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Your search keyword '"Dias, Esther M."' showing total 6 results
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6 results on '"Dias, Esther M."'

1. Quality of Recovery and Innate Immune Homeostasis in Patients Undergoing Low-pressure Versus Standard-pressure Pneumoperitoneum During Laparoscopic Colorectal Surgery (RECOVER): A Randomized Controlled Trial

Author

Albers, Kim I., Polat, Fatih, Helder, Leonie, Panhuizen, Ivo F., Snoeck, Marc M.J., Polle, S. (Bas) W., de Vries, Hilbert, Dias, Esther M., Slooter, Gerrit D., de Boer, Hans D., Diaz-Cambronero, Oscar, Mazzinari, Guido, Scheffer, Gert-Jan, Keijzer, Christiaan, Warlé, Michiel C., Bindels, Manon, Bökkerink, Guus M.J., Graat, Leon J., Groh, Laszlo A., van Helden, Esmee, Leclercq, Wouter K.G., Marques Mari, Ana I., Meijer, Patrick, Reijnders, Gabby, and de Zeeuw, Sharonne

Published
2022
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3. Is a preoperative multidisciplinary team meeting (cost)effective to improve outcome for high-risk adult patients undergoing noncardiac surgery: the PREPARATION study—a multicenter stepped-wedge cluster randomized trial.

Author

Vernooij, Jacqueline E. M., Boerlage, Romijn M., Doggen, Carine J. M., Preckel, Benedikt, Dirksen, Carmen D., van Leeuwen, Barbara L., Spruit, Rutger J., Festen, Suzanne, van der Wal-Huisman, Hanneke, van Basten, Jean P., Kalkman, Cor J., Koning, Nick J., van der Sloot, Koene, Dias, Esther M., Kal, Jasper E., van den Nieuwenhuyzen, Marjolein C. O., di Biase, Manuela, Hagenaars, Martin, Oedairadjsingh, Bies, and van den Ende, Taco

Subjects
CLUSTER randomized controlled trials, ARACHNOID cysts, PERIOPERATIVE care, LIFE expectancy, PREOPERATIVE care, ADULTS
Abstract

Background: As a result of increased life expectancy and improved care for patients suffering from chronic disease, the number of patients with multimorbidity requiring surgical intervention is increasing. For complex surgical patients, it is essential to balance the potential benefits of surgical treatment against the risk of permanent loss of functional capacity and quality of life due to complications. European and US guidelines on perioperative care recommend preoperative multidisciplinary team (MDT) discussions for high-risk noncardiac surgical patients. However, the evidence underlying benefits from preoperative MDT meetings with all relevant perioperative specialties present is limited. The current study aims to investigate the effect of implementation of preoperative MDT discussions for high-risk patients undergoing noncardiac surgery on serious adverse events. Methods/design: PREPARATION is a stepped-wedge cluster randomized trial in 14 Dutch hospitals without currently established preoperative MDT meeting. The intervention, preoperative MDT meetings, will be implemented sequentially with seven blocks of 2 hospitals switching from control (preoperative screening as usual) to the intervention every 3 months. Each hospital will be randomized to one of seven blocks. We aim to include 1200 patients. The primary outcome is the incidence of serious adverse events at 6 months. Secondary outcomes include (cost)effectiveness, functional outcome, and quality of life for up to 12 months. Discussion: PREPARATION is the first study to assess the effectiveness of a preoperative MDT meeting for high-risk noncardiac surgical patients in the presence of an anesthesiologist. If the results suggest that preoperative MDT discussions for high-risk patients are (cost)-effective, the current study facilitates implementation of preoperative MDT meetings in clinical practice. Trial registration: ClinicalTrials.gov NCT05703230. Registered on 11/09/2022. [ABSTRACT FROM AUTHOR]

Published
2023
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