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| Name | Class |
|---|---|
| Mount Zion Health Fund | OTHER |
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Retrospective analysis of pre and post-Enhanced Recovery after Surgery for Total mastectomy pathway implementation.
Retrospective analysis of pre- and post-Enhanced Recovery after surgery for total mastectomy pathway implementation in patients at Mount Zion Hospital. We examined perioperative opioid consumption, pain scores, post-operative nausea and vomiting, benzodiazepine use, length of stay for the time period before and after implementation of an Enhanced Recovery after Surgery pathway for Total mastectomy. Pathway features included preoperative acetaminophen and gabapentin, minimizing opioids, postoperative NSAIDs, Pecs blocks, and aggressive postoperative nausea and vomiting prophylaxis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pre-ERAS | Patients cared for prior to the implementation of the Enhanced Recovery after surgery for total mastectomy pathway | ||
| post-ERAS | patients cared for after the implementation of the Enhanced Recovery after surgery for total mastectomy pathway. Pathway included preoperative acetaminophen and gabapentin, Pec blocks, multimodal analgesia postoperatively and aggressive PONV treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS pathway for Total Mastectomy | Other | Enhanced Recovery after Surgery (ERAS) pathway for Total Mastectomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| perioperative opioid consumption | perioperative opioid consumption | through study completion (average of 1 year) |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative nausea and vomiting (PONV) | incidence post-operative nausea and vomiting | through study completion (average of 1 year) |
| postoperative benzodiazepine use | amount of benzodiazepines used postoperatively for treatment of muscle spasm |
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Inclusion Criteria:
Exclusion Criteria:
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patients at UCSF Mount Zion hospital who were scheduled for total mastectomy
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| ID | Term |
|---|---|
| D015413 | Mastectomy, Simple |
| ID | Term |
|---|---|
| D008408 | Mastectomy |
| D013514 | Surgical Procedures, Operative |
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| through study completion (average of 1 year) |
| Length of stay (LOS) | Length of stay | through study completion (average of 1 year) |
| Pain score | highest pain score perioperatively | through study completion (average of 1 year) |
| Surgery duration | length of surgery (min) | through study completion (average of 1 year) |