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Effectiveness of intervention with a perioperative multidisciplinary support team for radical esophagectomy

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Abstract

Purpose

We aimed to evaluate the effectiveness of intervention by a perioperative multidisciplinary support team for radical esophagectomy for esophageal cancer.

Methods

We retrospectively reviewed 85 consecutive patients with esophageal cancer who underwent radical esophagectomy via right thoracotomy or thoracoscopic surgery with gastric tube reconstruction. Twenty-one patients were enrolled in the non-intervention group (group N) from May 2011 to September 2012, 31 patients in the perioperative rehabilitation group (group R) from October 2012 to April 2014, and 33 patients in the multidisciplinary support team group (group S) from May 2014 to September 2015.

Results

Morbidity rates were 38, 45.2, and 42.4% for groups N, R, and S, respectively. Although there were no significant differences in the incidence of pneumonia among the groups, the durations of fever and C-reactive protein positivity were shorter in group S. Moreover, postoperative oral intake commenced earlier [5.9 (5–8) days] and postoperative hospital stay was shorter [19.6 (13–29) days] for group S.

Conclusions

The intervention by a perioperative multidisciplinary support team for radical esophagectomy was effective in preventing the progression and prolongation of pneumonia as well as earlier ambulation, oral feeding, and shortening of postoperative hospitalization.

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Acknowledgments

We thank Hiromi Oikawa, Akiko Hatakeyama, Yukiko Shimazaki, Miki Sato, Yuki Suzuki, Yoshie Kakisawa, Takahiro Honda, Yusuke Fujii, Minako Isurugi, Shiho Osuka, Kazumi Ono, Jun-ichi Asaka, Takashi Omoto, Dr. Akiko Abe, Dr. Katsumi Sanjo, and the members of the PMST group of Iwate Medical University School of Medicine. This work was supported by JSPS KAKENHI Grant Number JP26461995.

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Authors and Affiliations

  1. Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate, 020-8505, Japan

    Yuji Akiyama, Takeshi Iwaya, Fumitaka Endo, Yoshihiro Shioi, Takeshi Takahara, Koki Otsuka, Hiroyuki Nitta, Keisuke Koeda, Masaru Mizuno & Akira Sasaki

  2. Department of Anesthesiology, Iwate Medical University School of Medicine, Iwate, Japan

    Motoi Kumagai & Kenji Suzuki

  3. Department of Palliative Medicine, Iwate Medical University School of Medicine, Iwate, Japan

    Yusuke Kimura

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  1. Yuji Akiyama
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  2. Takeshi Iwaya
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  3. Fumitaka Endo
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Correspondence to Yuji Akiyama.

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Conflict of interest

All authors have no conflicts of interest or financial ties to disclose. All authors have full control of the primary data and agree to allow the journal to review the data when requested.

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Akiyama, Y., Iwaya, T., Endo, F. et al. Effectiveness of intervention with a perioperative multidisciplinary support team for radical esophagectomy. Support Care Cancer 25, 3733–3739 (2017). https://doi.org/10.1007/s00520-017-3801-x

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  • DOI: https://doi.org/10.1007/s00520-017-3801-x

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