The role of clinical care pathways: an experience with distal pancreatectomy

Abstract Background Previous studies have indicated that clinical pathways may shorten hospital length of stay (HLOS) among patients undergoing distal pancreatectomy (DP). Here, we evaluate an institutional standardized care pathway (SCP) for patients undergoing DP. Materials and methods A retrospec...

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Veröffentlicht in:	The Journal of surgical research 2014-07, Vol.190 (1), p.64-71
Hauptverfasser:	Nussbaum, Daniel P., MD, Penne, Kara, MSN, Speicher, Paul J., MD, Stinnett, Sandra S., DrPH, Perez, Alexander, MD, White, Rebekah R., MD, Clary, Bryan M., MD, Tyler, Douglas S., MD, Blazer, Dan G., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Clinical care pathway Clinical pathway Critical pathway Critical Pathways Distal pancreatectomy Female Humans Laparoscopy Length of Stay Male Middle Aged Pancreas cancer Pancreatectomy - adverse effects Pancreatectomy - methods Recovery pathway Reoperation Retrospective Studies Surgery
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Zusammenfassung:	Abstract Background Previous studies have indicated that clinical pathways may shorten hospital length of stay (HLOS) among patients undergoing distal pancreatectomy (DP). Here, we evaluate an institutional standardized care pathway (SCP) for patients undergoing DP. Materials and methods A retrospective review of patients undergoing DP from November 2006 to November 2012 was completed. Patients treated before and after implementation of the SCP were compared. Multivariable linear regression was then performed to identify independent predictors of HLOS. Results There were no differences in patient characteristics between SCP ( n = 50) and pre-SCP patients ( n = 100). Laparoscopic technique (62% versus 13%, P
ISSN:	0022-4804 1095-8673
DOI:	10.1016/j.jss.2014.02.026