TY  - JOUR
A1  - Téoule, Patrick
A1  - Birgin, Emrullah
A1  - Mertens, Christina
A1  - Schwarzbach, Matthias
A1  - Post, Stefan
A1  - Rahbari, Nuh Nabi
A1  - Reißfelder, Christoph
A1  - Ronellenfitsch, Ulrich
T1  - Clinical pathways for oncological gastrectomy: are they a suitable instrument for process standardization to improve process and outcome quality for patients undergoing gastrectomy? A retrospective cohort study
T2  - Cancers
N2  - (1) Background: Oncological gastrectomy requires complex multidisciplinary management. Clinical pathways (CPs) can potentially facilitate this task, but evidence related to their use in managing oncological gastrectomy is limited. This study evaluated the effect of a CP for oncological gastrectomy on process and outcome quality. (2) Methods: Consecutive patients undergoing oncological gastrectomy before (n = 64) or after (n = 62) the introduction of a CP were evaluated. Assessed parameters included catheter and drain management, postoperative mobilization, resumption of diet and length of stay. Morbidity, mortality, reoperation and readmission rates were used as indicators of outcome quality. (3) Results: Enteral nutrition was initiated significantly earlier after CP implementation (5.0 vs. 7.0 days, p < 0.0001). Readmission was more frequent before CP implementation (7.8% vs. 0.0%, p = 0.05). Incentive spirometer usage increased following CP implementation (100% vs. 90.6%, p = 0.11). Mortality, morbidity and reoperation rates remained unchanged. (4) Conclusions: After implementation of an oncological gastrectomy CP, process quality improved, while indicators of outcome quality such as mortality and reoperation rates remained unchanged. CPs are a promising tool to standardize perioperative care for oncological gastrectomy
KW  - clinical pathways
KW  - gastric surgery
KW  - oncological gastrectomy
KW  - quality of care
KW  - outcomes
KW  - standardization
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/54330
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-543308
SN  - 2072-6694
VL  - 12
IS  - 434
PB  - MDPI
CY  - Basel
ER  -