Cross-sectoral Approach of a Perioperative Management Center for General Thoracic Surgery

Atsushi Shimoda, Junichi Soh, Takako Ashiba, Naomichi Murata, Tomomi Fukuda, Motomu Kobayashi, Hidejiro Torigoe, Yuho Maki, Seiichiro Sugimoto, Masaomi Yamane, Shinichi Toyooka, Takahiro Oto, Shinichiro Miyoshi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Perioperative assessment and care, such as enhanced recovery after surgery (ERAS), is very important for improving the clinical outcomes of patients who have undergone surgery. However, professional assessments and care cannot be achieved through the actions of only 1 surgical department. We established a perioperative management center(PERIO) comprised of surgeons, dedicated nurses, anesthesiologists, dentists, physiotherapists, pharmacists, and nutritionists to perform intensive cross-sectoral perioperative management. In this manuscript, we investigated the impact of PERIO on the clinical outcomes of 127 elderly patients who underwent thoracic surgery for the resection of non-small cell lung cancer (NSCLC). We categorized these 127 patients into 3 groups:① those treated before the introduction of PERIO (between January 2006 to August 2008), ② those treated during the early phase after PERIO introduction (September 2008 to December 2011), and ③ those treated during the late phase after PERIO introduction( January 2012 to December 2014). Radical operations were performed significantly more frequently after PERIO introduction than before PERIO introduction, while the postoperative complication rates were similar among the 3 groups. The duration of postoperative hospitalization was reduced after the introduction of PERIO, and the hospital surplus increased after the introduction of PERIO. In conclusion, PERIO may play an important role in improving the clinical outcomes of thoracic surgery, especially for elderly patients with NSCLC.

Original languageEnglish
Pages (from-to)20-24
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume69
Issue number1
Publication statusPublished - Jan 1 2016

ASJC Scopus subject areas

  • Medicine(all)

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    Shimoda, A., Soh, J., Ashiba, T., Murata, N., Fukuda, T., Kobayashi, M., Torigoe, H., Maki, Y., Sugimoto, S., Yamane, M., Toyooka, S., Oto, T., & Miyoshi, S. (2016). Cross-sectoral Approach of a Perioperative Management Center for General Thoracic Surgery. Kyobu geka. The Japanese journal of thoracic surgery, 69(1), 20-24.