Key result
Adherence to the ERAS protocol in colorectal surgery with 70% or greater compliance reduces the risk of 5-year cancer-related death by 42%.
The ERAS protocol for colorectal surgery provides a comprehensive, evidence-based multimodal perioperative pathway to reduce surgical stress and accelerate recovery.
Supports ERAS adherence in colorectal surgery; hypothesis-generating pending prospective validation.
Enhanced Recovery After Surgery (ERAS®) in colorectal surgery is a protocol that promotes quicker return to function. It follows the latest evidence-based research to promote stress reduction related to surgery. The recommended perioperative pathway is fine-tuned, dynamic and in line with the latest evidence-based research to enhance all aspects of the patient’s surgical care. We describe the four aspects for a patient undergoing colorectal surgery – pre-admission, pre-operative, intra-operative and post-operative. The running theme is to reduce overall physiological stress related to surgery and interventions overlap throughout the patient’s pathway. Using a multidisciplinary approach, adherence to ERAS® in colorectal surgery with ≥70 % compliance to the ERAS interventions has shown a risk reduction of 5-year cancer-related death by 42%. The optimum interventions are not only determined through the publication of high-quality research, but regular international collaboration enables experience and research to be shared and care standardised
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MacLean et al. (2021) conducted a review in Colorectal surgery. Enhanced Recovery After Surgery (ERAS) protocol vs. Traditional care was evaluated. Adherence to the ERAS protocol in colorectal surgery with 70% or greater compliance reduces the risk of 5-year cancer-related death by 42%.
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