The authors reviewed 40 patients who underwent RC under an ERAS protocol and 40 patients under conservative management at the Hôtel-Dieu de Québec between 2016 and 2017.
When comparing both groups (Figure 1), POI rates were higher in the ERAS group (57.5 vs. 47.5%). Slightly more patients underwent nasogastric tube insertion in the ERAS group (52.5% vs. 45%, p=0.6549). Use of TPN was less frequent in the ERAS group (27.5 vs. 37.5%; p=0.4743). However, median TPN duration was greater in the ERAS group compared to the control (13 vs. 6 days). Within a week from RC, 65% of ERAS patients tolerated oral nutrition compared to 52.5% of control patients (p=0.4978). Median LOS, complication, and readmission rates were similar in both groups.
The small number of patients in this study is a significant limitation, affecting the results, that demonstrate no significant improvements in outcomes in patients under ERAS protocols for RC. Larger studies comparing these two managements strategies should be performed to fully assess whether ERAS leads to improved outcomes of RC patients.
Figure 1 – Comparison of post-operative ileus, nasogastric tube and total parental nutrition use in both groups:
Presented By: Fugaru Ioana, Universite Laval, Quebec, Canada
Written By: Hanan Goldberg, MD, Urologic Oncology Fellow (SUO), University of Toronto, Princess Margaret Cancer Centre, Twitter: @GoldbergHanan at the 73rd Canadian Urological Association Annual Meeting - June 23 - 26, 2018 - Halifax, Nova Scotia
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