Enhanced Recovery After Surgery Program In Older Patients Undergoing Gynaecologic Oncological Surgery Is Feasible And Safe

Introduction/Background Enhanced Recovery After Surgery Programs (ERP) include multimodal approaches of perioperative patient´s clinical pathways designed to achieve early recovery after surgery and a decreased length of hospital stay (LOS). By allowing patients to return rapidly to their everyday surroundings, older patients are those who could take the greatest benefit from ERP. This is the first study to date to assess feasibility and safety of ERP on older patients undergoing gynaecologic oncological surgery. Methodology Data were prospectively collected between December 2015 and September 2017 at the Institut Paoli-Calmettes, a French comprehensive cancer centre. All the patients included in the study were referred for hysterectomy and/or pelvic or para-aortic lymphadenectomy for gynaecological cancer. The primary objective was to achieve similar LOS in patients ≥70 years old compared to younger patients without increasing the proportion of complications and readmission rates. A binary (LOS Results Of a total of 329 patients, 75 were ≥70 years old and 254 were Conclusion Our study shows that ERP for patients over 70 years of age undergoing gynaecologic oncological surgery is as safe and feasible as on younger patients. Disclosure Nothing to disclose