Surgery Clinical Trial
Official title:
Enhanced Recovery After Surgery for Total Knee Arthroplasty, Left Colectomy and Hysterectomy: A Multicenter Study Assessing Care Practice and Prevention
The objective of the study is to assess retrospectively the effect of an awareness-raising phase in favour of Enhanced Recovery After Surgery across the Assistance Publique-Hopitaux Paris institution and to explore the determinants of compliance with modalities of Enhanced Recovery After Surgery. This multicenter study is performed for three types of surgery: total knee arthroplasty, left colectomy and hysterectomy.
The primary goal of the study is to quantify the effect of an awareness-raising phase in
favour of Enhanced Recovery After Surgery which was organized in 2016 within the public
hospitals in Paris (Assistance Publique - Hôpitaux de Paris).
The study aims to document and compare the compliance with fast track modalities and its
impact for the year before (2015) and the year following (2017) the awareness-raising phase.
Durations of hospital stay, compliance with recommendations, benefits on lowering
complication rates and cost reductions will be studied for three types of interventions:
total knee arthroplasty, left colectomy and hysterectomy.
Preoperative information provided to patients, counselling and physical optimisation will be
evaluated through a survey among physicians whereas compliance with pre-, intra- and
postoperative patient management guidelines will be retrospectively retrieved from the
medical records of randomly selected patients. Survival and hospital trajectories will be
obtained through the centralised national medical data system.
Three groups of patients having underwent total hip prosthesis, ovariectomy or gastrectomy in
the same years (2015 and 2017) will serve as control groups, as for these surgeries no
specific program has been implemented toward any practice change.
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