The American Journal of Surgery
Volume 199, Issue 3 , Pages 299-304 , March 2010

Association of surgical care practices with length of stay and use of clinical protocols after elective bowel resection: results of a national survey

  • Conor P. Delaney, M.D., M.Ch., Ph.D.

      Affiliations

    • Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Ave., Cleveland, OH 44106-5047
    • Corresponding Author InformationCorresponding author: Tel.: +1-216-844-8087; fax: +1-216-844-5957
    • ,
  • Anthony J. Senagore, M.D., M.B.A., M.S.

      Affiliations

    • Spectrum Health System, Grand Rapids, MI
    • ,
  • Todd M. Gerkin, M.D.

      Affiliations

    • Central Carolina Surgery, Greensboro, NC
    • ,
  • Timothy L. Beard, M.D.

      Affiliations

    • Bend Memorial Clinic, Bend, OR
    • ,
  • Wendy M. Zingaro, M.P.A.

      Affiliations

    • KJT Group, Honeoye Falls, NY
    • ,
  • Kenneth J. Tomaszewski, Ph.D., M.S.

      Affiliations

    • KJT Group, Honeoye Falls, NY
    • ,
  • Laura K. Walton

      Affiliations

    • Adolor Corporation, Exton, PA
    • ,
  • Sara A. Poston, Pharm.D.

      Affiliations

    • GlaxoSmithKline, Research Triangle Park, NC, USA

Received 22 July 2009 ,Revised 25 August 2009

References 

  1. Premier informatics, Charlotte, North Carolina. 2008. GlaxoSmithKline data on file.
  2. Goldstein JL, Matuszewski KA, Delaney CP, et al. Inpatient economic burden of postoperative ileus associated with abdominal surgery in the United States. Pharmacology & Therapeutics. 2007;32:82–90
  3. Senagore AJ. Pathogenesis and clinical and economic consequences of postoperative ileus. Am J Health Syst Pharm. 2007;64(Suppl 13):S3–S7
  4. Stewart D, Waxman K. Management of postoperative ileus. Am J Ther. 2007;146:561–566
  5. Holte K, Kehlet H. Prevention of postoperative ileus. Minerva Anestesiol. 2002;68:152–156
  6. Bisanz A, Palmer JL, Reddy S, et al. Characterizing postoperative paralytic ileus as evidence for future research and clinical practice. Gastroenterol Nurs. 2008;31:336–344
  7. Mukherjee A, Senagore AJ, Delaney CP, et al. Postoperative care pathways. Semin Colon Rectal Surg. 2005;16:215–227
  8. Saclarides TJ. Current choices—good or bad—for the proactive management of postoperative ileus: a surgeon's view. J Perianesth Nurs. 2006;21(Suppl 2A):S7–S15
  9. Delaney CP, Zutshi M, Senagore AJ, et al. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum. 2003;46:851–859
  10. Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a “fast track” postoperative care pathway for ileal pouch-anal anastomosis: a case control study. Dis Colon Rectum. 2007;50:137–146
  11. Joh YG, Lindsetmo RO, Stulberg J, et al. Standardized postoperative pathway: accelerating recovery after ileostomy closure. Dis Colon Rectum. 2008;51:1786–1789
  12. Wind J, Polle SW, Fung KJ, et al. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg. 2006;93:800–809
  13. Bowling TE. Does disorder of gastrointestinal motility affect food intake in the post-surgical patient?. Proc Nutr Soc. 1994;53:151–157
  14. Fearon KCH, Ljungqvist O, Von Meyenfeldt MV, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24:466–477
  15. Delaney CP, Chang E, Senagore AJ, et al. Clinical outcomes and resource utilization associated with laparoscopic and open colectomy using a large national database. Ann Surg. 2008;247:819–824
  16. Kehlet H, Büchler MW, Beart RW, et al. Care after colonic operation—is it evidence-based? (Results from a multinational survey in Europe and the United States). J Am Coll Surg. 2006;202:45–54
  17. Braithwaite D, Emery J, De Lusignan S, et al. Using the internet to conduct surveys of health professionals: a valid alternative?. Fam Pract. 2003;20:545–551

 Funding for design and for medical editorial assistance for the manuscript was provided by GlaxoSmithKline and Adolor Corporation. Drs Delaney, Senagore, Gerkin, and Beard received funding to assist with the survey design (funding was not provided for analysis or for participating as an author); Dr Tomaszewski and Ms Zingaro received support for design, fielding, and analysis; Dr Poston is an employee of GlaxoSmithKline; and Ms Walton is an employee of Adolor Corporation.

 This manuscript has been reviewed and approved for submission by all authors and has not been published elsewhere.

PII: S0002-9610(09)00686-2

doi: 10.1016/j.amjsurg.2009.08.027

The American Journal of Surgery
Volume 199, Issue 3 , Pages 299-304 , March 2010

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