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N/A N=101 Randomized Double-blind Health Services Research

Implementing Enhanced Recovery After Surgery (ERAS) Pathways In Major Gynecologic Oncology Operations In Greece

Ovarian Cancer · Hysterectomy · Endometrial Cancer · Gynecologic Cancer

Enrolled (actual)
101
Serious AEs
0.0%
Results posted
Mar 2025
Primary outcome: Primary: Length of Hospital Stay (LOS) — 3.8; 5.9 days

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
ERAS protocol (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
University of West Attica
Primary completion
Dec 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Length of Hospital Stay (LOS)
3.8; 5.9
PRIMARY
Pain Levels
3.6; 4.6
PRIMARY
Number of Participants With the Ability to Getting up in a Chair Within 18h
46; 5
PRIMARY
Number of Participants With the Ability of Full Mobilization Within 18h Postoperatively
48; 9
PRIMARY
Early Feeding
44; 2
SECONDARY
Early Mobilization of the Digestive System
46; 8
SECONDARY
Early Discontinuation of IV Administration
41; 2
SECONDARY
Number of Participants Who Had Their Urinary Catheter Removal
43; 6
SECONDARY
Number of Participants Who Had Their Drainage Removal Within 24h
48; 16
SECONDARY
Blood Transfusion
0; 9
SECONDARY
Postoperative Complications
16; 22; 9; 18; 4; 17
SECONDARY
Readmission
0; 1

Summary

The Enhanced Recovery After Surgery (ERAS) program includes preoperative counseling, fasting avoidance, non-opioid analgesia, fluid balance, normothermia and early mobilization. ERAS pathways were developed to reduce hospital length of stay, reduce costs and decrease perioperative opioid requirements, and be beneficial for patients. We propose the hypothesis that the ERAS pathway could reduce the length of stay (LOS) in hospital for patients undergoing major gynecologic oncology surgery (MGOS). Patients were randomly allocated in two groups: An ERAS pathway group including preoperative counseling, early feeding/mobilization, and opioid-sparing multimodal analgesia; and a classic model group of post operative recovery as control.

Eligibility Criteria

Inclusion Criteria

  • Greek language speakers
  • Have complete mental clarity
  • Age >18 years

Exclusion Criteria

  • Refusal to sign consent
  • Patients receiving treatment for chronic pain
  • Patients receiving antipsychotic therapy, Psychopathy
  • They have acute or chronic kidney and / or liver disease
  • History or family history of malignant hyperthermia
  • Known allergy to propofol, desflurane, or any other anesthetic agent
  • Impairment of cognitive function or communication
  • History of postoperative delirium
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04696276). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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