The effect of accelerated rehabilitation on recovery after surgery for ovarian malignancy
Background. In patients undergoing colonic surgery the postoperative hospital stay has been reduced from 8-12 days to 2-4 days with multimodal rehabilitation programs. The aim of this study was to evaluate the postoperative outcome after surgery for ovarian malignancy with conventional care compared...
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| Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 2006-04, Vol.85 (4), p.488-492 |
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| container_title | Acta obstetricia et gynecologica Scandinavica |
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| creator | Marx, Charlotte Rasmussen, Tina Hjort Jakobsen, Dorthe Ottosen, Christian Lundvall, Lene Ottesen, Bent Callesen, Torben Kehlet, Henrik |
| description | Background. In patients undergoing colonic surgery the postoperative hospital stay has been reduced from 8-12 days to 2-4 days with multimodal rehabilitation programs. The aim of this study was to evaluate the postoperative outcome after surgery for ovarian malignancy with conventional care compared to fast-track multimodal rehabilitation. Methods. Seventy-two consecutive patients receiving conventional care (group 1) were compared with 69 consecutive patients receiving multimodal, fast-track rehabilitation with a planned care program including continuous epidural analgesia, early oral feeding and mobilization (group 2) in the same department. Outcome was postoperative hospital stay and morbidity during the first postoperative month. Results. Median age was 63 years (group 1) and 62 years (group 2). Median postoperative hospital stay was reduced from 6 days in group 1 (mean 7.3) to 5 days in group 2 (mean 5.4) (p |
| doi_str_mv | 10.1080/00016340500408325 |
| format | Article |
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In patients undergoing colonic surgery the postoperative hospital stay has been reduced from 8-12 days to 2-4 days with multimodal rehabilitation programs. The aim of this study was to evaluate the postoperative outcome after surgery for ovarian malignancy with conventional care compared to fast-track multimodal rehabilitation. Methods. Seventy-two consecutive patients receiving conventional care (group 1) were compared with 69 consecutive patients receiving multimodal, fast-track rehabilitation with a planned care program including continuous epidural analgesia, early oral feeding and mobilization (group 2) in the same department. Outcome was postoperative hospital stay and morbidity during the first postoperative month. Results. Median age was 63 years (group 1) and 62 years (group 2). Median postoperative hospital stay was reduced from 6 days in group 1 (mean 7.3) to 5 days in group 2 (mean 5.4) (p<0.05). There was no difference in the overall complication rate, although severe medical complications were reduced in group 2 (14% versus 2%; p<0.01). Readmission rate was 10% in group 1 and 3% in group 2 (p>0.05). Conclusions. The concept of fast-track multimodal rehabilitation appears to be beneficial in patients operated for ovarian malignancy, as hospital stay and medical morbidity are reduced.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.1080/00016340500408325</identifier><identifier>PMID: 16612713</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analgesia, Epidural ; Biological and medical sciences ; fast track surgery ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Length of Stay ; Medical sciences ; Middle Aged ; Morbidity ; Nutritional Support ; ovarian malignancy ; Ovarian Neoplasms - rehabilitation ; Ovarian Neoplasms - surgery ; Ovariectomy - rehabilitation ; Postoperative Complications ; rehabilitation ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 2006-04, Vol.85 (4), p.488-492</ispartof><rights>2006 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2006</rights><rights>Acta Obstet Gynecol Scand 2006</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5303-d1b3bc9c813d5bbadc5336364ea051e195d21aff0ca31e5d9bf2cdebecaae1a13</citedby><cites>FETCH-LOGICAL-c5303-d1b3bc9c813d5bbadc5336364ea051e195d21aff0ca31e5d9bf2cdebecaae1a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1080%2F00016340500408325$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1080%2F00016340500408325$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17643013$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16612713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marx, Charlotte</creatorcontrib><creatorcontrib>Rasmussen, Tina</creatorcontrib><creatorcontrib>Hjort Jakobsen, Dorthe</creatorcontrib><creatorcontrib>Ottosen, Christian</creatorcontrib><creatorcontrib>Lundvall, Lene</creatorcontrib><creatorcontrib>Ottesen, Bent</creatorcontrib><creatorcontrib>Callesen, Torben</creatorcontrib><creatorcontrib>Kehlet, Henrik</creatorcontrib><title>The effect of accelerated rehabilitation on recovery after surgery for ovarian malignancy</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Background. In patients undergoing colonic surgery the postoperative hospital stay has been reduced from 8-12 days to 2-4 days with multimodal rehabilitation programs. The aim of this study was to evaluate the postoperative outcome after surgery for ovarian malignancy with conventional care compared to fast-track multimodal rehabilitation. Methods. Seventy-two consecutive patients receiving conventional care (group 1) were compared with 69 consecutive patients receiving multimodal, fast-track rehabilitation with a planned care program including continuous epidural analgesia, early oral feeding and mobilization (group 2) in the same department. Outcome was postoperative hospital stay and morbidity during the first postoperative month. Results. Median age was 63 years (group 1) and 62 years (group 2). Median postoperative hospital stay was reduced from 6 days in group 1 (mean 7.3) to 5 days in group 2 (mean 5.4) (p<0.05). There was no difference in the overall complication rate, although severe medical complications were reduced in group 2 (14% versus 2%; p<0.01). Readmission rate was 10% in group 1 and 3% in group 2 (p>0.05). Conclusions. The concept of fast-track multimodal rehabilitation appears to be beneficial in patients operated for ovarian malignancy, as hospital stay and medical morbidity are reduced.