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Institutional variation in recovery after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: An opportunity for enhanced recovery pathways
- Source :
- Journal of surgical oncologyREFERENCES. 122(5)
- Publication Year :
- 2020
-
Abstract
- BACKGROUND Variations in care have been demonstrated both within and among institutions in many clinical settings. By standardizing perioperative practices, Enhanced Recovery After Surgery (ERAS) pathways reduce variation in perioperative care. We sought to characterize the variation in cytoreductive surgery (CRS)/heated intraperitoneal chemotherapy (HIPEC) perioperative practices among experienced US medical centers. METHODS Data from the US HIPEC Collaborative represents a retrospective multi-institutional cohort study of CRS and CRS/HIPEC procedures performed from 12 major academic institutions. Patient characteristics and perioperative practices were reported and compared. Institutional variation was analyzed using hierarchical mixed-effects linear (continuous outcomes) or logistic (binary outcomes) regression models. RESULTS A total of 2372 operations were included. CRS/HIPEC was performed most commonly for appendiceal histologies (64.2%). The rate of complications (overall 56.3%, range: 31.8-70.9) and readmissions (overall 20.6%, range: 8.9-33.3) varied by institution (P
- Subjects :
- Male
medicine.medical_specialty
Patient characteristics
Hyperthermic Intraperitoneal Chemotherapy
030230 surgery
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Enhanced recovery
Neoplasms
medicine
Humans
Enhanced recovery after surgery
Retrospective Studies
business.industry
General Medicine
Perioperative
Cytoreduction Surgical Procedures
Middle Aged
Treatment Outcome
Oncology
030220 oncology & carcinogenesis
Emergency medicine
Perioperative care
Surgery
Hyperthermic intraperitoneal chemotherapy
Female
Cytoreductive surgery
business
Enhanced Recovery After Surgery
Cohort study
Subjects
Details
- ISSN :
- 10969098
- Volume :
- 122
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of surgical oncologyREFERENCES
- Accession number :
- edsair.doi.dedup.....60b2d716314e901a3f83234609609321