Table 3.
Enhanced Recovery Protocols in Gynecologic Oncology Surgery in Which Primary Outcome Included Length of Hospital Stay
| Study |
|||||||
|---|---|---|---|---|---|---|---|
| Design Variable | Marx et al11 | Chase et al12 |
Gerardi et al13 |
Carter14 | Kalogera et al15 | Wijk et al16 | Present Study |
| Prospective Design | No Sequential cohorts | No Cohort | No Case–control | No Cohort | No Sequential cohorts | Yes Sequential cohorts | Yes RCT |
| Sample size | |||||||
| Control | 72 | NA | 45 | NA | 158* | 120 | 52 |
| ERAS | 69 | 880 | 19 | 389 | 165† | 85 | 51 |
| % with gynecologic malignancy | |||||||
| Control | 100 | NR | 100 | NR | 100 | 28 | 71 |
| ERAS | 100 | 48 | 100 | 58 | 100 | 38 | 57 |
| % with bowel surgery | |||||||
| Control | 13 | NR | 100 | NR | 24 | NR | 9.6 |
| ERAS | 7 | NR | 100 | NR | 22 | NR | 11.8 |
| Length of stay (median) | |||||||
| Control | 6 | 10 | 4 staging; 8 cytoreduction | 2 | 3 | ||
| ERAS | 5 | 2 | 7 | 3 | 4 staging; 5 cytoreduction | 2 | 3 |
| % readmitted | |||||||
| Control | 9.7 | 33 | 15 | 4.2 | 5.8 | ||
| ERAS | 2.9 | 5 | 21 | 4 | 20 | 3.5 | 7.8 |
| Protocol directed length of stay (target) | ERAS only (POD 4) | Yes (POD 2) | No | No | NR | Yes (POD 2) | No |
Seventy-seven vaginal cases excluded.
Seventy-six vaginal cases excluded.
RCT, randomized controlled trial; NA, not applicable; ERAS, enhanced recovery after surgery; NR, not reported; POD, postoperative day.