Skip to main content

Abstract

Despite improvements in surgical and anesthetic techniques, a significant proportion of patients experience complications after major gastrointestinal surgery, there is significant variability in care processes and outcomes between practitioners, full patient functional recovery requires weeks or months, even after ambulatory surgery, and costs of care continue to rise without resulting in better population health. Achieving higher value care for patients, defined as health outcomes that matter to patients achieved per dollar spent, must become the goal.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Schilling PL, Dimick JB, Birkmeyer JD. Prioritizing quality improvement in general surgery. J Am Coll Surg. 2008;207:698ā€“704.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  2. Lassen K, Hannemann P, Ljungqvist O, Fearon K, Dejong CH, von Meyenfeldt MF, Hausel J, Nygren J, Andersen J, Revhaug A. Enhanced Recovery After Surgery Group Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries. BMJ. 2005;330(7505):1420ā€“1.

    ArticleĀ  PubMed CentralĀ  PubMedĀ  Google ScholarĀ 

  3. Lassen K, Dejong CH, Ljungqvist O, Fearon K, Andersen J, Hannemann P, von Meyenfeldt MF, Hausel J, Nygren J, Revhaug A. Nutritional support and oral intake after gastric resection in five northern European countries. Dig Surg. 2005;22(5):346ā€“52.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  4. Cohen ME, Bilimoria KY, Ko CY, Richards K, Hall BL. Variability in length of stay after colorectal surgery: assessment of 182 hospitals in the National Surgical Quality Improvement Program. Ann Surg. 2009;250(6):901ā€“7.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  5. Feldman LS, Kaneva P, Demyttenaere S, Carli F, Fried GM, Mayo NE. Validation of a physical activity questionnaire (CHAMPS) as an indicator of postoperative recovery after laparoscopic cholecystectomy. Surgery. 2009;146(1):31ā€“9.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  6. Lawrence VA, Hazuda HP, Cornell JE, et al. Functional independence after major abdominal surgery in the elderly. JACS. 2004;199(5):762ā€“72.

    Google ScholarĀ 

  7. Tran TT, Kaneva P, Mayo NE, Fried GM, Feldman LS. Short stay surgery: what really happens after discharge? Surgery. 2014;156(1):20ā€“7.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  8. Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477ā€“81.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  9. Feldman LS, Fiore Jr J, Lee L. What outcomes are important in assessment of Enhanced Recovery After Surgery (ERAS) Pathways? Can J Anaesth. 2015;62(2):120ā€“30.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  10. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg. 2002;183:630ā€“41.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  11. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189ā€“98.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  12. Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, McNaught CE, MacFie J, Liberman AS, Soop M, Hill A, Kennedy RH, Lobo DN, Fearon K, Ljungqvist O. Enhanced Recovery After Surgery Society. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERASĀ®) Society recommendations. Clin Nutr. 2012;31(6):783ā€“800.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  13. Nygren J, Thacker J, Carli F, Fearon KC, Norderval S, Lobo DN, Ljungqvist O, Soop M, Ramirez J. Enhanced Recovery After Surgery (ERAS) Society, for Perioperative Care; European Society for Clinical Nutrition and Metabolism (ESPEN); International Association for Surgical Metabolism and Nutrition (IASMEN) Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERASĀ®) Society recommendations. World J Surg. 2013;37(2):285ā€“305.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  14. Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, SchƤfer M, Parks RW, Fearon KC, Lobo DN, Demartines N, Braga M, Ljungqvist O, Dejong CH. ERASĀ® Society; European Society for Clinical Nutrition and Metabolism; International Association for Surgical Metabolism and Nutrition Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERASĀ®) Society recommendations. Clin Nutr. 2012;31(6):817ā€“30.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  15. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011;104(12):510ā€“20.

