{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T22:16:41Z","timestamp":1781734601591,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T00:00:00Z","timestamp":1444867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T00:00:00Z","timestamp":1444867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fast\u2010track protocols (FTPs) are used to decrease length of stay (LOS) and hospital costs for elective outpatient procedures. Few institutions have implemented FTP for urgent procedures such as laparoscopic cholecystectomy (LC) and laparoscopic appendectomy (LA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>This is a retrospective single\u2010institution cohort study including all patients undergoing urgent LC or LA between July 1, 2010 and May 1, 2013. Exclusion criteria included conversion to open procedure, perforated appendicitis, or procedure related to intra\u2010abdominal injury. Analysis included a comparison of the three study groups: (1) before (PRE) and after (POST) implementation of the fast\u2010track protocol (FTP), (2) fast\u2010track cohort (FT) and non\u2010fast\u2010track cohort (NFT), and (3) those completing the fast\u2010track pathway (FT\u2010C) and those who began but failed to complete the pathway (FT\u2010F).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant reductions in LOS between all study groups compared: between PRE (<jats:italic>n<\/jats:italic> = 256) and POST (<jats:italic>n<\/jats:italic> = 472) cohorts by half a day (2.0 vs. 1.5\u00a0days, <jats:italic>p<\/jats:italic> &lt; 0.02); between FT and NFT (0.68 vs. 1.82\u00a0days, <jats:italic>p<\/jats:italic> &lt; 0.01); and FT\u2010C and FT\u2010F (0.49 vs. 1.05\u00a0days, <jats:italic>p<\/jats:italic> &lt; 0.01). Total hospital charges were significantly reduced in FT compared with NFT ($22,347 vs. $30,868, <jats:italic>p<\/jats:italic> &lt; 0.01) with an average savings of $8521. Total hospital charges were decreased in the FT\u2010C compared with FT\u2010F cohorts ($21,971 vs. $22,939, <jats:italic>p<\/jats:italic> = 0.3) with an average savings of $968. Readmissions, complications, and satisfaction were similar for all comparison groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FTPs for urgent appendectomies and cholecystectomies can significantly reduce hospital costs by reducing LOS without compromising patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3266-3","type":"journal-article","created":{"date-parts":[[2015,10,15]],"date-time":"2015-10-15T15:41:28Z","timestamp":1444923688000},"page":"856-862","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Cost Effectiveness of a Fast\u2010Track Protocol for Urgent Laparoscopic Cholecystectomies and Appendectomies"],"prefix":"10.1002","volume":"40","author":[{"given":"Colleen M.","family":"Trevino","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin 9200 West Wisconsin Avenue 53226 Milwaukee WI 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