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Efficacy of Enhanced Recovery After Surgery Pathway for Total Mastectomy

Efficacy of Enhanced Recovery After Surgery Pathway for Total Mastectomy

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03181139
Acronym
ERAS_Breast
Enrollment
386
Registered
2017-06-08
Start date
2013-07-01
Completion date
2016-04-30
Last updated
2017-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer Female, Mastectomy

Keywords

Enhanced Recovery after Surgery (ERAS), Fast-track surgery, Pec Blocks, Mastectomy

Brief summary

Retrospective analysis of pre and post-Enhanced Recovery after Surgery for Total mastectomy pathway implementation.

Detailed description

Retrospective analysis of pre- and post-Enhanced Recovery after surgery for total mastectomy pathway implementation in patients at Mount Zion Hospital. We examined perioperative opioid consumption, pain scores, post-operative nausea and vomiting, benzodiazepine use, length of stay for the time period before and after implementation of an Enhanced Recovery after Surgery pathway for Total mastectomy. Pathway features included preoperative acetaminophen and gabapentin, minimizing opioids, postoperative NSAIDs, Pecs blocks, and aggressive postoperative nausea and vomiting prophylaxis.

Interventions

OTHERERAS pathway for Total Mastectomy

Enhanced Recovery after Surgery (ERAS) pathway for Total Mastectomy

Sponsors

Mount Zion Health Fund
CollaboratorOTHER
Monica Harbell
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* female patients at least 18 years old undergoing total skin sparing mastectomy at University of California San Francisco Mount Zion hospital

Exclusion criteria

* patients undergoing concurrent bilateral salpingo-oophorectomy, flap reconstruction

Design outcomes

Primary

MeasureTime frameDescription
perioperative opioid consumptionthrough study completion (average of 1 year)perioperative opioid consumption

Secondary

MeasureTime frameDescription
Post-operative nausea and vomiting (PONV)through study completion (average of 1 year)incidence post-operative nausea and vomiting
postoperative benzodiazepine usethrough study completion (average of 1 year)amount of benzodiazepines used postoperatively for treatment of muscle spasm
Length of stay (LOS)through study completion (average of 1 year)Length of stay
Pain scorethrough study completion (average of 1 year)highest pain score perioperatively
Surgery durationthrough study completion (average of 1 year)length of surgery (min)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026