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Surgical Innovation
January 18, 2017

Improving Surgical Value and Culture Through Enhanced Recovery Programs

Author Affiliations
  • 1Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada
JAMA Surg. Published online January 18, 2017. doi:10.1001/jamasurg.2016.5056

Enhanced recovery pathways (ERPs) are evidence-based multidisciplinary clinical pathways. They are not any one particular intervention; rather, they are clinical care bundles that incorporate multiple evidence-based care processes encompassing all aspects of perioperative care for a particular procedure (Table). Initially developed for colorectal surgery, a litany of studies supporting the use of enhanced recovery concepts has also been published for a wide variety of surgical procedures, including hepatic, thoracic, pancreatic, orthopedic, urologic, and other procedures.

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