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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of Perioperative Multidisciplinary Rehabilitation Pathway on Early Outcomes after Robot-assisted Radical Cystectomy: A Matched Analysis
Urology, Volume 147, Year 2021
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Description
Objective: To investigate the effect of incorporating physical rehabilitation, nutrition and psychosocial care as part of the “NEEW” (Nutrition, Exercise, patient Education and Wellness) on perioperative outcomes after robot-assisted radical cystectomy. Methods: Patients were divided into 2 groups: pathway group (NEEW in addition to enhanced recovery after surgery), vs prepathway group, before NEEW initiation (enhanced recovery after surgery only). Propensity score matching was performed (ratio 1:2 ratio). Perioperative outcomes were analyzed and compared. Multivariate analyses were modeled to assess for association between NEEW pathway and postoperative outcomes. Results: One hundred and niney-two were included in the study: 64 patients (33%) in the pathway group vs 128 patients (67%) in the prepathway group. Pathway group had shorter median inpatient stay (5 vs 6 days, P <.01), faster bowel recovery (3 vs 4 days, P <.01), and better pain scores, and demonstrated fewer 30-day high grade complications (5% vs 16%, P =.02). On multivariate analysis, the NEEW pathway was associated with shorter hospital stay (1.75 days shorter), faster bowel recovery (1 day faster), longer functional mobility time (4 minutes longer) and less pain scores (average 1 point less). Conclusion: Standardized perioperative pathway with weekly multidisciplinary team meeting was associated with improved short-term perioperative outcomes after robot-assisted radical cystectomy. © 2020
Authors & Co-Authors
Aldhaam, Naif A.
Unknown Affiliation
Elsayed, Ahmed S.
Unknown Affiliation
Hussein, Ahmed Aly
Unknown Affiliation
Jing, Zhe
Unknown Affiliation
Li, Qiang J.
Unknown Affiliation
Guru, Khurshid Ahad
Unknown Affiliation
Statistics
Citations: 4
Authors: 6
Identifiers
Doi:
10.1016/j.urology.2020.05.113
ISSN:
00904295
Research Areas
Disability
Food Security
Health System And Policy
Study Design
Case-Control Study