NCT03552913

Enhanced Recovery After Surgery for Total Knee Arthroplasty, Left Colectomy and Hysterectomy

Enhanced Recovery After Surgery for Total Knee Arthroplasty, Left Colectomy and Hysterectomy: A Multicenter Study Assessing Care Practice and Prevention

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 1,710 (estimated)
• Sponsor: Assistance Publique - Hôpitaux de Paris · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

The objective of the study is to assess retrospectively the effect of an awareness-raising phase in favour of Enhanced Recovery After Surgery across the Assistance Publique-Hopitaux Paris institution and to explore the determinants of compliance with modalities of Enhanced Recovery After Surgery. This multicenter study is performed for three types of surgery: total knee arthroplasty, left colectomy and hysterectomy.

Detailed description

The primary goal of the study is to quantify the effect of an awareness-raising phase in favour of Enhanced Recovery After Surgery which was organized in 2016 within the public hospitals in Paris (Assistance Publique - Hôpitaux de Paris). The study aims to document and compare the compliance with fast track modalities and its impact for the year before (2015) and the year following (2017) the awareness-raising phase. Durations of hospital stay, compliance with recommendations, benefits on lowering complication rates and cost reductions will be studied for three types of interventions: total knee arthroplasty, left colectomy and hysterectomy. Preoperative information provided to patients, counselling and physical optimisation will be evaluated through a survey among physicians whereas compliance with pre-, intra- and postoperative patient management guidelines will be retrospectively retrieved from the medical records of randomly selected patients. Survival and hospital trajectories will be obtained through the centralised national medical data system. Three groups of patients having underwent total hip prosthesis, ovariectomy or gastrectomy in the same years (2015 and 2017) will serve as control groups, as for these surgeries no specific program has been implemented toward any practice change.

Conditions

• Surgery
• Total Knee Arthroplasty
• Colectomy
• Hysterectomy

Interventions

Type	Name	Description
PROCEDURE	One year before awareness-raising phase in favour of Enhanced Recovery After Surgery	One year before awareness-raising phase in favour of Enhanced Recovery After Surgery
PROCEDURE	One year after awareness-raising phase in favour of Enhanced Recovery After Surgery	One year after awareness-raising phase in favour of Enhanced Recovery After Surgery
PROCEDURE	No specific program toward improving practices	No specific program toward improving practices

Timeline

• Start date: 2017-07-06
• Primary completion: 2018-07-01
• Completion: 2018-07-01
• First posted: 2018-06-12
• Last updated: 2018-06-12

Locations

1 site across 1 country: France