@article{JTD24446,
author = {Michel Gonzalez and Etienne Abdelnour-Berchtold and Jean Yannis Perentes and Valérie Doucet and Mathieu Zellweger and Carlos Marcucci and Hans-Beat Ris and Thorsten Krueger and Fabrizio Gronchi},
title = {An enhanced recovery after surgery program for video-assisted thoracoscopic surgery anatomical lung resections is cost-effective},
journal = {Journal of Thoracic Disease},
volume = {10},
number = {10},
year = {2018},
keywords = {},
abstract = {Background: Enhanced recovery after surgery (ERAS) programs have been reported to decrease complications and shorten hospital stays after lung resections, but their implementation requires time and financial investment with dedicated staff. The aim of this study was to evaluate the clinical and economic outcomes of video-assisted thoracoscopic surgery (VATS) anatomical pulmonary resections before and after implementation of an ERAS program.
Methods: The first 50 consecutive patients undergoing VATS lobectomy or segmentectomy for malignancy after implementation of an ERAS program were compared with 50 consecutive patients treated before its introduction. The ERAS protocol included preoperative counseling, reduced preoperative fasting with concomitant carbohydrate loading, avoidance of premedication, standardized surgery, anesthesia and postoperative analgesia, early removal of chest tube, nutrition and mobilization. Length of stay, readmissions and cardio-pulmonary complications within 30 days were compared. Total costs were collected for each patient and a cost-minimization analysis integrating ERAS-specific costs was performed.
Results: Both groups were similar in terms of demographics and surgical characteristics. The ERAS group had significantly shorter postoperative length of stay (median: 4 vs. 7 days, P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/24446}
}