title: The Future of Enhanced Recovery for Radical Cystectomy: Current Evidence, Barriers to Adoption, and the Next Steps.
abstract: Radical cystectomy (RC) is a complex procedure that can involve long postoperative hospital stays and complicated, burdensome recoveries. Enhanced recovery after surgery is a broad term encompassing an overall approach to perioperative management of postsurgical patients and is becoming more widely accepted for cystectomy patients. This review examines the current evidence for using enhanced recovery protocols for RC as well as current rates of adoption of enhanced recovery among urologists performing RC. We also discuss the next steps for overcoming barriers to the widespread implementation of enhanced recovery for RC.
authors.affiliation: Department of Urology, MD Anderson Cancer Center, Houston, TX.
authors.forename: Bernard J
authors.initials: BJ
authors.lastname: Danna
authors.affiliation: Department of Urology, MD Anderson Cancer Center, Houston, TX.
authors.forename: Erika L
authors.initials: EL
authors.lastname: Wood
authors.affiliation: Department of Urology, University of Rochester Medical Center, Rochester, NY.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Baack Kukreja
authors.affiliation: Department of Urology, MD Anderson Cancer Center, Houston, TX. Electronic address: jbshah@mdanderson.org.
authors.forename: Jay B
authors.initials: JB
authors.lastname: Shah
mesh_terms: D000359:Aftercare; D015653:Cystectomy / Q000379:methods / Q000639:trends*; D005544:Forecasting; D006801:Humans; D020127:Recovery of Function; D001749:Urinary Bladder Neoplasms / Q000601:surgery*