Observational studyInternational journal of colorectal disease2017
Variation in care for surgical patients with colorectal cancer: protocol adherence in 12 European hospitals.
Observational study in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
BIC4CRC: Breakthrough Improvement Collaborative for ColoRectal Cancer
FOcUs on Colorectal CAncer oUtcomes: Long-Term Study
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- A systematic review of the intervention components, adherence and outcomes of enhanced recovery programmes in older patients undergoing elective colorectal surgery.BMC geriatrics · 2019Pooled it
- Impact of Mobilization Facilitated by Wearable Device Enhanced Patient Monitoring/Electrophysiology Pod-Based Feedback on Postoperative Complications Following Colorectal Cancer Surgery: Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Influence of motivational interviewing on postoperative mobilization in the enhanced recovery after surgery (ERAS®) pathway in elective colorectal surgery - a randomized patient-blinded pilot study.Langenbeck's archives of surgery · 2024Trial
- Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery.World journal of gastroenterology · 2020Trial
- Perioperative nutrition practices in gastrointestinal cancer surgery: A nationwide survey among German surgical departments.Langenbeck's archives of surgery · 2025Article
- Beyond the Operating Room: A Narrative Review of Enhanced Recovery Strategies in Colorectal Surgery.Cureus · 2024Review
- Feasibility and usefulness of postoperative mobilization goals in the enhanced recovery after surgery (ERASLangenbeck's archives of surgery · 2024Article
- A methodological protocol for the development of a national guideline on perioperative management of gastrointestinal tumors in Germany.Perioperative medicine (London, England) · 2024Article
- Adherence to fast track measures in colorectal surgery-a survey among German and Austrian surgeons.International journal of colorectal disease · 2023Article
- Article
- A mixed methods multiple case study to evaluate the implementation of a care pathway for colorectal cancer surgery using extended normalization process theory.BMC health services research · 2021Article
- Is an enhanced recovery program (ERP) after rectal surgery as feasible as after colonic surgery? A multicentre Francophone study of 870 rectal resections.Langenbeck's archives of surgery · 2020Article
- Enhanced recovery after surgery review and urology applications in 2020.BJUI compass · 2020Review
- Effects of implementing a care pathway for colorectal cancer surgery in ten European hospitals: an international multicenter pre-post-test study.Updates in surgery · 2020Article
- [Implementation of a fast track program : Challenges and solution approaches].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- A retrospective observational study of enhanced recovery after surgery in older patients undergoing elective colorectal surgery.PloS one · 2020Observational
- Retrospective Outcome Monitoring of ADHD and Nutrition (ROMAN): The Effectiveness of the Few-Foods Diet in General Practice.Frontiers in psychiatry · 2020Article
- Is there a rationale for perioperative nutrition therapy in the times of ERAS?Innovative surgical sciences · 2019Review
- Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERASWorld journal of surgery · 2019Review
- Clinical Pathways For Pancreatic Surgery: Are They A Suitable Instrument For Process Standardization To Improve Process And Outcome Quality Of Patients Undergoing Distal And Total Pancreatectomy? - A Retrospective Cohort Study.Therapeutics and clinical risk management · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSurgical care for patients with colorectal cancer has become increasingly standardized. The Enhanced Recovery After Surgery (ERAS) protocol is a widely accepted structured care method to improve postoperative outcomes of patients after surgery. Despite growing evidence of effectiveness, adherence to the protocol remains challenging in practice. This study was designed to assess the adherence rate in daily practice and examine the relationship between the importance of interventions and adherence rate.
methodsThis international observational, cross-sectional multicenter study was performed in 12 hospitals in four European countries. Patients were included from January 1, 2014. Data was retrospectively collected from the patient record by the local study coordinator.
resultsA total of 230 patients were included in the study. Protocol adherence was analyzed for both the individual interventions and on patient level. The interventions with the highest adherence were antibiotic prophylaxis (95%), thromboprophylaxis (87%), and measuring body weight at admission (87%). Interventions with the lowest adherence were early mobilization-walking and sitting (9 and 6%, respectively). The adherence ranged between 16 and 75%, with an average of 44%.
conclusionOur results show that the average protocol adherence in clinical practice is 44%. The variation on patient and hospital level is considerable. Only in one patient the adherence rate was >70%. In total, 30% of patients received 50% or more of the key interventions. A solid implementation strategy seems to be needed to improve the uptake of the ERAS pathway. The importance-performance matrix can help in prioritizing the areas for improvement.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.