当科における内視鏡的硬化療法(EIS)のクリニカルパス : クリニカルパス導入前後の評価について

概要

論文の詳細を見る
Endoscopic injection sclerotherapy (EIS) was performed with 5% ethanolamine oleate to treat esophageal varices in 620 patients at our department, and the outcome was satisfactory. Clinical pathways (CPs) have been introduced for elective or prophylactic EIS to establish perioperative management, improve efficiency, and ensure safety. The usefulness of CPs was assessed in this study. Assessment was performed in 40 patients undergoing elective or prophylactic EIS before and after introduction of CPs (20 patients in either period). EIS was indicated for esophageal varices of morphological type F_2 or more severe, or those showing a red color sign. The two groups were compared in terms of the occurrence of variance, the clinical effect of EIS, and economic aspects. There were no particularly large variance. The clinical effect of EIS showed no differences between before and after the introduction of CPs. Regarding the economic benefit, use of CPs significantly reduced the length of hospital stay and medical costs for the health insurance system. From the results described above, CPs were considered useful for standardizing the treatment of esophageal varices, establishing multidisciplinary care and controlling costs.
東京女子医科大学の論文