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July 29, 2015International Journal of SurgeryOpen Access

Early implementation of Enhanced Recovery After Surgery (ERAS®) protocol – Compliance improves outcomes: A prospective cohort study

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Key result

Compliance with the ERAS protocol improved significantly over time (65% in group 1, 83.9% in group 2, and 89.6% in group 3) and showed an inverse correlation with length of hospital stay.

Why the study?

Does implementation and compliance with the ERAS protocol improve length of stay and complication rates in patients undergoing laparoscopic resection for colorectal cancer?

Population

92 patients with colorectal cancer submitted to laparoscopic resection during the years 2013-2014.

Comparison

Enhanced Recovery After Surgery protocol… vs Subgroups based on time from ERAS protocol…

Design

Cohort

Authors

MPMichał PędziwiatrJagiellonian UniversityMKMikhail KisialeuskiJagiellonian UniversityMWMateusz WierdakJagiellonian University

Discussion

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Implication

Higher ERAS compliance may shorten stays but should not yet change practice; leaves open causality and generalizability.

Study Design

Type

Cohort (n=92)

Structured PICO

Does implementation and compliance with the ERAS protocol improve length of stay and complication rates in patients undergoing laparoscopic resection for colorectal cancer?

P
Population
92 patients with colorectal cancer undergoing laparoscopic resection, divided into 3 subgroups based on time from ERAS protocol implementation.
E
Exposure
Enhanced Recovery After Surgery (ERAS) protocol consisting of 16 items.
C
Comparator
Subgroups based on time from ERAS protocol implementation (early vs later implementation).
O
Outcome
Compliance with the protocol, length of hospital stay, postoperative complications, and readmission rate.

Implementation of the ERAS protocol is a gradual process, and higher compliance correlates with shorter length of hospital stay.

Cite This Study

Pędziwiatr et al. (2015) conducted a cohort in Colorectal cancer (n=92). ERAS protocol implementation over time vs. Earlier vs later implementation subgroups was evaluated on Compliance with the ERAS protocol, length of hospital stay, postoperative complications, and readmission rate. Compliance with the ERAS protocol improved significantly over time (65% in group 1, 83.9% in group 2, and 89.6% in group 3) and showed an inverse correlation with length of hospital stay.

synapsesocial.com/papers/6a5bf2a668f4367e1704e2cdhttps://doi.org/10.1016/j.ijsu.2015.06.087
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Prospective Randomized Controlled Trial of Multimodal Perioperative Management Protocol in Patients Undergoing Elective Colorectal Resection for Cancer2007 · 406 citations
  2. 2Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection2005 · 317 citations
  3. 3Manual of fast track recovery for colorectal surgery2012 · 23 citations
  4. 4Implementation of ERAS and how to overcome the barriers2008 · 216 citations