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An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
Author(s) -
Muhammad Abdalkoddus,
A. I. Abelevich,
Szabolcs Ábrahám,
Mirna Abraham-Nordling,
Michel Adamina,
Canan Ağalar,
Franca Agresta,
M. Ahallat,
Niarah Ahmad,
Р Т Аюпов,
Oktay Akça,
Aleksandar Aleksić,
F Aleotti,
David Alías,
JA Martínez Alonso,
S. Alonso Gonçalves,
Jan Martin,
Alfredo Alonso Poza,
Natalia Alonso-Hernández,
Ruiz Company,
Mohammed Al-Saeedi,
C Alvarez Laso,
Mario AlvarezGallego,
Theofilos Amanatidis,
M. Americano,
Edgar Amorim,
Lavanya Anandan,
Gabriele Anania,
Guntis Ancāns,
Павел Андреев,
Predrag Andrejevic,
Nicola Antonacci,
Mariyah Anwer,
Paolo Aonzo,
B. Arencibia,
Stanislaus Argeny,
H. Arieli,
Susan Arnold,
Muhammad Ashraf,
Madiha Aslam,
Boyko Atanasov,
Minahel Atif,
Jórunn Atladóttir,
Shmuel Avital,
Shady Awny,
Bülent Aytaç,
N. Azahr,
S. Aznar-Puig,
Str Bailey,
Dimitris Balalis,
Caterina Baldi,
Ricardo F. Baldonedo,
Genoveffa Balducci,
F Balestra,
Riccardo Balestri,
Angie Balfour,
Ioannis Baloyiannis,
Balázs Bánky,
J Baral,
Zsolt Baranyai,
N. Barbashinov,
Josep Bargalló,
Goran Barišić,
Giuliano Barugola,
Ilia Batashki,
Nick Battersby,
Nikolay Belev,
Andrea Belli,
Juan Beltrán de Heredia,
W. A. Bemelman,
JA Benavides Buleje,
A. Benckert,
JC Bernal-Sprekelsen,
Elisa Bertocchi,
Mircea Beuran,
Chetan Bhan,
Francesco Bianco,
Sokol Bilali,
Valbona Bilali,
Vasile Bințințan,
Arianna Birindelli,
Arianna Birindelli,
Tudor Bı̂rsan,
Francisco Blanco Antona,
Juan Luís Blas,
Teresa Blasco-Segura,
Rachel L. G. M. Blom,
Tommaso Bocchetti,
Evert-Jan G. Boerma,
Monica Bogdan,
M Boland,
B. Bomans,
Nerea Borda,
Michael D. Bowen,
Saulius Bradulskis,
Graham Branagan,
Branko Branković,
Massimo Brenna,
H Brewer,
Jack Broadhurst,
C. Bronder,
Richard Brouwer,
P Buccianti,
Nicolas Buchs,
Pamela Buchwald,
A Bugatti,
Anthony Bui,
T Burcoş,
C J Buskens,
C Bustamante,
N. Caceres,
Carmen Cagigas Fernández,
Aranzazu CaleroLillo,
Ihosvany Camps,
Aras Emre Canda,
Ibán Caravaca-García,
Federico Carballo,
Paolo Carcoforo,
Johan Carlander,
Santos Carlos,
Alberto Caro,
Anu Carpelan,
Milagros Carrasco Prats,
Marcela Lopez,
Michele Carvello,
E. Casal,
Gianmaria Casoni Pattacini,
Jordi Castellví Valls,
Julio Castillo Diego,
Giorgio Cavallesco,
V. Cavenaile,
L. Cayetano,
Adriano Axel Ceccotti,
J. Cervera-Aldama,
Abbas Chabok,
Najim Chafaı̈,
Pramodh Chandrasinghe,
N. Chandratreya,
Sanjay Chaudhri,
Zohra Chaudhry,
D. Cherdancev,
A. Chernov,
Mickaël Chevallay,
Piero Chirletti,
Élie Chouillard,
Christos Chouliaras,
Nisar Ahmad Chowdri,
Mariano Cillo,
Charles Cini,
Cezar Ciubotaru,
Constantin Ciuce,
D. Claeys,
Gianfranco Cocorullo,
A. CodinaCazador,
Elif Çolak,
Diego Coletta,
Francesco Colombo,
