PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery
Advanced ovarian cancer; Complete cytoreductive surgery; Peritoneal carcinomatosis
| Autores: | , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:11351/11005 |
| Acceso en línea: | https://hdl.handle.net/11351/11005 |
| Access Level: | acceso embargado |
| Palabra clave: | Ovaris - Càncer - Cirurgia Postoperatori DISEASES::Neoplasms::Neoplasms by Site::Endocrine Gland Neoplasms::Ovarian Neoplasms Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cytoreduction Surgical Procedures ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de las glándulas endocrinas::neoplasias ováricas Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos citorreductores |
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PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| title |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| spellingShingle |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery Sanchez Iglesias, Jose Luis Ovaris - Càncer - Cirurgia Postoperatori DISEASES::Neoplasms::Neoplasms by Site::Endocrine Gland Neoplasms::Ovarian Neoplasms Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cytoreduction Surgical Procedures ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de las glándulas endocrinas::neoplasias ováricas Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos citorreductores |
| title_short |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| title_full |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| title_fullStr |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| title_full_unstemmed |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| title_sort |
PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgery |
| dc.creator.none.fl_str_mv |
Sanchez Iglesias, Jose Luis Carbonell-Socias, Melchor PEREZ BENAVENTE, ASUNCION MONREAL CLUA, SONIA Manrique, Susana García Gorriz, Manel Segurola Gurrutxaga, Hegoi Pamies Serrano, Mónica Gutiérrez-Barceló, Ma Del Pilar Serrano-Castro, Susana Balcells-Farré, Ma Teresa Pérez-Barragán, Carmen Scaillet-Houberechts, Axelle Cossio Gil, Yolima Burgos Peláez, Rosa Gil-Moreno, Antonio |
| author |
Sanchez Iglesias, Jose Luis |
| author_facet |
Sanchez Iglesias, Jose Luis Carbonell-Socias, Melchor PEREZ BENAVENTE, ASUNCION MONREAL CLUA, SONIA Manrique, Susana García Gorriz, Manel Segurola Gurrutxaga, Hegoi Pamies Serrano, Mónica Gutiérrez-Barceló, Ma Del Pilar Serrano-Castro, Susana Balcells-Farré, Ma Teresa Pérez-Barragán, Carmen Scaillet-Houberechts, Axelle Cossio Gil, Yolima Burgos Peláez, Rosa Gil-Moreno, Antonio |
| author_role |
author |
| author2 |
Carbonell-Socias, Melchor PEREZ BENAVENTE, ASUNCION MONREAL CLUA, SONIA Manrique, Susana García Gorriz, Manel Segurola Gurrutxaga, Hegoi Pamies Serrano, Mónica Gutiérrez-Barceló, Ma Del Pilar Serrano-Castro, Susana Balcells-Farré, Ma Teresa Pérez-Barragán, Carmen Scaillet-Houberechts, Axelle Cossio Gil, Yolima Burgos Peláez, Rosa Gil-Moreno, Antonio |
| author2_role |
author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Sánchez-Iglesias JL, Carbonell-Socias M, Pérez-Benavente MA, Monreal Clua S] Unitat de Ginecologia Oncològica i Patologia del Tracte Genital, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Manrique-Muñoz S, García Gorriz M] Unitat d’Anestesiologia i Reanimació, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Burgos-Peláez R, Segurola Gurrutxaga H, Pamies Serrano M, Pilar Gutiérrez-Barceló MD] Unitat de Suport Nutricional, Servei d’Endocrinologia i Nutrició, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Serrano-Castro S] Unitat d’Infermeria d’Oncologia Ginecològica i Malalties Mamàries, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Balcells-Farré MT, Pérez-Barragán C, Scaillet-Houberechts A, Cossio-Gil Y] Direcció de Sistemes d’Informació, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Gestió del Sistema d’Atenció Sanitària, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Gil-Moreno A] Unitat de Ginecologia Oncològica i Patologia del Tracte Genital, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca Biomèdica en Ginecologia, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBERONC, Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Ovaris - Càncer - Cirurgia Postoperatori DISEASES::Neoplasms::Neoplasms by Site::Endocrine Gland Neoplasms::Ovarian Neoplasms Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cytoreduction Surgical Procedures ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de las glándulas endocrinas::neoplasias ováricas Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos citorreductores |
| topic |
Ovaris - Càncer - Cirurgia Postoperatori DISEASES::Neoplasms::Neoplasms by Site::Endocrine Gland Neoplasms::Ovarian Neoplasms Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cytoreduction Surgical Procedures ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de las glándulas endocrinas::neoplasias ováricas Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos citorreductores |
| description |
Advanced ovarian cancer; Complete cytoreductive surgery; Peritoneal carcinomatosis |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2024 2024 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
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article |
| status_str |
acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/11005 |
| url |
https://hdl.handle.net/11351/11005 |
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Inglés |
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Inglés |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/embargoedAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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embargoedAccess |
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application/pdf |
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Scientia reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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1869425368570527744 |
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PROFAST: A randomised trial implementing enhanced recovery after surgery for highcomplexity advanced ovarian cancer surgerySanchez Iglesias, Jose LuisCarbonell-Socias, MelchorPEREZ BENAVENTE, ASUNCIONMONREAL CLUA, SONIAManrique, SusanaGarcía Gorriz, ManelSegurola Gurrutxaga, HegoiPamies Serrano, MónicaGutiérrez-Barceló, Ma Del PilarSerrano-Castro, SusanaBalcells-Farré, Ma TeresaPérez-Barragán, CarmenScaillet-Houberechts, AxelleCossio Gil, YolimaBurgos Peláez, RosaGil-Moreno, AntonioOvaris - Càncer - CirurgiaPostoperatoriDISEASES::Neoplasms::Neoplasms by Site::Endocrine Gland Neoplasms::Ovarian NeoplasmsOther subheadings::Other subheadings::Other subheadings::/surgeryANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cytoreduction Surgical ProceduresENFERMEDADES::neoplasias::neoplasias por localización::neoplasias de las glándulas endocrinas::neoplasias ováricasOtros calificadores::Otros calificadores::Otros calificadores::/cirugíaTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos citorreductoresAdvanced ovarian cancer; Complete cytoreductive surgery; Peritoneal carcinomatosisCáncer de ovario avanzado; Cirugía citorreductora completa; Carcinomatosis peritonealCàncer d'ovari avançat; Cirurgia citoreductora completa; Carcinomatosi peritonealBackground Enhanced recovery after surgery (ERAS) programs include multiple perioperative elements designed to achieve early recovery after surgery and a shorter length of stay (LOS) in hospital. The PROFAST trial aimed to expand the evidence base for implementing ERAS in advanced gynaecologic oncology surgery. Methods This prospective, interventional randomised clinical trial enrolled women undergoing surgery for either suspected or diagnosed advanced ovarian cancer, at a reference hospital in gynaecologic oncology in Barcelona (Spain) and who were treated after either an ERAS protocol or conventional management (CM) protocol. All enrolled women who underwent cytoreductive surgery were included in the primary analysis. The primary outcome was reduction in LOS, and secondary outcomes were incidence and type of intraoperative and postoperative complications, rate of readmission and mortality within a 30-d follow-up period. This trial is registered at ClinicalTrials.gov , number NCT02172638 . Findings From June 2014 to March 2018, 110 women were recruited, of which eleven were excluded. The ERAS group comprised 50 patients, and the CM group, 49 patients. Both groups were comparable with respect to baseline characteristics and complexity of the cytoreductive surgery, with an overall medium/high Aletti surgical complexity score of 7.4. Overall compliance to the ERAS protocol was 92%. As compared with the patients in the CM group, patients in the ERAS group had a decreased median of LOS of two days (7 versus 9 days; p = 0.0099) and a decreased rate of readmission (6% versus 20%, p = 0.0334). No further significant differences were detected with respect to incidence of intraoperative or postoperative complications, severe (Clavien–Dindo grade IIIB–IV) complications, Comprehensive Complication Index, reoperation during primary stay, or mortality. Interpretation Patients with advanced ovarian cancer in the ERAS program had a decreased LOS and decreased rate of readmission as compared with those in CM, with no increased morbidity or mortality. This study provides important evidence for the benefits of ERAS management even for gynaecologic surgeries of medium/high complexity and suggests that ERAS should be a standard practice for cytoreductive surgeries for peritoneal carcinomatosis.Institut Català de la Salut[Sánchez-Iglesias JL, Carbonell-Socias M, Pérez-Benavente MA, Monreal Clua S] Unitat de Ginecologia Oncològica i Patologia del Tracte Genital, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Manrique-Muñoz S, García Gorriz M] Unitat d’Anestesiologia i Reanimació, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Burgos-Peláez R, Segurola Gurrutxaga H, Pamies Serrano M, Pilar Gutiérrez-Barceló MD] Unitat de Suport Nutricional, Servei d’Endocrinologia i Nutrició, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Serrano-Castro S] Unitat d’Infermeria d’Oncologia Ginecològica i Malalties Mamàries, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Balcells-Farré MT, Pérez-Barragán C, Scaillet-Houberechts A, Cossio-Gil Y] Direcció de Sistemes d’Informació, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Gestió del Sistema d’Atenció Sanitària, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Gil-Moreno A] Unitat de Ginecologia Oncològica i Patologia del Tracte Genital, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca Biomèdica en Ginecologia, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBERONC, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202420242020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/11351/11005Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/embargoedAccessoai:recercat.cat:11351/110052026-05-29T05:05:01Z |
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15.811543 |