Impact of ERAS pathway-based perioperative management on postoperative recovery and psychological status in thyroid cancer surgery patients: A retrospective study.
Enhanced recovery after surgery perioperative care linked to fewer complications after thyroid cancer surgery than conventional care
Impact of ERAS pathway-based perioperative management on postoperative recovery and psychological status in thyroid cancer surgery patients: A retrospective study.
Enhanced recovery after surgery (enhanced recovery after surgery) protocols have demonstrated benefits in various surgical specialties, but their impact on psychological outcomes in thyroid cancer patients remains underexplored.
Treated from January 2024 to December 2024 were managed according to the enhanced recovery after surgery protocol (enhanced recovery after surgery group, n = 139), while those treated from January 2023 to December 2023 received conventional perioperative care (control group, n = 139).
complications were less common with enhanced recovery after surgery than conventional care
This retrospective cohort study included 278 thyroid cancer patients undergoing thyroidectomy after 1:1 propensity score matching.
Pain scores were consistently lower at all postoperative timepoints, with reduced opioid consumption (P < .001).
Total hospitalization costs were significantly reduced in the enhanced recovery after surgery group (P < .001).
Enhanced recovery after surgery patients showed significantly lower anxiety and depression scores throughout recovery (P < .001) and higher quality of life scores at discharge and 1 month postoperatively (P < .05).
Enhanced recovery after surgery implementation in thyroid cancer surgery is associated with improved postoperative recovery, reduced complications, decreased costs, and enhanced psychological well-being, supporting its adoption as a comprehensive perioperative care strategy addressing both physical and psychological dimensions of recovery.