TY  - JOUR
A1  - Willis, Maria A.
A1  - Keller, Peter S.
A1  - Sommer, Nils
A1  - Koch, Franziska
A1  - Ritz, Jörg-Peter
A1  - Beyer, Katharina
A1  - Reißfelder, Christoph
A1  - Hardt, Julia
A1  - Herold, Alexander
A1  - Buhr, Heinz J.
A1  - Emmanuel, Klaus
A1  - Kalff, Joerg C.
A1  - Vilz, Tim O.
T1  - Adherence to fast track measures in colorectal surgery — a survey among German and Austrian surgeons
T2  - International Journal of Colorectal Disease
N2  - Purpose The effectiveness of modern perioperative treatment concepts has been demonstrated in several studies and meta-analyses. Despite good evidence, limited implementation of the fast track (FT) concept is still a widespread concern. To assess the status quo in Austrian and German hospitals, a survey on the implementation of FT measures was conducted among members of the German Society of General and Visceralsurgery (DGAV), the German Society of Coloproctology (DGK) and the Austrian Society of Surgery (OEGCH) to analyze where there is potential for improvement. Methods Twenty questions on perioperative care of colorectal surgery patients were sent to the members of the DGAV, DGK and OEGCH using the online survey tool SurveyMonkey®. Descriptive data analysis was performed using Microsoft Excel. Results While some of the FT measures have already been routinely adopted in clinical practice (e.g. minimally invasive surgical approach, early mobilization and diet buildup), for other components there are discrepancies between current recommendations and present implementation (e.g. the use of local nerve blocks to provide opioid-sparing analgesia or the use of abdominal drains). Conclusion The implementation of the FT concept in Austria and Germany is still in need of improvement. Particularly regarding the use of abdominal drains and postoperative analgesia, there is a tendency to stick to traditional structures. To overcome the issues with FT implementation, the development of an evidence-based S3 guideline for perioperative care, followed by the founding of a surgical working group to conduct a structured education and certification process, may lead to significant improvements in perioperative patient care.
Y1  - 2023
UR  - https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/123737
UR  - https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-1237372
SN  - 1432-1262
VL  - 38
IS  - 1
SP  - 80
PB  - Springer Science and Business Media LLC
ER  -