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Enhanced Recovery Programs: Making the Business Case

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The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

Abstract

The various components and patient benefits of enhanced recovery after surgery protocols are more extensively discussed elsewhere in this publication. The focus of this discussion is on the institutional benefits related to adoption of a strong ERP. The two major sources of institutional benefit are related to reductions in resource consumption and potentially avoidable complications. The net result of these benefits is improved quality of care and lower cost of care. There is often concern regarding the complexity and cost of adoption but in reality the principal components of care should be readily available and actually less expensive compared to standard care. The slow adoption of ERAS strategies confirms the difficulties in transforming traditional approaches in health care systems, even in the face of simple, evidence based processes of care which benefit both patients and providers. This chapter focuses on colorectal surgery as an example, but the principles are applicable to other procedures.

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Authors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Parma Medical Center, Parma, OH, USA

    Anthony J. Senagore M.D., M.B.A., F.A.C.S.

Authors
  1. Anthony J. Senagore M.D., M.B.A., F.A.C.S.
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Corresponding author

Correspondence to Anthony J. Senagore M.D., M.B.A., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Division of General Surgery Steinberg-Bernstein Chair in Minimally Invasive Surgery and Innovation, McGill University, Health Centre, Montreal, Québec, Canada

    Liane S. Feldman

  2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

  3. Faculty of Medicine and Health School of Health and Medical Sciences, Department of Surgery Örebro University Örebro; Affiliated Professor of Surgery Metabolism and Nutrition, Karolinska Institute, Stockholm, Sweden

    Olle Ljungqvist

  4. Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Québec, Canada

    Francesco Carli

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Senagore, A.J. (2015). Enhanced Recovery Programs: Making the Business Case. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_19

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  • DOI: https://doi.org/10.1007/978-3-319-20364-5_19

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

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