San Diego, CA USA (UroToday.com) An interesting poster was presented in the epidemiology and evaluation session at the AUA 2016 evaluating outcomes, compliance, and barriers to adoption for a new protocol of enhanced recovery after radical cystectomy. Dr Jacob Groenendyk reminded all that Enhanced Recovery after Surgery (ERAS) protocols can improve patient outcomes and decrease length of stay after complex surgery.
The authors sought to describe the implementation process, barriers to adoption, compliance, and outcomes associated with a new ERAS protocol for radical cystectomy. The authors implemented their new protocol on 111 patients undergoing radical cystectomy between March 2014 and June 2015. The protocol included 35 points of intervention in the preoperative, perioperative and postoperative periods (e.g. heparin, alvimopan and ertapenem administration). These interventions were grouped into 12 points of compliance (e.g. holding area conduct and timing of antibiotic administration). Compliance was calculated for the overall period (80 weeks).logistic regression was used to assess whether compliance increased or decreased over time. The authors concluded that complying with the protocol required multidisciplinary and team work and is very challenging. Furthermore, the compliance did not always improve over time (7 out of the 12 points of compliance showed decreased compliance over time.
Presented By: Jacob Groenendyk, MD
Written By: Miki Haiffler, MD, Fox Chase Cancer Center, Philadelphia, PA. at the 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA