| Multimodal perioperative rehabilitation in elective conventional resection of colonic cancer: results from the German Multicenter Quality Assurance Program 'Fast-Track Colon II'. | |
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MedLine Citation:
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PMID: 19262064 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Multimodal perioperative rehabilitation in patients undergoing curative conventional colonic resection for cancer has not yet been studied in a multicenter setting. In 2005, a nationwide quality assurance program was initiated in Germany in an unselected patient population. METHODS: The prospective multicenter data collection includes patients from 24 German hospitals. All hospitals had established 'fast-track' rehabilitation as the standard perioperative treatment in elective colonic resection, and all patients entered the registry. RESULTS: 748 of 2,047 fast-track patients (36.5%) underwent open resection of colonic cancer. The median age of the 380 female and 368 male patients was 71 (26-96) years. Compliance was high for epidural analgesia (89%), systemic basic nonopioid analgesia (93%), 'restrictive' intraoperative intravenous fluids (81%), oral feeding (73%) and enforced mobilization (84%) on the day of surgery. Surgical complications were diagnosed in 20%, general morbidity occurred in only 13% of all patients, and 3 patients (0.4%) died in the early postoperative period. Readmission within 30 days of discharge was necessary in 27 patients (4%). CONCLUSIONS: Compliance with fast-track measures was high, and general morbidity was low in a population of patients undergoing multimodal perioperative rehabilitation for conventional colonic cancer resection. |
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Authors:
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Chris Braumann; Nina Guenther; Peter Wendling; Rainer Engemann; Christoph T Germer; Wolfgang Probst; Hans-P Mayer; Bernd Rehnisch; Michael Schmid; Klaus Nagel; Wolfgang Schwenk; |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2009-03-05 |
Journal Detail:
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Title: Digestive surgery Volume: 26 ISSN: 1421-9883 ISO Abbreviation: Dig Surg Publication Date: 2009 |
Date Detail:
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Created Date: 2009-05-19 Completed Date: 2009-08-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501808 Medline TA: Dig Surg Country: Switzerland |
Other Details:
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Languages: eng Pagination: 123-9 Citation Subset: IM |
Copyright Information:
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Copyright 2009 S. Karger AG, Basel. |
Affiliation:
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Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University of Medicine, Berlin, Germany. chris.braumann@charite.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Colectomy / rehabilitation*, standards Colonic Neoplasms / surgery* Female Germany Humans Male Middle Aged Perioperative Care Prospective Studies Quality Assurance, Health Care* Registries* Surgical Procedures, Elective / rehabilitation, standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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