New Data from Columbia University Illuminate Findings in Managed Care (Associations Between Patient Characteristics and Whipple Procedure Outcomes Before and After Implementation of an Enhanced Recovery After Surgery Protocol): Managed Care

2023 JUN 14 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Managed Care. According to news originating from New York City, New York, by NewsRx correspondents, research stated, “PurposeThe Enhanced Recovery After Surgery (ERAS) protocol is a multimodal perioperative care bundle aimed to improve pancreatic surgery outcomes. This work evaluates whether a Whipple ERAS protocol can be safely implemented at a quaternary care center.”

Our news journalists obtained a quote from the research from Columbia University, “We also aimed to assess if race and socioeconomic factors are associated with disparities in outcomes in patients undergoing a Whipple ERAS protocol.MethodsA retrospective review identified demographic and clinical data for 458 patients undergoing pancreaticoduodenectomies (PDs) at a single institution from October 2017 to May 2022. Patients were split into two cohorts: pre-ERAS (treated before implementation) and ERAS (treated after). Outcomes included length of stay (LOS), 30-day readmission and mortality rates, and major complications.ResultsThere were 213 pre-ERAS PD patients, and 245 were managed with an ERAS protocol. More ERAS patients had a BMI > 30 (15.5% vs. 8.0%; p = 0.01) and received neoadjuvant chemotherapy (15.5% vs. 4.2%; p< 0.001). ERAS patients had a higher rate of major complications (57.6% vs. 37.6%; p< 0.001). Medicaid patients did not have more complications or longer LOS compared to non-Medicaid patients. On univariate analysis, race/ethnicity or gender was not significantly associated with a higher rate of major complications or prolonged LOS.ConclusionA Whipple ERAS protocol did not significantly change LOS, readmissions, or 30-day mortality. Rate of overall complications did not significantly change after implementation, but rate of major complications increased.”

According to the news editors, the research concluded: “These outcomes were not significantly impacted by race/ethnicity, gender, tumor staging, or insurance status.”

This research has been peer-reviewed.

For more information on this research see: Associations Between Patient Characteristics and Whipple Procedure Outcomes Before and After Implementation of an Enhanced Recovery After Surgery Protocol. Journal of Gastrointestinal Surgery, 2023. Journal of Gastrointestinal Surgery can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Elsevier - www.elsevier.com; Journal of Gastrointestinal Surgery - http://www.journals.elsevier.com/journal-of-gastrointestinal-surgery/)

The news correspondents report that additional information may be obtained from Anna S. Koerner, Columbia University Irving, Dept. of Surgery, Div Gi Endocrine Surg, Med Ctr, 161 Ft Washington Ave, New York, NY 10032, United States. Additional authors for this research include Alexander S. Thomas, John A. Chabot, Michael D. Kluger, Kazuki N. Sugahara and Beth A. Schrope.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s11605-023-05693-x. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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