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Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA
BACKGROUND: Enhanced Recovery After Surgery (ERAS) programs have gained traction across US hospitals in the past two decades. Initially implemented for elective colorectal surgical procedures, ERAS has expanded to a variety of surgical service lines. There is little information regarding the extent...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077770/ https://www.ncbi.nlm.nih.gov/pubmed/33902705 http://dx.doi.org/10.1186/s13741-021-00185-5 |
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author | Singh, Sunitha M. Liverpool, Asha Romeiser, Jamie L. Thacker, Julie Gan, Tong J. Bennett-Guerrero, Elliott |
author_facet | Singh, Sunitha M. Liverpool, Asha Romeiser, Jamie L. Thacker, Julie Gan, Tong J. Bennett-Guerrero, Elliott |
author_sort | Singh, Sunitha M. |
collection | PubMed |
description | BACKGROUND: Enhanced Recovery After Surgery (ERAS) programs have gained traction across US hospitals in the past two decades. Initially implemented for elective colorectal surgical procedures, ERAS has expanded to a variety of surgical service lines. There is little information regarding the extent to which various surgical service lines use ERAS. METHODS: A survey was performed to describe the prevalence of ERAS programs across surgical service lines in the USA. The survey had questions regarding the number of ERAS programs, operating rooms (ORs) and presence of anesthesia and/or surgery residency program at an institution. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA. RESULTS: Responses were received from 88 unique institutions. The most commonly reported surgical service lines were colorectal (87%), gynecology (51%), orthopedic (49%), surgical oncology (39%), and urology (35%). A significant positive association was observed between the number of ORs and the number ERAS programs (Spearman’s Rho 0.5, p<0.0001). Furthermore, institutions that reported an anesthesia and/or surgery residency program had more ERAS programs (mean 5.0 ± 3.2) compared to those that did not (mean 2.0 ± 2.0) (Wilcoxon rank sum p< 0.001). CONCLUSIONS: ERAS has expanded to a large extent outside of the colorectal surgery service line with increases notable in orthopedic surgery, obstetric/gynecology, surgical oncology, and urology procedures. Institutions with a higher number of ORs and the presence of an anesthesia and/or surgery residency program are associated with an increased number of ERAS programs. |
format | Online Article Text |
id | pubmed-8077770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80777702021-04-29 Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA Singh, Sunitha M. Liverpool, Asha Romeiser, Jamie L. Thacker, Julie Gan, Tong J. Bennett-Guerrero, Elliott Perioper Med (Lond) Research BACKGROUND: Enhanced Recovery After Surgery (ERAS) programs have gained traction across US hospitals in the past two decades. Initially implemented for elective colorectal surgical procedures, ERAS has expanded to a variety of surgical service lines. There is little information regarding the extent to which various surgical service lines use ERAS. METHODS: A survey was performed to describe the prevalence of ERAS programs across surgical service lines in the USA. The survey had questions regarding the number of ERAS programs, operating rooms (ORs) and presence of anesthesia and/or surgery residency program at an institution. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA. RESULTS: Responses were received from 88 unique institutions. The most commonly reported surgical service lines were colorectal (87%), gynecology (51%), orthopedic (49%), surgical oncology (39%), and urology (35%). A significant positive association was observed between the number of ORs and the number ERAS programs (Spearman’s Rho 0.5, p<0.0001). Furthermore, institutions that reported an anesthesia and/or surgery residency program had more ERAS programs (mean 5.0 ± 3.2) compared to those that did not (mean 2.0 ± 2.0) (Wilcoxon rank sum p< 0.001). CONCLUSIONS: ERAS has expanded to a large extent outside of the colorectal surgery service line with increases notable in orthopedic surgery, obstetric/gynecology, surgical oncology, and urology procedures. Institutions with a higher number of ORs and the presence of an anesthesia and/or surgery residency program are associated with an increased number of ERAS programs. BioMed Central 2021-04-27 /pmc/articles/PMC8077770/ /pubmed/33902705 http://dx.doi.org/10.1186/s13741-021-00185-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Singh, Sunitha M. Liverpool, Asha Romeiser, Jamie L. Thacker, Julie Gan, Tong J. Bennett-Guerrero, Elliott Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title | Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title_full | Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title_fullStr | Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title_full_unstemmed | Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title_short | Types of surgical patients enrolled in enhanced recovery after surgery (ERAS) programs in the USA |
title_sort | types of surgical patients enrolled in enhanced recovery after surgery (eras) programs in the usa |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077770/ https://www.ncbi.nlm.nih.gov/pubmed/33902705 http://dx.doi.org/10.1186/s13741-021-00185-5 |
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