C Copăescu,
J. Corte Real,
M. Corver,
Jurica Ćosić,
Samantha Costa,
Jorge Costa Pereira,
Cristiana Pereira,
David Costa-Navarro,
Eddy Cotte,
N. Cracco,
Daniel Alin Cristian,
Martin E. Castillo Cuadrado,
Vladica Čuk,
Vladica Čuk,
Maria Margarida Cunha,
Juliano Rodrigues da Cunha,
R. Curinga,
G. Curletti,
Nathan Curtis,
D. Dabic,
Edvinas Dainius,
A M D'Alessandro,
Ian Daniels,
В. В. Дарвин,
Bernhard Dauser,
Gergely Dávid,
O. Davidova,
Eleri Davies,
Beatriz De Andrés Asenjo,
Silvia De Franciscis,
E. de Graaf,
Fernando de la Portilla,
E De Luca,
Carlo De Nisco,
Giorgio De Toma,
Barbara Defoort,
Frank C. den Boer,
Francesca Di Candido,
Salomone Di Saverio,
J Diaz Pavon,
Beatriz Diéguez Fernández,
Manuel DíezAlonso,
Ivan Dimitrijević,
George Dindelegan,
M. Djuric,
Hugo Domingos,
Pascal G. Doornebosch,
Maria dos Santos,
Ioanna Drami,
H. Dudarovaska,
Tomáš Dušek,
H. Dzhumabaev,
Y Eden,
Monika Egenvall,
V Eismiontas,
Mohamed El Sorogy,
Ahmed Elgeidie,
Mohammad Elhemaly,
Alaa ElHussuna,
Sarah Ellul,
Ugo Elmore,
A ElNakeeb,
Mohamed ElRefai,
Sameh Hany Emile,
J. M. Enrriquez-Navascués,
Jay Epstein,
Jorge Escartín,
D Escolà,
J. Escuder,
Eloy Espín,
Beatriz Espina,
Diego Estefanía,
JeanCharles Etienne,
Stefania Fabbri,
Armando Falato,
Рами Фарес,
P Farina,
Martina Farkašová,
Ramón Farrès,
Fabrizio Fasolini,
Taher Fatayer,
G. Febles,
Francesc Feliú,
Féo C,
Dmitriy Feoktistov,
Fuad Samir Lopez Fernández,
Myriam Fernández Isart,
JoAnne Fernando,
Gonçalo Ferreira,
R. Ferrer,
C Ferreras García,
Mario Ferri,
Nuno Figueiredo,
Elena Finotti,
John Fitzgerald,
I Flateh Backe,
Blas FlorLorente,
Alexander ForeroTorres,
Diego Foschi,
D. Francart,
Y. François,
Matteo Frasson,
C. Freil-Lanter,
M. Frois Borges,
Mehmet Füzün,
Tanzeela Gala,
Raffaele Galleano,
Patricia Chávez Gálvez,
A Galvez Saldaña,
Margarita Gamundí Cuesta,
Andrea Rugerio Cabrera,
Jorge García Egea,
Damián García Olmo,
José María García-González,
Álvaro García-Granero,
Eduardo GarcíaGranero,
Javier García-Septiem,
A. Gardea,
M R Garipov,
Rachel Gefen,
Alistair Geraghty,
S. Gerkis,
Stylianos Germanos,
Salman Ghaffari,
E. Ghilles,
Luca Gianotti,
M. Gil Santos,
C Gilsanz Martin,
Christian Gingert,
Antonios Gklavas,
Olivier Gléhen,
Thomas Golda,
N.A. Gomez,
Ruiz M Gomez,
M Gomez Ruiz,
V. Gonzalez Santin,
Blair Graham,
Jennie Grainger,
Florin Grama,
T. Gregoir,
Matteo Gregori,
Tomáš Grolich,
Jan Grosek,
Héctor Guadalajara,
S. Guckenheimer,
J Guevara,
Gaspare Gulotta,
Sumit Gupta,
Sumit Gupta,
N. Gurevich,
S Gurjar,
Staffan Haapaniemi,
Dieter Hahnloser,
Yasir Hamad,
Mohammed Hamid,
Ann Hanly,
G Harris,
L Harsányi,
Nikolaus Hartig,
P Hawkin,
Pedro Henriques,
F. Herbst,
Naama Hermann,
M Hernandez Garcia,
Johanna M. Hoch,
Abdelmalek Hrora,
