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Optimizing Outcomes with Enhanced Recovery

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Abstract

The term “enhanced recovery pathway (ERP)” refers to a multimodal approach to patient care, based on interdisciplinary work that contributes not only to the standardization of care but also to increase quality, while containing cost. ERPs are implemented through specialty-specific order sets that cover the whole episode of care, from preoperative management to post-discharge healthcare coordination and follow-ups. Furthermore, the combination of ERPs and minimally invasive colorectal surgery has demonstrated a reduction in morbidity and mortality and overall length of hospital stay and are associated with a low readmission rate. Overall, the decrease in complications associated with the implementation of an ERP and minimally invasive colorectal surgery achieves the goals of improving quality of patients’ care and reducing healthcare-related cost when compared to patients managed outside a specific pathway.

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Authors and Affiliations

  1. Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA

    Conor P. Delaney MD, MCh, PhD, FRCSI, FACS

  2. Division of Colon and Rectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, USA

    Raul Martin Bosio MD, MSBS

Authors
  1. Conor P. Delaney MD, MCh, PhD, FRCSI, FACS
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  2. Raul Martin Bosio MD, MSBS
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Corresponding author

Correspondence to Conor P. Delaney MD, MCh, PhD, FRCSI, FACS .

Editor information

Editors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center Case Western Reserve University, Cleveland, OH, USA

    Scott R. Steele

  2. Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. Tufts University School of Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA

    Thomas E. Read

  4. Ambrose and Gladys Bowyer, Loyola University, Chicago, IL, USA

    Theodore J. Saclarides

  5. University of Texas Medical Branch at Galveston, Galveston, TX, USA

    Anthony J. Senagore

  6. Ochsner Medical Center, New Orleans, LA, USA

    Charles B. Whitlow

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© 2016 ASCRS (American Society of Colon and Rectal Surgeons)

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Delaney, C.P., Bosio, R.M. (2016). Optimizing Outcomes with Enhanced Recovery. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_7

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