P02.189. GOALS: bundled services to reduce the length of hospital stay in women undergoing gynecology oncology surgery

Methods The multi-modal intervention combines various therapies into a cohesive program. Prior to surgery, participants receive explicit patient education, acupuncture and mind/body therapies to assist with physical and mental preparation for surgery. On the day of surgery, an epidural is placed prior to general anesthesia administration to manage post-operative pain. Patients undergo standard of care surgery. The evening after surgery, patients eat a high protein “surgical soft” dinner and nurses assist patients in walking down the hospital halls. Acupuncture is provided on post-operative days one and two for postsurgical pain relief, nausea control and for stimulation of bowel function. Patients’ electronic medical records are reviewed to obtain intra-operative and post-operative details including amount of medications administered, length of surgery, time of admission to post-anesthesia care unit, time of first ambulation out of the room, percent of diet eaten first 24 hours, nausea/pain level, discharge date/time/disposition, and patient satisfaction scores. The primary endpoint is the difference in patient LOS following surgery relative to a historical control. Secondary endpoints include FACT-G, State-Trait Anxiety Inventory, Patient Activated Measure before admission and roughly six months after discharge from the hospital.