    ArticleĀ  PubMed CentralĀ  PubMedĀ  Google ScholarĀ 

  16. Zhuang CL, Ye XZ, Zhang XD, Chen BC, Yu Z. Enhanced recovery after surgery programs versus traditional care for colorectal surgery: a meta-analysis of randomized controlled trials. Dis Colon Rectum. 2013;56(5):667ā€“78.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  17. Coolsen MME, van Dam RM, van der Wilt AA, Slim K, Lassen K, Dejong CHC. Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies. World J Surg. 2013;37(8):1909ā€“18.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  18. Dorcaratto D, Grande L, Pera M. Enhanced recovery in gastrointestinal surgery: upper gastrointestinal surgery. Dig Surg. 2013;30:70ā€“8.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  19. Nicholson A, Lowe MC, Parker J, Lewis SR, Alderson P, Sith AF. Systematic review and meta-analysis of enhanced recovery programmes in surgical patients. Br J Surg. 2014;101(3):172ā€“88.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  20. Zaouter C, Kaneva P, Carli F. Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia. Reg Anesth Pain Med. 2009;34(6):542ā€“8.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  21. Maessen JM, Hoff C, Jottard K, et al. To eat or not to eat: facilitating early oral intake after elective colonic surgery in the Netherlands. Clin Nutr. 2009;28(1):29ā€“3.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  22. Basse L, Jakobsen DH, Billesbolle P, Werner M, Kehlet H. A clinical pathway to accelerate recovery after colonic resection. Ann Surg. 2000;232(1):51ā€“7.

    ArticleĀ  PubMed CentralĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  23. Maessen J, Dejong CH, Hausel J, Nygren J, Lassen K, Andersen J, Kessels AG, Revhaug A, Kehlet H, Ljungqvist O, Fearon KC, von Meyenfeldt MF. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br J Surg. 2007;94(2):224ā€“31.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  24. Lee L, Li C, Landry T, Latimer E, Carli F, Fried GM, Feldman LS. A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery. Ann Surg. 2014;259(4):670ā€“6.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  25. Lee L, Mata J, Augustin B, Ghitulescu G, Boutros M, Charlebois P, Stein B, Liberman AS, Fried GM, Morin N, Carli F, Latimer E, Feldman LS. Cost-effectiveness of enhanced recovery versus conventional perioperative management for colorectal surgery. Ann Surg 2014 Nov 3 [Epub ahead of print].

    Google ScholarĀ 

  26. Ferri LE, Feldman LS, Stanbridge DD, Fried GM. Patient perception of a clinical pathway for laparoscopic foregut surgery. J Gastrointest Surg. 2006;10:878ā€“82.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  27. Carli F, Charlebois P, Baldini G, Cachero O, Stein B. An integrated multidisciplinary approach to implementation of a fast-track program for laparoscopic colorectal surgery. Can J Anesth. 2009;56(11):837ā€“42.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  28. Abou-Haidar H, Abourbih S, Barganza D, Al Qaoud T, Lee L, Carli F, Watson D, Aprikian AG, Tanguay S, Feldman LS, Kassouf W. Enhanced recovery pathway for radical prostatectomyā€”implementation and evaluation. Can Urol Assoc J. 2014;8(11ā€“12):418ā€“23.

    PubMed CentralĀ  PubMedĀ  Google ScholarĀ 

  29. Li C, Ferri LE, Mulder DS, Ncuti A, Neville A, Lee L, Kaneva PP, Watson D, Vassiliou M, Carli F, Feldman LS. An enhanced recovery pathway decreases duration of stay after esophagectomy. Surgery. 2012;152(4):606ā€“16.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  30. Kolozsvari NO, Capretti G, Kaneva P, Neville A, Carli F, Liberman S, Charlebois P, Stein B, Vassiliou MC, Fried GM, Feldman LS. Impact of an enhanced recovery program on short-term outcomes after scheduled laparoscopic colon resection. Surg Endosc. 2013;27(1):133ā€“8.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  31. Madani A, Bejjani J, Wang Y, Sivakumaran L, Fiore J Jr, Mata J, Mulder DS, Sirois C, Ferri LE, Feldman LS. An enhanced recovery pathway reduces duration of stay and morbidity after lung resection. Submitted to Surgery, Mar 2015.

    Google ScholarĀ 

  32. Lee L, Li C, Ferri LE, Mulder DS, Ncuti A, Carli F, Zowell H, Feldman LS. Economic impact of an enhanced recovery pathway for oesophagectomy. BJS. 2013;100(10):1326ā€“34.

    ArticleĀ  CASĀ  Google ScholarĀ 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

Ā© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Feldman, L.S. (2015). Introduction to Enhanced Recovery Programs: A Paradigm Shift in Perioperative Care. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERASĀ® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-20364-5_1

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics