title: [Fast-track: evaluation of a new concept].
abstract: The term fast-track describes the combination of several perioperative evidence-based measures to form a clinical pathway. The primary aim of fast-track is to optimize organ function after surgery in order to avoid general morbidity. At the same time patient recovery is dramatically enhanced and discharge from hospital is possible much earlier than with traditional perioperative care. This article describes the author's experience in implementing a fast-track program for elective colonic resection. It shows the current status of scientific evaluation of the fast-track concept and discusses typical obstacles during introduction of fast-track into the clinical routine in Germany.
authors.affiliation: Allgemein- und Viszeralchirurgie - Zentrum für minimalinvasive und onkologische Chirurgie, Asklepios Klinik Altona, Paul-Ehrlich-Str. 1, 22763, Hamburg, Deutschland. w.schwenk@asklepios.com
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods / Q000401:mortality / Q000534:rehabilitation*; D019091:Critical Pathways / Q000458:organization & administration*; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D016017:Odds Ratio; D010351:Patient Discharge; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality / Q000517:prevention & control* / Q000534:rehabilitation; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D016032:Randomized Controlled Trials as Topic / Q000706:statistics & numerical data