Enhanced Recovery After Surgery for Total Knee Arthroplasty, Left Colectomy and Hysterectomy (RAAC-AP)

Assistance Publique - Hôpitaux de Paris

Status: Unknown

Conditions: Surgery; Hysterectomy; Colectomy; Total Knee Arthroplasty

Treatments: Procedure: No specific program toward improving practices; Procedure: One year before awareness-raising phase in favour of Enhanced Recovery After Surgery; Procedure: One year after awareness-raising phase in favour of Enhanced Recovery After Surgery

Study type: Observational

Funder types: Other

Identifiers

NCT03552913

CRCCH16001

Details and patient eligibility

About

The objective of the study is to assess retrospectively the effect of an awareness-raising phase in favour of Enhanced Recovery After Surgery across the Assistance Publique-Hopitaux Paris institution and to explore the determinants of compliance with modalities of Enhanced Recovery After Surgery. This multicenter study is performed for three types of surgery: total knee arthroplasty, left colectomy and hysterectomy.

Full description

The primary goal of the study is to quantify the effect of an awareness-raising phase in favour of Enhanced Recovery After Surgery which was organized in 2016 within the public hospitals in Paris (Assistance Publique - Hôpitaux de Paris).

The study aims to document and compare the compliance with fast track modalities and its impact for the year before (2015) and the year following (2017) the awareness-raising phase. Durations of hospital stay, compliance with recommendations, benefits on lowering complication rates and cost reductions will be studied for three types of interventions: total knee arthroplasty, left colectomy and hysterectomy.

Preoperative information provided to patients, counselling and physical optimisation will be evaluated through a survey among physicians whereas compliance with pre-, intra- and postoperative patient management guidelines will be retrospectively retrieved from the medical records of randomly selected patients. Survival and hospital trajectories will be obtained through the centralised national medical data system.

Three groups of patients having underwent total hip prosthesis, ovariectomy or gastrectomy in the same years (2015 and 2017) will serve as control groups, as for these surgeries no specific program has been implemented toward any practice change.

Enrollment: 1,710 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient aged > 18 years;
• Resident in France;
• Patient who underwent surgery in 2015 or 2017

Exclusion criteria

• Patient operated in emergency.

Trial design

1,710 participants in 4 patient groups

2015 Total knee arthroplasty, hysterectomy or left colectomy

Description:

Group of patients having a total knee arthroplasty, hysterectomy or left colectomy in 2015

Treatment:

Procedure: One year before awareness-raising phase in favour of Enhanced Recovery After Surgery

2017 Total knee arthroplasty, hysterectomy or left colectomy

Description:

Group of patients having a total knee arthroplasty, hysterectomy or left colectomy in 2017

Treatment:

Procedure: One year after awareness-raising phase in favour of Enhanced Recovery After Surgery

2015 Total hip prosthesis, ovariectomy or gastrectomy

Description:

Group of patients having total hip prosthesis, ovariectomy or gastrectomy in 2015

Treatment:

Procedure: No specific program toward improving practices

2017 Total hip prosthesis, ovariectomy or gastrectomy

Description:

Group of patients having total hip prosthesis, ovariectomy or gastrectomy in 2017

Treatment:

Procedure: No specific program toward improving practices