Journal of Gastrointestinal Surgery

, Volume 18, Issue 11, pp 1944–1956 | Cite as

Improving Outcomes and Cost-Effectiveness of Colorectal Surgery

  • Scott R. Steele
  • Joshua Bleier
  • Brad Champagne
  • Imran Hassan
  • Andrew Russ
  • Anthony J. Senagore
  • Patricia Sylla
  • Alessio Pigazzi
SSAT Other


In this changing health-care climate, where coverage and reimbursement for complications and readmission may be radically altered, as well as an increased focus on appropriate utilization management of all hospital resources, tremendous focus is necessary to evaluate ways to improve outcomes and cost-effectiveness. It is in this light that enhanced care pathways and practice patterns ranging from the use of minimally invasive approaches or diversion to the way we train surgeons are increasingly scrutinized. Furthermore, identifying those patients at high-risk for complications ahead of time and intervening, where applicable, to mitigate this risk is of utmost importance. Yet, as surgeons, we must also be involved in all aspects of care, from goal setting and managing patient expectations in the clinic, to training nursing personnel on the proper care and expected postoperative course for patients undergoing colorectal procedures. Combined, we then have a realistic chance...


Enhanced recovery Surgical site infection Simulation Outcomes Anastomotic leak Ostomy Colorectal surgery 


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Copyright information

© The Society for Surgery of the Alimentary Tract (outside the USA) 2014

Authors and Affiliations

  • Scott R. Steele
    • 1
  • Joshua Bleier
    • 2
  • Brad Champagne
    • 3
  • Imran Hassan
    • 4
  • Andrew Russ
    • 3
  • Anthony J. Senagore
    • 5
  • Patricia Sylla
    • 6
  • Alessio Pigazzi
    • 7
  1. 1.Madigan Army Medical CenterFort LewisUSA
  2. 2.Division of Colon and Rectal SurgeryPennsylvania Hospital / Hospital of the University of PAPhiladelphiaUSA
  3. 3.Division of Colorectal SurgeryUniversity Hospitals, Case Medical CenterClevelandUSA
  4. 4.Colon and Rectal Surgery, Department of SurgeryUniversity of IowaIowa CityUSA
  5. 5.College of MedicineCentral Michigan UniversitySaginawUSA
  6. 6.Harvard Medical SchoolMassachusetts General HospitalBostonUSA
  7. 7.Department of SurgeryUniversity of California, Irvine School of MedicineOrangeUSA

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