Introduction: ERPPs in lung cancer surgery have mainly focused on healthcare quality parameters such as complications and hospital length. They do not capture post-discharge outcomes that are meaningful to patients however PROMS cover this unmet need although they remain underutilized in the perioperative setting.

Aim: To investigate the direct impact of a multidisciplinary ERPP applied in patients undergoing lung cancer surgery through PROMS collection and interpretation.

Materials and Methods: Prospective study in patients undergoing lung cancer surgery with curative intent (09.2021-12.2022).

Results: During 09.2021-12.2022, 154 patients underwent lung cancer surgery with curative intent (98 lobectomies, 34 wedge resections, 22 pneumonectomies). Mean age 65.9 years (age range 38-84), 95 males. Group A (90 patients)  were offered ERPP and Group B (64 patients) were offered standard of care. All patients were offered the quality of recovery-15 (QoR-15) questionnaire postoperatively which is a patient-reported outcome measurement measuring QoR after surgery and anesthesia.  77.7% (70/90) of Group A scored 136-150 (excellent) and the remaining 122-135 (good). 70.3% (45/64) of Group B scored 90-121 (moderate), 23.4% (15/64) scored 122-135 (good) and 6.2% scored 136-150.  

Conclusions: ERPP in lung cancer surgery is strongly related with improved PROMS therefore providing a strong opportunity to improve patient care and restructure the delivery of care and patient pathways.