Heikki Huhtinen,
N Iarŭmov,
А. Я. Ильканич,
C. Insua,
P. Ioannidis,
Muhammad Javed Iqbal,
Ayesha Iqbal,
Arda Işık,
Mohamed Ismaiel,
D. Ivlev,
Vijay Jadhav,
S. Santamaria Jareño,
C Jehaes,
Virginia Martín Jiménez,
Marta Jiménez Toscano,
J. Jimenez-Miramon,
Rosa M Jiménez-Rodríguez,
Tommy Jönsson,
Valdemaras Jotautas,
Valdemaras Jotautas,
Dra Júlia,
Jovan Juloski,
B. Jung,
Zdeněk Kala,
Mustafa U Kalayci,
Yasi̇n Kara,
А М Карачун,
Servet Karagül,
Jukka Karvonen,
С. Е. Каторкин,
Iraklis E Katsoulis,
D. Katsounis,
M. Kaubrys,
Neha Kaul,
E. Kefalou,
Marlies Keijzers,
Michael S. Kelly,
Marko Kenić,
Rory Kennelly,
J. A. Khan,
Maha Khan,
H. G. Kho,
Volkan Kınaş,
Jennifer Redmond Knight,
Petr Kocián,
Tijmen Koëter,
A. Kokobelyan,
J. Konsten,
L. Koolen,
Jurij Aleš Košir,
Irena Kostić,
Igor Krdžić,
E. Kreisler Moreno,
Zoran Krivokapić,
P. Krstev,
Dorian Kršul,
N. Kumarasinghe,
Francesco La Torre,
F. Labarga,
Matthew Ladra,
A. Lage Laredo,
N. Lahodzich,
Christina Lai,
Zaher Lakkis,
Romesh Lal,
S. Lamas,
Tara R. Lang,
Tadas Latkauskas,
D Lawes,
Gabriel Lazăr,
К. А. Лебедев,
М. А. Лебедева,
Jérémie H. Lefèvre,
V. Lekić Vitlov,
Maria Lemma,
Cosimo Alex Leo,
Carmen León,
Sezai Leventoğlu,
Bruce D. Levy,
L Li,
Leo Licari,
Paulius Lizdenis,
Per Loftås,
Maria Serena Longhi,
Lydia Longstaff,
J López Domínguez,
M. A. López-Lara,
Pilar Lora,
Laura Lorenzon,
Domenica Lorusso,
Ilia Lozev,
Rocio Trujillo,
Dejan Lukic,
R Lunins,
R. Luzan,
AndreaPierre Luzzi,
V. Maderuelo,
T. Madsbøll,
D. Mahotin,
Mohammed Anass Majbar,
Anvar Makhmudov,
Kristina Malik,
Ondřej Malý,
Ioannis Mamaloudis,
З. З. Мамедли,
Dimitrios K. Manatakis,
Denise M. Mandi,
Peter Mangell,
T. Marharint,
Nicolò Maria Mariani,
Biljana Maric,
Kalisvar Marimuthu,
Franco Marinello,
Fabio Marino,
S Markiewicz,
V Marković,
Gad Marom,
Nirvana Maroni,
Ioannis Maroulis,
Patrizia Marsanic,
Hendrik A. Marsman,
Monika Martens,
Mariana Marti,
L Martínek,
S. Martinez,
David Andina Martínez,
Á Martínez Manzano,
Raphael Castro Martins,
Svilen Maslyankov,
Kirsten McArdle,
Frank McDermott,
Diane Mège,
Asif Mehraj,
Ajay Mehta,
Davor Mendrila,
P. Menéndez,
Paolo Mercantini,
Islam H. Metwally,
Saulius Mikalauskas,
Saulius Mikalauskas,
Mónica Millán,
Ana MinayaBravo,
Andrea Mingoli,
Bahar Mirshekar-Syahkal,
Elisabetta Moggia,
Sri Krishna Madan Mohan,
P Møller,
Sophie Garcia,
B. Monami,
P Moniz Pereira,
Isacco Montroni,
Philippe Morel,
B Moshev,
E. Mostovoy,
S. Mothe,
H Mukhtar,
Phaedra Müller,
Stefan Münch,
JM Muñoz Camarena,
Salvador Muñoz-Collado,
Andrea Muratore,
Frank Muscara,
Filip Muysoms,
Pär Myrelid,
N. N. Lah,
S Nail,
Ajay Narayanan,
Konstantinos Nastos,
Ionuț Negoi,
Arild Nesbakken,
G. Nestler,
Milica Nestorović,
A. Nesytykh,
Katy Newton,
Yvonne Ying Ru Ng,
