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Management of Patients with Colorectal Cancer through Fast-Track Surgery

Author

Listed:
  • Arianna Scala

    (Department of Public Health, University Hospital of Naples Federico II, 80131 Naples, Italy)

  • Antonio D’Amore

    (AORN “Antonio Cardarelli” Hospital, 80131 Naples, Italy)

  • Maria Pia Mannelli

    (AORN “Antonio Cardarelli” Hospital, 80131 Naples, Italy)

  • Mario Mensorio

    (AORN “Antonio Cardarelli” Hospital, 80131 Naples, Italy)

  • Giovanni Improta

    (Department of Public Health, University Hospital of Naples Federico II, 80131 Naples, Italy
    Interdepartmental Center for Research in Healthcare Management and Innovation in Healthcare (CIRMIS), University of Naples Federico II, 80131 Naples, Italy)

Abstract

Colorectal cancer (CRC) is the third most common cancer in men and the second most common in women globally. CRC is considered a priority public health issue due to its incidence and the high associated costs. Surgery is the predominant therapeutic approach for CRC. Given the involvement of the intestinal tract in the surgical process, there is a significant increase in postoperative morbidity rates, and the average length of hospital stay (LOS) tends to lengthen. In this research, we employed the Lean Six Sigma (LSS) methodology, specifically utilizing the DMAIC cycle, to identify and subsequently examine the effects of fast-track surgery on hospitalization times for interventions related to CRC at the AORN “Antonio Cardarelli” Hospital in Naples (Italy). The process analysis, guided by the DMAIC cycle, facilitated a reduction in the median LOS from 14 days to 12 days. The most notable improvement was observed in the 66–75 age group without comorbidities. The LSS approach provides methodological rigor, as previously recognized, enabling substantial enhancements to the process. This involves standardizing outcomes, minimizing variability, and achieving an overall reduction in the LOS from 14 to 12 days.

Suggested Citation

  • Arianna Scala & Antonio D’Amore & Maria Pia Mannelli & Mario Mensorio & Giovanni Improta, 2024. "Management of Patients with Colorectal Cancer through Fast-Track Surgery," IJERPH, MDPI, vol. 21(9), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1226-:d:1479960
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    References listed on IDEAS

    as
    1. Robinson, Stewart & Radnor, Zoe J. & Burgess, Nicola & Worthington, Claire, 2012. "SimLean: Utilising simulation in the implementation of lean in healthcare," European Journal of Operational Research, Elsevier, vol. 219(1), pages 188-197.
    2. Arianna Scala & Alfonso Maria Ponsiglione & Ilaria Loperto & Antonio Della Vecchia & Anna Borrelli & Giuseppe Russo & Maria Triassi & Giovanni Improta, 2021. "Lean Six Sigma Approach for Reducing Length of Hospital Stay for Patients with Femur Fracture in a University Hospital," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    3. Leon Martens & Grahame Goode & Johan F H Wold & Lionel Beck & Georgina Martin & Christian Perings & Pelle Stolt & Lucas Baggerman, 2014. "Structured Syncope Care Pathways Based on Lean Six Sigma Methodology Optimises Resource Use with Shorter Time to Diagnosis and Increased Diagnostic Yield," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-9, June.
    Full references (including those not matched with items on IDEAS)

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