{"doi":"10.1002/cncr.34484","title":"Patient outcomes following implementation of an enhanced recovery after surgery pathway for patients with metastatic spine tumors","abstract":"BACKGROUND: Metastatic spine tumor surgery consists of palliative operations performed on frail patients with multiple medical comorbidities. Enhanced recovery after surgery (ERAS) programs involve an evidence-based, multidisciplinary approach to improve perioperative outcomes. This study presents clinical outcomes of a metastatic spine tumor ERAS pathway implemented at a tertiary cancer center. METHODS: The metastatic spine tumor ERAS program launched in April 2019, and data from January 2018 to May 2020 were reviewed. Measured outcomes included the following: hospital length of stay (LOS), time to ambulation, urinary catheter duration, time to resumption of diet, intraoperative fluid intake, estimated blood loss (EBL), and intraoperative and postoperative day 0-5 cumulative opioid use (morphine milligram equivalent [MME]). RESULTS: A total of 390 patients were included in the final analysis: 177 consecutive patients undergoing metastatic spine tumor surgery enrolled in the ERAS program and 213 consecutive pre-ERAS patients. Although the mean case durations were similar in the ERAS and pre-ERAS cohorts (265 vs. 274 min; p = .22), the ERAS cohort had decreased EBL (157 vs. 215 ml; p = .003), decreased postoperative day 0-5 cumulative mean opioid use (178 vs. 396 MME; p < .0001), earlier ambulation (mean, 34 vs. 57 h; p = .0001), earlier discontinuation of urinary catheters (mean, 36 vs. 56 h; p < .001), and shorter LOS (5.4 vs. 7.5 days; p < .0001). CONCLUSIONS: The implementation of a multidisciplinary ERAS program designed for metastatic spine tumor surgery led to improved clinical quality metrics, including shorter hospitalizations and significant reductions in opioid consumption.","journal":"Cancer","year":2022,"id":252126,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":24,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9485,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":288026,"name":"Ilya Laufer","orcid":"0000-0003-0092-5030","position":1,"is_corresponding":false},{"id":674474,"name":"Anubhav G. Amin","orcid":null,"position":2,"is_corresponding":false},{"id":348659,"name":"Marc A. Cohen","orcid":"0000-0002-6104-7967","position":3,"is_corresponding":false},{"id":288021,"name":"Anne S. Reiner","orcid":"0000-0002-1258-6112","position":4,"is_corresponding":false},{"id":896599,"name":"Cindy Vuong","orcid":null,"position":5,"is_corresponding":false},{"id":896600,"name":"Petal‐Ann S. Persaud","orcid":null,"position":6,"is_corresponding":false},{"id":896084,"name":"Lisa Marie Ruppert","orcid":"0000-0003-3751-8500","position":7,"is_corresponding":false},{"id":398609,"name":"Vinay Puttanniah","orcid":null,"position":8,"is_corresponding":false},{"id":496910,"name":"Anoushka M. Afonso","orcid":"0000-0002-0194-8173","position":9,"is_corresponding":false},{"id":771952,"name":"Van Tsui","orcid":null,"position":10,"is_corresponding":false},{"id":369818,"name":"Jess W. Brallier","orcid":"0000-0002-5243-8237","position":11,"is_corresponding":false},{"id":896085,"name":"Vivek Malhotra","orcid":"0009-0000-9057-2608","position":12,"is_corresponding":false},{"id":288025,"name":"Mark H. Bilsky","orcid":"0000-0001-6091-0709","position":13,"is_corresponding":false},{"id":288020,"name":"Ori Barzilai","orcid":"0000-0002-4037-8716","position":14,"is_corresponding":false},{"id":896083,"name":"Vikram Chakravarthy","orcid":"0000-0003-0081-6571","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T00:24:46.226372Z","pmid":"36219485","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}