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Supportive Care in Cancer

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01-03-2013 | Original Article

Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study

Authors: Shouqiang Cao, Guibin Zhao, Jian Cui, Qing Dong, Sihua Qi, Yanzhong Xin, Baozhong Shen, Qingfeng Guo

Published in: Supportive Care in Cancer | Issue 3/2013

Abstract

Purpose

The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients.

Methods

Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups.

Results

The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day, P < 0.01). The percentage of patients who developed complications was significantly lower 30 day after fast-track rehabilitation program than after conventional care (29.1 vs 47.4 %, P < 0.05). 87.3 % in patients of the fast-track rehabilitation program group and 54.4 % in those of the conventional care group reported excellent to very good satisfaction with their pain control (P = 0.000).

Conclusions

The fast-track rehabilitation program results in fewer complications, less postoperative pain, a reduction in the hospital length of stay, and quicker return to work and normal activities after esophagectomy.

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Title: Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study
Authors: Shouqiang Cao
Guibin Zhao
Jian Cui
Qing Dong
Sihua Qi
Yanzhong Xin
Baozhong Shen
Qingfeng Guo
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Supportive Care in Cancer / Issue 3/2013
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-012-1570-0

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Abstract

Purpose

Methods

Results

Conclusions

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