PMID- 16551417
OWN - NLM
STAT- MEDLINE
DCOM- 20060710
LR  - 20220321
IS  - 1478-7083 (Electronic)
IS  - 0035-8843 (Print)
IS  - 0035-8843 (Linking)
VI  - 88
IP  - 2
DP  - 2006 Mar
TI  - Perceptions of the application of fast-track surgical principles by general 
      surgeons.
PG  - 191-5
AB  - INTRODUCTION: Fast-track surgery is a novel approach which uses a multimodal 
      package of changes to traditional surgical care to reduce the stress response 
      evoked by surgery allowing for enhanced recovery times. The depth of 
      understanding and application of fast-track principles to general surgical 
      practice by consultant surgeons is unknown. MATERIALS AND METHODS: 'Core 
      management features' central to published fast-track general surgical studies 
      were identified following a comprehensive Medline literature search. The 
      knowledge and application of these features were examined in a postal 
      questionnaire sent to 116 general surgeons in a single region. RESULTS: Of 
      respondents, 31% indicated they were currently using fast-track surgery (the 
      'fast-trackers'). The number of fast-track compliant responses was calculated for 
      each consultant (range, 1-12 of 14). Mean scores for 'fast-trackers' of 8.45 (+/- 
      2.188) and 'non-fast-trackers' of 6.16 (+/- 2.352) showed no significant 
      differences (P > 0.6). The 'fast-trackers' median estimated length of stay (LOS) 
      was 5 days (inter-quartile range [IQR], 4-7) which was significantly lower than 
      the 7 day (IQR 6-8) LOS estimates given by the 'non-fast-trackers' (P < 0.01). 
      CONCLUSIONS: Despite estimating reduced LOS, no significant difference in total 
      fast-track compliant responses was found between the 'fast-tracker' and 
      'non-fast-tracker' groups. The 'fast-trackers' estimated LOS of 5 days is 2.5 
      times the 2 day LOS reported in the published fast-track studies. A significant 
      gap exists between the perception and realisation of fast-track methodology 
      amongst general surgeons.
FAU - Walter, Catherine Jane
AU  - Walter CJ
AD  - Academic Surgical Unit, St James's University Hospital, Leeds, UK. 
      C.J.Walter@Hull.ac.uk
FAU - Smith, Adrian
AU  - Smith A
FAU - Guillou, Pierre
AU  - Guillou P
LA  - eng
PT  - Journal Article
PL  - England
TA  - Ann R Coll Surg Engl
JT  - Annals of the Royal College of Surgeons of England
JID - 7506860
SB  - IM
MH  - Analgesia
MH  - *Attitude of Health Personnel
MH  - Consultants
MH  - England
MH  - *General Surgery
MH  - Guideline Adherence
MH  - Hospitals, Teaching
MH  - Humans
MH  - Length of Stay
MH  - Medical Staff, Hospital/*psychology
MH  - Practice Guidelines as Topic
MH  - *Practice Patterns, Physicians'
MH  - Referral and Consultation
MH  - Stress, Physiological
MH  - Surveys and Questionnaires
PMC - PMC1964091
EDAT- 2006/03/23 09:00
MHDA- 2006/07/13 09:00
PMCR- 2007/03/01
CRDT- 2006/03/23 09:00
PHST- 2006/03/23 09:00 [pubmed]
PHST- 2006/07/13 09:00 [medline]
PHST- 2006/03/23 09:00 [entrez]
PHST- 2007/03/01 00:00 [pmc-release]
AID - 10.1308/003588406X94940 [doi]
PST - ppublish
SO  - Ann R Coll Surg Engl. 2006 Mar;88(2):191-5. doi: 10.1308/003588406X94940.