Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study

Purpose The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients. Methods Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwen...

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Bibliographic Details
Published in:Supportive care in cancer 2013-03, Vol.21 (3), p.707-714
Main Authors: Cao, Shouqiang, Zhao, Guibin, Cui, Jian, Dong, Qing, Qi, Sihua, Xin, Yanzhong, Shen, Baozhong, Guo, Qingfeng
Format: Article
Language:English
Subjects:
Cancer
Cohort Studies
Esophageal cancer
Esophageal Neoplasms - rehabilitation
Esophageal Neoplasms - surgery
Esophagectomy - methods
Esophagus
Female
Hospitalization - statistics & numerical data
Humans
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Pain, Postoperative - epidemiology
Patient Satisfaction
Postoperative Complications - epidemiology
Postoperative period
Rehabilitation
Rehabilitation Medicine
Retrospective Studies
Return to Work - statistics & numerical data
Surgery
Time Factors
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Summary:Purpose The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients. Methods Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups. Results The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day, P  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-012-1570-0