{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:52:23Z","timestamp":1789267943360,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,26]],"date-time":"2017-12-26T00:00:00Z","timestamp":1514246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Use of enhanced recovery after surgery (<jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content>) pathways to accelerate functional recovery and reduce length of stay (<jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>) has rarely been investigated in kidney transplantation (<jats:styled-content style=\"fixed-case\">KTX<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Consecutive adult isolated <jats:styled-content style=\"fixed-case\">KTX<\/jats:styled-content>s between July 2015 and July 2016 (<jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content>,<jats:italic> n<\/jats:italic>\u00a0=\u00a0139) were compared with a historical cohort between January 2014 and July 2015 (<jats:styled-content style=\"fixed-case\">HISTORIC<\/jats:styled-content>,<jats:italic> n<\/jats:italic>\u00a0=\u00a095).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Enhanced recovery after surgery recipients were significantly more likely to receive kidneys that were non\u2010local (56.1% vs 4.2%), higher Kidney Donor Profile Index (36\u201085, 58.4% vs 45.2%; &gt;85, 15.2% vs 10.7%), cold ischemia time \u226530\u00a0h (62.4% vs 4.7%), induced with antithymocyte globulin (97.1% vs 87.4%), and to develop delayed graft function (46.4% vs 25.0%). <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> was shorter by 1\u00a0day among <jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content> (mean 4.59) compared to <jats:styled-content style=\"fixed-case\">HISTORIC<\/jats:styled-content> patients (mean 5.65) predominantly due to a shift in discharges within 3\u00a0days (32.4% vs 4.2%); 30\u2010day readmission to the hospital (27.3% vs 27.4%) or emergency room visit (9.4% vs 7.4%) was similar. There was one 30\u2010day death in the <jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content> group and none in the <jats:styled-content style=\"fixed-case\">HISTORIC<\/jats:styled-content> group. Return to bowel function and early meal consumption were significantly associated with <jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content>, however, with somewhat higher diarrhea and emesis rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content> following <jats:styled-content style=\"fixed-case\">KTX<\/jats:styled-content> correlated with lower <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> without change in readmissions or <jats:styled-content style=\"fixed-case\">ER<\/jats:styled-content> visits despite higher delayed graft function rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13173","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T21:06:08Z","timestamp":1512767168000},"source":"Crossref","is-referenced-by-count":32,"title":["Benefits of multimodal enhanced recovery pathway in patients undergoing kidney transplantation"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0637-5861","authenticated-orcid":false,"given":"Kevin A.","family":"Espino","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences University at Buffalo  Buffalo NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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