TY - JOUR
T1 - Uptake of enhanced recovery practices by SAGES members
T2 - a survey
AU - the SAGES SMART Task Force
AU - Keller, Deborah S.
AU - Delaney, Conor P.
AU - Senagore, Anthony J.
AU - Feldman, Liane S.
AU - Adrales, Gina
AU - Aggarwal, Rajesh
AU - Aloia, Thomas
AU - Diesen, Diana
AU - Dimick, Justin
AU - Doyle, Courtney
AU - Ferri, Lorenzo
AU - Fiore, Julio
AU - Fried, Gerald
AU - Fuchshuber, Pascal
AU - Grucela, Alexis
AU - Hutter, Matthew
AU - Inga-Zapata, Edmundo
AU - Joseph, Rohan
AU - Lee, Lawrence
AU - Lidor, Anne
AU - Mittal, Sumeet
AU - Paget, Charles
AU - Poulose, Benjamin
AU - Reardon, Patrick
AU - Riordon, Michele
AU - Sherman, Vadim
AU - Thacker, Julie
AU - Young-Fadok, Tonia
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Background: The SAGES Surgical Multimodal Accelerated Recovery Trajectory (SMART) Enhanced Recovery Task Force aims to increase awareness and provide tools for members to successfully implement enhanced recovery pathways (ERPs) to improve clinical outcomes and patient satisfaction. An initial step was to survey SAGES member on their knowledge, use, and impediments to enhanced recovery. Methods: An online survey designed by SMART committee members to define SAGES member’s awareness and use of enhanced recovery principles and practice was emailed to all SAGES members. Reminders were sent 2 and 3 weeks later, encouraging completion of the survey. The web-based survey included 48 questions and took an estimated 20 min to complete. Results: A total of 229 members completed the survey. Respondents were primarily general/MIS surgeons (82.6%) working in an urban location (85.5%), with a bell-shaped age distribution (median 35–44). Almost half regularly used some elements of ERPs (48.7%), but 30% were unfamiliar with the concept. Wide variety in the specific ERP elements used and discharge criteria were reported. The majority had to create and implement their own plan (70.4%). Roadblocks to implementation were inconsistencies with partners/covering physicians (56.3%), nursing education (46.6%), and resources (34.7%). When implemented, members saw improvements in length of stay (88%), patient satisfaction (54.7%), postoperative pain (53.3%), time to return of bowel function (52.7%), and readmissions (16.7%). A need for education and standardization was especially seen in preoperative care, with 74.4% fasting patients from midnight the night before surgery. Wide variations were also reported in pain management practices. An overwhelming majority (89%) reported that having a protocol endorsed by a national organization, such as SAGES, would help with implementation. Conclusions: From this survey of SAGES members, there is a need for education, tools, and standardized protocols to increase awareness, support implementation, and encourage wider utilization of ERP. The overwhelming majority stated having a protocol endorsed by a national organization, such as SAGES, would facilitate implementation.
AB - Background: The SAGES Surgical Multimodal Accelerated Recovery Trajectory (SMART) Enhanced Recovery Task Force aims to increase awareness and provide tools for members to successfully implement enhanced recovery pathways (ERPs) to improve clinical outcomes and patient satisfaction. An initial step was to survey SAGES member on their knowledge, use, and impediments to enhanced recovery. Methods: An online survey designed by SMART committee members to define SAGES member’s awareness and use of enhanced recovery principles and practice was emailed to all SAGES members. Reminders were sent 2 and 3 weeks later, encouraging completion of the survey. The web-based survey included 48 questions and took an estimated 20 min to complete. Results: A total of 229 members completed the survey. Respondents were primarily general/MIS surgeons (82.6%) working in an urban location (85.5%), with a bell-shaped age distribution (median 35–44). Almost half regularly used some elements of ERPs (48.7%), but 30% were unfamiliar with the concept. Wide variety in the specific ERP elements used and discharge criteria were reported. The majority had to create and implement their own plan (70.4%). Roadblocks to implementation were inconsistencies with partners/covering physicians (56.3%), nursing education (46.6%), and resources (34.7%). When implemented, members saw improvements in length of stay (88%), patient satisfaction (54.7%), postoperative pain (53.3%), time to return of bowel function (52.7%), and readmissions (16.7%). A need for education and standardization was especially seen in preoperative care, with 74.4% fasting patients from midnight the night before surgery. Wide variations were also reported in pain management practices. An overwhelming majority (89%) reported that having a protocol endorsed by a national organization, such as SAGES, would help with implementation. Conclusions: From this survey of SAGES members, there is a need for education, tools, and standardized protocols to increase awareness, support implementation, and encourage wider utilization of ERP. The overwhelming majority stated having a protocol endorsed by a national organization, such as SAGES, would facilitate implementation.
KW - Enhanced recovery after surgery
KW - Enhanced recovery pathways
KW - Minimally invasive surgery
KW - Patient outcomes
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UR - http://www.scopus.com/inward/citedby.url?scp=85007241779&partnerID=8YFLogxK
U2 - 10.1007/s00464-016-5378-8
DO - 10.1007/s00464-016-5378-8
M3 - Article
AN - SCOPUS:85007241779
SN - 0930-2794
VL - 31
SP - 3519
EP - 3526
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 9
ER -