Colonic Diseases Clinical Trial
Official title:
Economic and Clinical Evaluation of Enhanced Recovery in Colorectal Surgery
The purpose of this study is to evaluate the health cost and clinical outcome by introducing enhanced recovery (ERAS) compared to conventional recovery in colorectal surgery.
Aim of the sudy:
1. Clinical evaluation: To investigate if patients treated with enhanced recovery have a
shorter hospital stay and less morbidity than the patients treated conventionally. Other
clinical questions witch might be answered in this study are clinical surgical stress
response (insulin resistent), amount of analgetics used and time to normal activity.
2. Evaluation of quality of life: Instruments used in this sudy to evaluate quality of life
are 15 D and qualitative interview.
3. Economic evaluation: Cost-utility analysis of the clinical studies
4. Compare patients who received a fast track program with dedicated fast track- and stoma
nurse specialist and special focus on counselling and stoma education, compared with
patients receiving existing current practice of stoma-education in a traditional care
pathway, could reduce the length of hospital stay, readmission and stoma related
complications
5. Further we will tray to generate additional insights into the impact of counselling when
groups of patients are otherwise equal in terms of fast-track criteria. We are therefore
continuing the enrolling of our colorectal patients in which both study arms contain the
same ERAS items; the arms will only differ in terms of perioperative information and
guidance as well as follow-up by dedicated nurses.
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