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Abstract
Background: Enhanced Recovery After Surgery (ERAS) program has been widely applied around the world with many proven benefits. However, the initial application is still new to VietNam and it faces lots of difficulties. The objective of this report is to evaluate compliance rates and related factors affecting compliance when applying ERAS in colorectal cancer surgery.
Methods: The study evaluated 24 ERAS factors: 9 factors achieved 100% compliance rate, 14 factors had compliance rates ranging around 5.2% to 96.5% and only 1 factor achieved 0% compliance rate. With the 9 related factors, there are 5 factors that have a true influence on the ERAS compliance rate in colorectal cancer surgery.
Results: The study evaluated 24 ERAS factors: 9 factors achieved 100% compliance rate, 14 factors had compliance rates ranging around 5.2% to 96.5% and only 1 factor achieved 0% compliance rate. With the 9 related factors, there are 5 factors that have a true influence on the ERAS compliance rate in colorectal cancer surgery.
Conclusions: The results revealed that compliance to individual ERAS elements were variable and influenced by related factors. To achieve good compliance, we need to continue to maintain the elements that have achieved good results as well as strengthen ERAS coordination in multidisciplinary fields along with management of medical employees practice.
References
Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Archives of surgery (Chicago, Ill : 1960). 2011;146(5):571-7.
Pisarska M, Pędziwiatr M, Małczak P, Major P, Ochenduszko S, Zub-Pokrowiecka A, et al. Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study. International journal of surgery (London, England). 2016;36(Pt A):377-82.
Anh MPT, Nhứt HT, Hải NV. Đánh giá sự phục hồi sau mổ của bệnh nhân sau phẫu thuật ung thư đại trực tràng tại bệnh viện Nhân dân Gia Định. Y học Thành phố Hồ Chí Minh. 2013;17(6):198-202.
Lưu LH, Duy NQ, Anh NT, Sơn VN, Trung TN, Đinh Hữu Hào NVH, Nguyễn Anh Dũng. Kết quả ban đầu áp dụng quy trình phục hồi nhanh sau phẫu thuật cắt đại tràng. Y học Thành phố Hồ Chí Minh. 2018;22(6):127-32.
Gregson J, Kaptoge S, Bolton T, Pennells L, Willeit P, Burgess S, et al. Cardiovascular Risk Factors Associated With Venous Thromboembolism. JAMA cardiology. 2019;4(2):163-73
Ageno W, Becattini C, Brighton T, Selby R, Kamphuisen PW. Cardiovascular risk factors and venous thromboembolism: a meta-analysis. Circulation. 2008;117(1):93-102
| Published | 29-05-2024 | |
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| Issue | No. 96 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.96.9 | |
| Keywords | Chương trình ERAS, phẫu thuật ung thư đại trực tràng, Tỉ lệ tuân thủ, Bệnh viện Thống Nhất ERAS program, Colorectal cancer surgery, compliance, Thong Nhat Hospital |
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