrated the feasibility of integration of ERAS protocols for pituitary tumors with multidisciplinary engagement, with a particular emphasis on the use of data informatics and metrics to monitor outcomes. We expect that this approach will translate to improved quality of care for these often‐complex patients.https://doi.org/10.1016/j.wjorl.2021.04.004Enhanced recovery after surgeryEndoscopic skull base surgeryPituitary surgeryOutcomes improvement |
| spellingShingle | Stephanie Flukes Ilya Laufer Jennifer Cracchiolo Eliza Geer Andrew L. Lin Jess Brallier Van Tsui Anoushka Afonso Viviane Tabar Marc A. Cohen Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery World Journal of Otorhinolaryngology-Head and Neck Surgery Enhanced recovery after surgery Endoscopic skull base surgery Pituitary surgery Outcomes improvement |
| title | Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| title_full | Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| title_fullStr | Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| title_full_unstemmed | Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| title_short | Integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| title_sort | integration of an enhanced recovery after surgery program for patients undergoing pituitary surgery |
| topic | Enhanced recovery after surgery Endoscopic skull base surgery Pituitary surgery Outcomes improvement |
| url | https://doi.org/10.1016/j.wjorl.2021.04.004 |
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