“Enhanced Recovery After Surgery” has been studied extensively and is broadly implemented in The Netherlands.
Initial implementation of the ERAS-protocol for colorectal surgery has resulted in shorter length of hospital stay and lower rates of complications, re-admissions and re-surgery. There is a positive, significant association between compliance to the protocol and clinical outcomes. But there is still room for improvement within the protocol. Within the protocol, active elements can be distinguished from passive elements. Passive elements are executed by the healthcare professionals, where the active elements need to be (partially) executed by the patient. Room for improving outcomes by increasing further compliance to the protocol is associated with the latter. Therefore, a patient-centered mobile application has been developed, generously supported with a subsidiary from the Maag-Lever-Darm Stichting (MLDS). This mobile application is connected via Bluetooth with an activity tracker. The app and has three main functions; informing patients undergoing colorectal surgery, activating them to comply with selected elements and to register daily activity and patient input. The app will be tested in a randomized clinical trial. The trial is supervised by prof. dr. Marlies Schijven and is coordinated by PhD candidate Marilou Jansen. The ERAS-APPtimization study is about to start in both locations of the Amsterdam UMC.
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