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Enhanced recovery after cystectomy: cocktails, culture, or consistency?

Nature Reviews Urology volume 14, pages 648–649 (2017)Cite this article

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Enhanced recovery after surgery (ERAS) pathways are increasingly used for patients undergoing radical cystectomy, but data on their benefits are still sparse. A new paper charts improvements in patient outcomes during a 10-year period. An optimized, defined ERAS protocol is certainly important, but the ERAS culture of consistency, performance measurement, and continual adoption of best practice are also crucial.

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References

  1. Pang, K. H. et al. Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. Eur. Urol. http:dx.doi.org/10.1016/j.eururo.2017.07.031 (2017).

  2. Basse, L. et al. A clinical pathway to accelerate recovery after colonic resection. Ann. Surg. 232, 51–57 (2000).

    Article  CAS  Google Scholar 

  3. Arumainayagam, N. et al. Introduction of an enhanced recovery protocol for radical cystectomy. BJU Int. 101, 698–701 (2008).

    Article  Google Scholar 

  4. Pruthi, R. S. et al. Fast track program in patients undergoing radical cystectomy: results in 362 consecutive patients. J. Am. Coll. Surg. 210, 93–99 (2010).

    Article  Google Scholar 

  5. Nabhani, J. et al. Cost analysis of enhanced recovery after surgery protocol in patients undergoing radical cystectomy for bladder cancer. Eur. Urol. Focus 2, 92–96 (2016).

    Article  Google Scholar 

  6. McGrath, J. Adopting enhanced recovery programmes in radical cystectomy: can we afford not to? Eur. Urol. Focus 2, 97–98 (2016).

    Article  Google Scholar 

  7. Dutton, T. J. et al. Implementation of the Exeter enhanced recovery programme for patients undergoing radical cystectomy. BJU Int. 113, 719–725 (2014).

    Article  Google Scholar 

  8. Knott, A. et al. Consensus views on implementation and measurement of enhanced recovery after surgery in England: Delphi study. BMJ Open 2, e001878 (2012).

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, John S. McGrath is at the Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW, UK; and at the University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.,

    John S. McGrath

  2. and at the University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.,

    John S. McGrath

  3. Raj S. Pruthi is at the UNC Lineberger Comprehensive Cancer Centre, 101 Manning Drive, Chapel Hill, North Carolina 27514, USA.,

    Raj S. Pruthi

Authors
  1. John S. McGrath
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  2. Raj S. Pruthi
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Correspondence to John S. McGrath.

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The authors declare no competing financial interests.

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McGrath, J., Pruthi, R. Enhanced recovery after cystectomy: cocktails, culture, or consistency?. Nat Rev Urol 14, 648–649 (2017). https://doi.org/10.1038/nrurol.2017.165

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