James ChiYong Ngu,
Bastien Nguyen,
Y. Nijs,
Maziar Nikberg,
T. Nimmersgern,
E Nogués,
Gregor Norčič,
Vitalija Nutautienė,
Jonas Nygren,
Jane O’Brien,
A. Ochogavia Segui,
John O’Kelly,
Melissa OliveiraCunha,
Wael Omar,
G. Omar,
С. В. Онищенко,
Péter Ónody,
Enrico Opocher,
J Örhalmi,
A Oshowo,
Jesse E. Otero,
Utku Özgen,
Kenneth T. Pace,
H. Padin,
Ioannis Papaconstantinou,
Aurélie Papadopoulos,
George Papadopoulos,
Matteo Papandrea,
Jiří Páral,
Yann Parc,
José Luís Paredes,
Mahesh Parmar,
PA Parra Baños,
Fazl Q. Parray,
M. Pascual Damieta,
Isabel Pascual Migueláñez,
Guillaume Passot,
Carlos Pastor,
A. Paszt,
Priya Patel,
Hugh Paterson,
Juan Patrón Uriburu,
A. Paulos,
V. Pavlov,
Andrejs Pčolkins,
Vanja Pecić,
Emilio Ros,
R. Penkov,
M Pera Román,
V. Perunicic,
Ron Pery,
Dejan Petrović,
Francesco Pezzolla,
Evangelos Photi,
Alon J. Pikarsky,
B. Piramanayagam,
Andrea Pisani Ceretti,
Pere Planellas,
Esther Platt,
Pieter Pletinckx,
Marta Podda,
Tomas Poškus,
Tomas Poškus,
Eligijus Poškus,
Eligijus Poškus,
Alex Pozdnyakov,
И В Правосудов,
A. Previšić,
Dario O. Prieto,
Vladimír Procházka,
Andrei Prodan,
David Proud,
Josephine Psaila,
G P saras,
Fabio Pulighe,
F. Pullig,
Mahim I Qureshi,
Juan Rachadell,
Zoran Radovanović,
Dragana Radovanović,
Barak Raguan,
M. A. Mushfiqur Rahman,
Mohammed Raiss,
M. Ramirez Faraco,
Jairo Gutiérrez Ramos,
J. Ramos-Prada,
Arto Rantala,
Maya K. Rao,
А. О. Расулов,
K. Ratnatunga,
T Raymond,
Basel Refky,
L Reggiani,
Luca Regusci,
Mireya Diaz,
J Richardson,
G. Richiteanu,
A. Gonzalez Rios,
Frédéric Ris,
P. García,
Nicolò Roffi,
Emanuele Romairone,
G. Romano,
Iris L. Romero,
Alejandro Romero de Diego,
Manuel Romero-Simó,
C. Roque,
Riccardo Rosati,
Barbara Rossi,
Elena Rossi,
Romando Rossini,
Ana Belén García Ruano,
M Rubbini,
Inés Rubio-Perez,
Giacomo Ruffo,
Humberto Nicolas Galleano Ruiz,
Mm. Ruíz Carmona,
O Ryska,
Domenico Sabia,
Matteo Sacchi,
Ralph L. Sacco,
Ahmed Sakr,
Žilvinas Saladžinskas,
Giuseppe Salamone,
Morton Salomon,
Sienna Ruiz,
Giuseppe Sammarco,
Giuseppe Sampietro,
Д. В. Самсонов,
V. Samsonyuk,
Javier Gómez Sánchez,
A Sanchez Romero,
Luis SánchezGuillén,
Goran Šantak,
M. Santamaría-Olabarrieta,
Joana Santos,
Federica Saraceno,
Yolanda Saralegui,
İnanç Şamil Sarıcı,
G. Savino,
Stefano Scabini,
J. Schäfli,
Boris Schiltz,
Adam Schofield,
Michael P. Schön,
Radu Razvan Scurtu,
Edoardo Segalini,
Josefin Segelman,
JJ Segura-Sampedro,
Radu Seicean,
Aleksandar Sekulić,
L. Selniahina,
Fotios Seretis,
Pilar Serrano Paz,
Irshad Shaikh,
M. T. Shalaby,
Nur Mohammed Sharif As Shams,
Ashwyn K. Sharma,
Gobind Sharma,
Aishwarya Shukla,
Noam Shussman,
Z. Shweejawee,
I. Sielezneff,
Haraldur B. Sigurðsson,
Pierpaolo Sileri,
M Silva,
Dainius Šimčikas,
Joana Simões,
Zsolt Simonka,
