September 1st started the enrollment of patients, operated or in pre-admission visits, within the ERAS Chiropractic project Colorettale and ERAS Hysterectomy, at participating centers that currently amount to 32 and 25 respectively.

The ERAS international protocol (Enhanced Recovery After Surgery) aims to reduce the perioperative stress of the patient, linked in part to hospitalization and in part to the physiopathological alterations typical of surgery.

The dissemination and evaluation of ERAS in Piedmont is conducted by CPO Piedmont in collaboration with Rete Oncologica Piemonte Valle d'Aosta and SCaDU Servizio Sovrazonale di Epidemiologia (SEPI).

The strengths of ERAS are:

  • optimal pain control using a multimodal approach based on epidural or loco-regional anesthesia and NSAID-based analgesic therapy;
  • adoption of minimally invasive surgical techniques;
  • early post-operative rehabilitation, thanks to the immediate recovery of physiological functions such as mobilization and feeding, with consequent greater satisfaction of the assisted person and reduction of hospitalization times and costs;
  • multidisciplinary approach in patient management: the surgeon is no more the only actor along the therapeutic path, sharing decisions together with a team composed of anesthesiologists, nurses, dieticians, dieticians and other professionals.

October 10th will be held in Turin the first edition of the ERAS training course for hospitals where the protocol will be activated from December 10th. Further three editions will follow in 2020 (16/01, 02/04, 11/06). In total they will be more than 400 health workers engaged in the sole collection of patient data.

The first tranche of the centers identified through the randomization procedure sees the involvement of the following structures: IRCCS of Candiolo, AOU Maggiore of Carità of Novara, Edoardo Agnelli Hospital of Pinerolo, Hospital of the Infirm of Rivoli, San Giacomo Hospital of Novi Ligure, Santo Spirito Hospital of Casale Monferrato, Martini Hospital of Turin.

The dissemination and evaluation of ERAS in the Piedmont Region is part of the national project EASY-NET for the evaluation of effectiveness of Audit & Feedback interventions, funded by the Ministry of Health (NET-2016-02364191) and co-funded by 7 Regions: Piedmont, Lombardy, Friuli Venezia Giulia, Emilia-Romagna, Lazio, Calabria, Sicily.