Decreasing Length of Stay After Colectomy

The Role for Enhanced Recovery Pathways

Sarah Popek, Anthony Senagore

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Health care in the United States has seen a shift during the past decade toward evidencebased treatment and cost containment. One variable used as a surrogate for quality and effective care in colorectal surgery is length of stay (LOS). With the advent of enhanced recovery protocols (ERPs) and increasing use of laparoscopy, the LOS after colectomy has undergone considerable reduction during the past decade. The ERP targets 5 key areas within preoperative, intraoperative, and postoperative care: preoperative patient counseling; preservation of gastrointestinal function; minimizing organ dysfunction; opioid-sparing pain control; and maintaining patient autonomy. Adoption of ERP in combination with laparoscopy has been shown to consistently decrease LOS by 2 days.

Original languageEnglish (US)
Pages (from-to)178-183
Number of pages6
JournalSeminars in Colon and Rectal Surgery
Volume23
Issue number4
DOIs
StatePublished - Dec 2012
Externally publishedYes

Fingerprint

Colectomy
Length of Stay
Laparoscopy
Intraoperative Care
Preoperative Care
Colorectal Surgery
Cost Control
Postoperative Care
Quality of Health Care
Health Care Costs
Opioid Analgesics
Counseling
Delivery of Health Care
Pain

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Decreasing Length of Stay After Colectomy : The Role for Enhanced Recovery Pathways. / Popek, Sarah; Senagore, Anthony.

In: Seminars in Colon and Rectal Surgery, Vol. 23, No. 4, 12.2012, p. 178-183.

Research output: Contribution to journalArticle

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