title: Improving outcomes and cost-effectiveness of colorectal surgery.
abstract: In order to truly make an impact on improving the cost effectiveness, and most importantly, the outcomes of patients undergoing colorectal surgery, all aspects of care need to be scrutinized, re-evaluated, and refined. To accomplish this, everything from the way we train surgeons to the adoption of a minimally invasive approach for colorectal disease, along with the use of adjunct intraoperative measures to decrease morbidity and mortality, may all need to be incorporated within an ERAS program. Only then will this approach lead the provider to a patient-centric care plan which can successfully reduce metrics such as morbidity, mortality, and length of stay (even with the obligatory readmission rate) and provide it all at a lower cost of care.
authors.affiliation: Madigan Army Medical Center, Fort Lewis, WA, 98431, USA, harkersteele@mac.com.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Steele
authors.forename: Joshua
authors.initials: J
authors.lastname: Bleier
authors.forename: Brad
authors.initials: B
authors.lastname: Champagne
authors.forename: Imran
authors.initials: I
authors.lastname: Hassan
authors.forename: Andrew
authors.initials: A
authors.lastname: Russ
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Senagore
authors.forename: Patricia
authors.initials: P
authors.lastname: Sylla
authors.forename: Alessio
authors.initials: A
authors.lastname: Pigazzi
mesh_terms: D003107:Colorectal Surgery / Q000191:economics* / Q000379:methods / Q000401:mortality / Q000534:rehabilitation*; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D017048:Health Care Costs; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay / Q000191:economics*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000191:economics / Q000379:methods; D061214:Patient Safety; D019990:Perioperative Care / Q000191:economics* / Q000379:methods; D011183:Postoperative Complications / Q000191:economics / Q000517:prevention & control; D058996:Quality Improvement; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States