P-P20 ‘Fast Recovery’ A multidisciplinary approach to improving recovery after pancreatic resection and ultimately increasing uptake of adjuvant chemotherapy

Abstract Background Pancreatic cancer surgery has a multi-system impact on potentially vulnerable population. Current rates of adjuvant chemotherapy uptake are low. Our group developed multidisciplinary bundle care with the aim improving recovery after surgery. The primary was to improve and secondary prevent nutritional decline. Methods This prospective, observational, cohort study evaluated effect ‘Fast Recovery’ programme. programme, input from dieticians, physiotherapists, surgeons, geriatricians comprising pre- post-operative frailty assessments, support physiotherapy implemented for all within our unit undergoing pancreatic resection cancer. (See Fig. 1) Results Over 1 year, patients enrolled in Fast Recovery programme (N = 44) were compared those treated prior pathway change 409). not associated significant increase (80.5 vs. 74.3%, p 0.452), but did lead significantly lower average weight loss (4.3 6.9kg, 0.013). Patients that receive performed worse pre-operative six minute walk test (mean distance: 277 454 metres, 0.001). Conclusions Feasibility multimodal package patient following been shown by this pilot study. No improvement observed, however, result being underpowered. Pre-operative physical assessments found be predictive could used identify need additional support. Further work is needed evaluate routine use such