[Clinical pathway for retropubic radical prostatectomy].
The efficacy of an all-in-one clinical pathway for retropubic radical prostatectomy (RRP) was assessed. A total of 60 patients were enrolled, including 33 before the introduction of the pathway (mean age 67.3) and 27 after the introduction (mean age 66.4). The introduction of the pathway significantly improved recovery after the surgery, such as time of ambulant (mean postoperative day 1.5 vs 1.1), food intake (1.3 vs 1.0) and duration of intravenous fluid administration (3.1 vs 2.5). The mean postoperative hospital stay was shortened by 2.1 days (p = 0.06). Medical fees decreased by yen 94170 (p < 0.05). The variance related to the removal of a urethral catheter was observed in seven cases. The catheters were indwelled 3-7 days longer. According to the questionnaire survey, 80% of nurses had good impression on the path because the introduction of the path resulted in improving patient assessment, volume of nurse records, simplicity of the overall description and handling nurse records. The RRP clinical pathway is useful to achieve early recovery, short hospital stay and cost reduction.
Negoro
Hiromitsu
H
Department of Urology, Kobe City General Hospital.
Shiraishi
Yusuke
Y
Okubo
Kazutoshi
K
Okada
Takuya
T
Moroi
Seiji
S
Kawakita
Mutsushi
M
Tatemoto
Nao
N
Asato
Maki
M
D000368:Aged; D019091:Critical Pathways / Q000191:economics / Q000592:standards*; D005251:Fees, Medical; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000191:economics