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174 PREMS and PROMS on a basal cohort before implementation of ERAS protocol
  1. Juan Carlos Torrejon-Becerra1,
  2. Sergi Fernandez-Gonzalez1,
  3. Veronica Valois1,
  4. Carlos Ortega1,
  5. Samuel Perez1,
  6. Mireia Castilla1,
  7. Judit Alemany1,
  8. Marta Avella1,
  9. Alvaro Cañizares1,
  10. Jose Jerez1,
  11. Laia Juan2,
  12. Nuria Gil1,
  13. Bernat Miguel1,
  14. Jose Manuel Martinez1,
  15. Manuel Sánchez-Prieto1,
  16. Deyné Maribel Ticona-Ramos1,
  17. Marc Barahona1,
  18. Lola Martí1 and
  19. Jordi Ponce1
  1. 1Gyneacologic Department, University Hospital of Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain
  2. 2MSC Engineering. Project Manager (IHS Iberia). Medtronic, Barcelona, Spain


Introduction/Background Beyond implementation of ERAS (Enhaced Recovery After Surgery), we designed a complete change of the surgical process with the aim of improving, not only the quantitative results (stays, complications) but the qualitative (both satisfaction patients and professionals). For that, we obtained a European grant (FEDER-RISC3CAT) of €1,134,000, which involved purchase of materials, devices, and a shared risk consultancy with MEDTRONIC (Data and Project manager).

Methodology To analyse the basal situation before ERAS implantation on a prospective basal cohort, to be able to demonstrate potential improvements after ERAS protocol implantation. All patients undergoing oncologic surgery (OS) between Oct/2022-Jan/2023 were included. Patient-reported quality of life outcomes (PROMS) assessed via the 5Q-5D-5L questionnaire measuring mobility, self-care, daily activities, pain, and anxiety. Responses obtained through SMS, calls, or interviews. PROMS collected pre and postoperative (48/72 hours post discharge). Patient-reported experience measures (PREMS) gathered using a satisfaction scale on the surgical process, evaluated only 48/72 hours after discharge.

Results A total of 64 procedures were conducted, revealing consistently high scores across all studied variables. Post-surgery, there was a discernible decline in self-care and daily activity perception, accompanied by an increase in pain. Notably, anxiety levels exhibited a reduction following the surgical intervention. Regarding PREMS, 100% (64/64) expressed very high or quite high satisfaction with the treatment, and all participants indicated a willingness to undergo the same process again. Furthermore, 25% reported an early discharge from the hospital.

Conclusion Our findings indicate exceptional results in PROMS within the baseline cohort, making it challenging to enhance outcomes further through ERAS implementation. Importantly, patients consistently reported positive experiences throughout the surgical process. Of particular significance that several patients perceive that they have been discharged from the hospital earlier than they expected, presenting itself as a key area for improvement in future pre-habilitated cohorts.

Disclosures The authors have nothing to disclose.

Abstract 174 Table 1

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