THE VARIABILITY AND COMPLIANCE OF PRESURGICAL IMMUNE ENHANCING SUPPLEMENTS OF PATIENTS ACROSS FOUR SURGICAL DISCIPLINES - A RETROSPECTIVE STUDY
Author(s)
Smalarz A1, Ochoa Gautier JB2, Glembot T3, Lessar S3
1Strategic Market Insight, Acton, MA, USA, 2Nestle Health Science, Florham Park, NJ, USA, 3Valley Health Metabolic & Bariatric Program, Winchester, VA, USA
OBJECTIVES: Surgical procedures are invasive by nature and trigger a complex neurohumoral stress response which is critical to initiate physiologic recovery and tissue healing. Preoperative nutritional optimization with immune enhancing supplements containing arginine, omega-3 fatty acids and nucleotides modulates the stress response and reduces postoperative complications. Despite overwhelming evidence verifying the importance of preoperative nutritional intervention, preoperative nutrition protocols are not implemented consistently to promote patient compliance. The objective of this study was to evaluate the variability and compliance of surgical patients to their preoperative nutritional regimen. METHODS: A database including four surgical disciplines (major spine, bariatrics, total hip and knee replacement, and gastrointestinal malignancy) was developed to track variability and compliance with the nutritional supplementation. All patients were prescribed a five (5) day preoperative oral immunonutrition protocol. Patients undergoing bariatric or total joint replacement surgery were given a separate pre-operative class. On the day of surgery, the patient self-reported the number of cartons consumed. Using SAS, these records were analyzed to evaluate patient variability and compliance. RESULTS: CONCLUSIONS: Patient compliance did vary among the surgical disciplines. In addition, those patients who received a separate pre-operative class had higher compliance rates. Future research is needed regarding the source of the variability of compliance, including the impact of preoperative education, as well as the impact of compliance with preoperative nutritional regimens on outcomes.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PHP215
Topic
Patient-Centered Research
Topic Subcategory
Adherence, Persistence, & Compliance
Disease
Multiple Diseases