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analgesia, Epidural</subject><subject>Biological and medical sciences</subject><subject>fast track surgery</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Nutritional Support</subject><subject>ovarian malignancy</subject><subject>Ovarian Neoplasms - rehabilitation</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Ovariectomy - rehabilitation</subject><subject>Postoperative Complications</subject><subject>rehabilitation</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EokvhB3BBucAtMI5jJxGnqoItqKISLVScrIkz7rokcbGT0v33eNmIHpBAsmSP_b2x3hvGnnN4zaGGNwDAlShBApRQi0I-YCuuAHIoefGQrXbveQKaA_YkxutUFVVZP2YHXKl05GLFvl1sKCNryUyZtxkaQz0FnKjLAm2wdb2bcHJ-zNIKZPwthW2GdqKQxTlc7SrrQ-ZvMTgcswF7dzXiaLZP2SOLfaRny37Ivrx_d3F8kp-erT8cH53mRgoQecdb0ZrG1Fx0sm2xS9dCCVUSguTEG9kVHK0Fg4KT7JrWFqajlgwiceTikL3a970J_sdMcdKDi8lFjyP5OWpV1apo6iqBfA-a4GMMZPVNcAOGreagd3nqv_JMmhdL87kdqLtXLAEm4OUCYDTY25Csu3jPVaoU8Jsr99xP19P2_z_ro7N1s5Ple5mLE939kWH4nnyJSurLT2v9-Vx8_Crkub5M_NuFH9NUBtwQ9tPGYCB97ecwpkH8w-0vtkmvGg</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Marx, Charlotte</creator><creator>Rasmussen, Tina</creator><creator>Hjort Jakobsen, Dorthe</creator><creator>Ottosen, Christian</creator><creator>Lundvall, Lene</creator><creator>Ottesen, Bent</creator><creator>Callesen, Torben</creator><creator>Kehlet, Henrik</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200604</creationdate><title>The effect of accelerated rehabilitation on recovery after surgery for ovarian malignancy</title><author>Marx, Charlotte ; Rasmussen, Tina ; Hjort Jakobsen, Dorthe ; Ottosen, Christian ; Lundvall, Lene ; Ottesen, Bent ; Callesen, Torben ; Kehlet, Henrik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5303-d1b3bc9c813d5bbadc5336364ea051e195d21aff0ca31e5d9bf2cdebecaae1a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analgesia, Epidural</topic><topic>Biological and medical sciences</topic><topic>fast track surgery</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Nutritional Support</topic><topic>ovarian malignancy</topic><topic>Ovarian Neoplasms - rehabilitation</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Ovariectomy - rehabilitation</topic><topic>Postoperative Complications</topic><topic>rehabilitation</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marx, Charlotte</creatorcontrib><creatorcontrib>Rasmussen, Tina</creatorcontrib><creatorcontrib>Hjort Jakobsen, Dorthe</creatorcontrib><creatorcontrib>Ottosen, Christian</creatorcontrib><creatorcontrib>Lundvall, Lene</creatorcontrib><creatorcontrib>Ottesen, Bent</creatorcontrib><creatorcontrib>Callesen, Torben</creatorcontrib><creatorcontrib>Kehlet, Henrik</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marx, Charlotte</au><au>Rasmussen, Tina</au><au>Hjort Jakobsen, Dorthe</au><au>Ottosen, Christian</au><au>Lundvall, Lene</au><au>Ottesen, Bent</au><au>Callesen, Torben</au><au>Kehlet, Henrik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of accelerated rehabilitation on recovery after surgery for ovarian malignancy</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2006-04</date><risdate>2006</risdate><volume>85</volume><issue>4</issue><spage>488</spage><epage>492</epage><pages>488-492</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>Background. In patients undergoing colonic surgery the postoperative hospital stay has been reduced from 8-12 days to 2-4 days with multimodal rehabilitation programs. The aim of this study was to evaluate the postoperative outcome after surgery for ovarian malignancy with conventional care compared to fast-track multimodal rehabilitation. Methods. Seventy-two consecutive patients receiving conventional care (group 1) were compared with 69 consecutive patients receiving multimodal, fast-track rehabilitation with a planned care program including continuous epidural analgesia, early oral feeding and mobilization (group 2) in the same department. Outcome was postoperative hospital stay and morbidity during the first postoperative month. Results. Median age was 63 years (group 1) and 62 years (group 2). Median postoperative hospital stay was reduced from 6 days in group 1 (mean 7.3) to 5 days in group 2 (mean 5.4) (p<0.05). There was no difference in the overall complication rate, although severe medical complications were reduced in group 2 (14% versus 2%; p<0.01). Readmission rate was 10% in group 1 and 3% in group 2 (p>0.05). Conclusions. The concept of fast-track multimodal rehabilitation appears to be beneficial in patients operated for ovarian malignancy, as hospital stay and medical morbidity are reduced.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>16612713</pmid><doi>10.1080/00016340500408325</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Analgesia, Epidural Biological and medical sciences fast track surgery Female Gynecology. Andrology. Obstetrics Humans Length of Stay Medical sciences Middle Aged Morbidity Nutritional Support ovarian malignancy Ovarian Neoplasms - rehabilitation Ovarian Neoplasms - surgery Ovariectomy - rehabilitation Postoperative Complications rehabilitation Retrospective Studies Treatment Outcome |
| title | The effect of accelerated rehabilitation on recovery after surgery for ovarian malignancy |
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