TY - JOUR T1 - Novel Preoperative Patient-centered Surgical Wellness Program Impacts Length of Stay Following Pancreatectomy JF - Anticancer Research JO - Anticancer Res SP - 1895 LP - 1901 DO - 10.21873/anticanres.14955 VL - 41 IS - 4 AU - MAZHAR SOUFI AU - DANIELLE K. DEPERALTA AU - RACHEL SIMPSON AU - KATELYN FLICK AU - MICHELE T. YIP-SCHNEIDER AU - CHRISTIAN M. SCHMIDT II AU - MOLLY KILBANE AU - CAMERON COLGATE AU - KRISTEN E. KELLEY AU - WILLIAM WOODEN AU - EUGENE P. CEPPA AU - MICHAEL HOUSE AU - NICHOLAS ZYROMSKI AU - ATILLA NAKEEB AU - C. MAX SCHMIDT Y1 - 2021/04/01 UR - http://ar.iiarjournals.org/content/41/4/1895.abstract N2 - Background/Aim: We created a novel, preoperative wellness program (WP) that promotes recovery. This study assessed its impact on patient outcomes after pancreatectomy. Patients and Methods: Pancreatoduodenectomies (PD) and distal pancreatectomies (DP) performed from 2015 to 2018 were reviewed using our institutional NSQIP database. Patients in the WP had their medical conditions optimized and were provided with the following: chlorhexidine, topical mupirocin, incentive spirometer, and immune-nutrition supplements. Results: Out of a total of 669 pancreatectomy patients (411 PD, 258 DP), 308 were enrolled in the WP (188 PD, 120 DP). In the PD subgroup, on multivariable analysis (MVA), the WP patients had shorter lengths of hospital stay (LOS) (12 vs. 10 days, p<0.001). On MVA, WP patients had less post-op transfusion (20 vs. 10%, p=0.027). For the combined groups on MVA, LOS continued to be significant (OR=0.89, 95%CI=0.82-0.97, p<0.007). Conclusion: A preoperative patient centered WP may reduce the length of stay. ER -