Enhanced recovery after surgery: are we ready, and can we afford not to implement these pathways for patients undergoing radical cystectomy?

Hitendra R H Patel; Yannick Cerantola; Massimo Valerio; Beata Persson; Patrice Jichlinski; Olle Ljungqvist; Martin Hubner; Wassim Kassouf; Stig Müller; Gabriele Baldini; Francesco Carli; Torvind Naesheim; Lars Ytrebo; Arthur Revhaug; Kristoffer Lassen; Tore Knutsen; Erling Aarsaether; Peter Wiklund; James W F Catto

doi:10.1016/j.eururo.2013.10.011

Enhanced recovery after surgery: are we ready, and can we afford not to implement these pathways for patients undergoing radical cystectomy?

Eur Urol. 2014 Feb;65(2):263-6. doi: 10.1016/j.eururo.2013.10.011. Epub 2013 Oct 22.

Authors

Hitendra R H Patel¹, Yannick Cerantola², Massimo Valerio², Beata Persson³, Patrice Jichlinski², Olle Ljungqvist⁴, Martin Hubner⁵, Wassim Kassouf⁶, Stig Müller⁷, Gabriele Baldini⁸, Francesco Carli⁸, Torvind Naesheim⁹, Lars Ytrebo⁹, Arthur Revhaug¹⁰, Kristoffer Lassen¹⁰, Tore Knutsen¹¹, Erling Aarsaether¹¹, Peter Wiklund¹², James W F Catto¹³

Affiliations

¹ Department of Urology, University Hospital of Northern Norway, Tromsø, Norway. Electronic address: urology@hrhpatel.org.
² Department of Urology, University Hospital of Lausanne, Lausanne, Switzerland.
³ Department of Urology, University Hospital of Örebro, Örebro, Sweden.
⁴ Department of Surgery, University Hospital of Örebro, Örebro, Sweden.
⁵ Department of Visceral Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
⁶ Department of Urology, McGill University, Montreal, Canada.
⁷ Department of Urology, Akershus University Hospital, Lørenskog, Oslo, Norway.
⁸ Department of Anesthesia, McGill University, Montreal, Canada.
⁹ Department of Anesthesia & Intensive care, University Hospital of Northern Norway, Tromsø, Norway.
¹⁰ Department of GI Surgery, University Hospital of Northern Norway, Tromsø, Norway.
¹¹ Department of Urology, University Hospital of Northern Norway, Tromsø, Norway.
¹² Department of Urology, Karolinska University Hospital, Stockholm, Sweden.
¹³ Academic Urology Unit, University of Sheffield, Sheffield, UK.

PMID: 24183418
DOI: 10.1016/j.eururo.2013.10.011

Abstract

Enhanced recovery after surgery (ERAS) for radical cystectomy seems logical, but our study has shown a paucity in the level of clinical evidence. As part of the ERAS Society, we welcome global collaboration to collect evidence that will improve patient outcomes.

Publication types

Editorial

MeSH terms

Critical Pathways
Cystectomy / adverse effects
Cystectomy / rehabilitation*
Humans
Length of Stay
Postoperative Care*
Postoperative Complications / prevention & control*
Recovery of Function
Time Factors
Treatment Outcome