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A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery

NZ Literature Abstract

posted by Research Admin on 19 August 2010


Tariq Sammour
K. Zargar-Shoshtari
A. Bhat
Arman Kahokehr
Andrew G. Hill

Year of Publication



New Zealand Medical Journal, 123(1319)

Publication Type

Journal article (peer reviewed)

Publication Status



The authors note that there are few published ERAS cost-analyses in colorectal surgery. The aim of this paper is to evaluate whether costs saved by reduced postoperative resource utilisation would offset the financial burden of setting up and maintaining such an ERAS programme. In this cost-effectiveness analysis from a healthcare provider perspective using a case-control model, the study group consisted of patients enrolled in the ERAS program for elective colonic surgery at Manukau Surgical Centre between December 2005 and March 2007. The control group consisted of consecutive patients from September 2004 to September 2005 (before the start of ERAS). Groups were matched with respect to operation, BMI, ASA, and Cr-POSSUM score. Data were available for 50 patients in each group. There was a significant reduction in total hospital stay, intravenous fluid use, and duration of epidural use in the ERAS group. There were significantly fewer complications in the ERAS group. Implementation of ERAS cost approximately $NZ102,000, but this has been more than offset by costs saved in reduced postoperative resource utilisation, with an overall cost-saving of approximately NZ$6900 per patient. The authors conclude that implementing an ERAS program is cost-effective in the medium term, with costs offset by those recovered by reduced resource utilisation in the postoperative period.

Type of Study

Case control

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