Balaji Singh,
Armands Sīviņš,
George Skroubis,
Angela Skull,
Mihail Slavchev,
Monica Slavin,
Neil Smart,
C. J. Smart,
Philip Smart,
Kennet Smedh,
Sebastian Smolarek,
Selman Sökmen,
M Sokolov,
Amparo Solana Bueno,
Linda Solar,
Luca Sorrentino,
O Sotona,
D. Spacca,
Antonino Spinelli,
Goran Stanojević,
Adam T. Stearns,
Samuel Stefan,
Anton Stift,
Jasper Stijns,
V. Stoyanov,
D. Straarup,
Kęstutis Strupas,
Kęstutis Strupas,
Brendon Stubbs,
A Subocius,
Alexis Sudlow,
C. Suero,
Uğur Sungurtekin,
Saulius Švagždys,
Ingvar Syk,
Algimantas Tamelis,
Rohit Tamhane,
Nicolò Tamini,
Albinas Tamošiūnas,
Pieter J. Tanis,
Н. А. Тарасов,
S. Tate,
Athula Tennakoon,
Nan Zun Teo,
Cem Terzi,
S Tezas,
Waleed Thabet,
Jennifer Tham,
Navamayooran Thavanesan,
Theodosios Theodosopoulos,
William H. Thomas,
Emmanuel Tiret,
Catarina Tiselius,
G Todorov,
Aleš Tomažič,
Victor Tomulescu,
Jared Torkington,
Mauro Totis,
Ivan Trostchansky,
Nuria Truán,
Hagit Tulchinsky,
Roberta Tutino,
Alexios Tzivanakis,
Georgios Tzovaras,
Giampaolo Ugolini,
Lukas Unger,
I. Upanishad,
Lucio Urbani,
A. Uth Ovesen,
C. J. Vaizey,
Francesc Vallribera,
Elsa B. Valsdóttir,
Isabel Valverde,
J. Valverde-Sintas,
Koen Van Belle,
Stijn Van Cleven,
Patricia Hagen,
Yu-Ting van Loon,
Oddeke van Ruler,
Kim van Wijck,
Aliaksandr Varabei,
Massimo Varcada,
Pirita Varpe,
Mihaela Vartic,
Vamsi Velchuru,
Justinas Vencius,
Donatas Venskutonis,
D. Vercher,
Maarten Vermaas,
Marc Vertruyen,
L. A. Verza,
G Vescio,
Αntonios Vezakis,
P Vieira,
Andrea Vignali,
Vincenzo Vigorita,
M. Tura,
B. Vinson-Bonnet,
Llorenç Pons,
S. Voloshin,
Y. Voronin,
L. Vukušić,
X Wang,
J Wang,
Rauf Ahmad Wani,
Janindra Warusavitarne,
Nir Wasserberg,
J Weerts,
Deborah Weiß,
Amir Weizman,
E. Westerduin,
J Wheat,
Ian White,
Tina Strømdal Wik,
Jason Wilson,
Desmond C. Winter,
Albert Wolthuis,
Michelle Wong,
Seifeldin Yahia,
Tatsuo Yamamoto,
A. Yanishev,
Christy Yao,
Alp Yıldız,
Osman Yüksel,
Zarihah M. Zain,
Azizul Farid Zakaria,
Zaidi Zakaria,
Nikolaos Zampitis,
Attila Zaránd,
A. Zarco-Pleguezuelos,
Davide Zattoni,
Miomir Zelić,
Paulius Žeromskas,
А. С. Журавлев,
D. D. E. Zimmerman,
Mohammed Zuhdy,
Goran Zukanović,
Thomas Pinkney
Publication year - 2021
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.15863
Subject(s) - medicine , prehabilitation , colorectal surgery , guideline , perioperative , family medicine , medline , surgery , physical therapy , abdominal surgery , pathology , political science , law
Aim The Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method An online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results Of hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017. Conclusions Uptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation.