Colorectal Outcomes Measures
Return of Bowel Function
"passed flatus or had BM or stoma output of stool"
ACS-ISCR (p.54)
Powers 2019 (P = 0.02)
Tolerating Diet
ACS-ISCR (p.55)
"optional"
Pain Control
with Oral Medications Only
ACS-ISCR (p.56)
"optional"
Morphine Equivalents
Median and Range (for outlier skew)
Mean and Standard Deviation
Opiate-Free at 30 days
Length of Stay
ACS-ISCR (p.72)
Median and Range (for outlier skew)
Mean and Standard Deviation
"Happy Days"
Postoperative out of Hospital Days
30 or 60 days after surgery
Moonesinghe 2017 (POQI)
30-Day Readmission
ACS-ISCR (p.70)
Powers 2019 (P = .69)
30-Day Mortality
ACS-ISCR (p.70)
Powers 2019 (P = .73)
PROM
Patient Reported Outcome Measures
Patient Function (return to work) and Satisfaction
QoR: Quality of Recovery
QoR 9 or 15 or 40 scales
World Health Organization Disability Assessment Schedule
(WHODAS 2.0)
Complications
Anastomotic Breakdown
Powers 2019 (P = 0.12)
Superficial Surgical Infection
ACS-ISCR (p.64)
Powers 2019 (P = .11)
Deep Surgical Infection
ACS-ISCR (p.66)
Powers 2019 (P = 0.25)
Organ Space Surgical Infection
ACS-ISCR (p.68)
Powers 2019 (P = 0.28)
Composite:
Moderate or Severe
Complication
Powers 2019 (P = 0.01)
Single Organ Outcome Measures
Jammer et al, Eur J Anaesthesiol 2015 32:88-105
PE
ACS-ISCR (p.59)
Powers 2019 (P = 0.30)
DVT
ACS-ISCR (p.60)
Powers 2019 (P > .99)
Urinary Tract Infection
ACS-ISCR (p.62)
Powers 2019 (P = 0.03)
Costs
Surgical Times
Anesthesia Start
Surgical Start
Anesthesia Stop
(or PACU admission)
PACU Discharge
References
POWER Study Group 2019: real data
Association Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Colorectal Surgery. The Postoperative Outcomes within Enhanced Recovery After Surgery Protocol (POWER) Study
Javier Ripolles-Melchor et at, JAMA Surg 2019;154(8):725-736
