Evidence map›Paper›PMID 29302724›Full record

ArticleWorld journal of surgery2018

Consensus on Training and Implementation of Enhanced Recovery After Surgery: A Delphi Study.

Nader K Francis, Thomas Walker, Fiona Carter, Martin Hübner, Angela Balfour, Dorthe Hjort Jakobsen, Jennie Burch, Tracy Wasylak, Nicolas Demartines, Dileep N Lobo and 2 more

Abstract readConsensus Statement
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In one paragraph

Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Principles of enhanced recovery in gastrointestinal surgery.Langenbeck's archives of surgery · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nader K FrancisDepartment of Colorectal Surgery, Yeovil District Hospital Foundation Trust, Higher Kingston, Yeovil, Somerset, BA21 4AT, UK. nader.francis@ydh.nhs.uk.
Thomas WalkerDepartment of Colorectal Surgery, Yeovil District Hospital Foundation Trust, Higher Kingston, Yeovil, Somerset, BA21 4AT, UK.
Fiona CarterSouth West Surgical Training Network, ERAS-UK, Yeovil, Somerset, BA20 2RH, UK.
Martin HübnerDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), Rue de Bugnon 46, 1011, Lausanne, Switzerland.
Angela BalfourNHS Lothian Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland.
Dorthe Hjort JakobsenSection of Surgical Pathophysiology 4074, Rigshospitalet, Blegdamsvej 9, 2100 Kbh Ø, Copenhagen, Denmark.
Jennie BurchHead of Gastrointestinal Nurse Education, Academic Institute, St Mark's Hospital, London, HA1 3UJ, UK.
Tracy WasylakStrategic Clinical Networks, Alberta Health Services, Edmonton, AB, Canada.
Nicolas DemartinesDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), Rue de Bugnon 46, 1011, Lausanne, Switzerland.
Dileep N LoboGastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Valerie AddorDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), Rue de Bugnon 46, 1011, Lausanne, Switzerland.
Olle LjungqvistDepartment of Surgery, Faculty of Medicine and Health, Örebro University, 701 85, Orebro, Sweden.

Funding

Medical Research Council MR/P021220/1
6 · The paper itself

Abstract

backgroundEnhanced Recovery After Surgery (ERAS) is widely accepted in current surgical practice due to its positive impact on patient outcomes. The successful implementation of ERAS is challenging and compliance with protocols varies widely. Continual staff education is essential for successful ERAS programmes. Teaching modalities exist, but there remains no agreement regarding the optimal training curriculum or how its effectiveness is assessed. We aimed to draw consensus from an expert panel regarding the successful training and implementation of ERAS.

methodsA modified Delphi technique was used; three rounds of questionnaires were sent to 58 selected international experts from 11 countries across multiple ERAS specialities and multidisciplinary teams (MDT) between January 2016 and February 2017. We interrogated opinion regarding four topics: (1) the components of a training curriculum and the structure of training courses; (2) the optimal framework for successful implementation and audit of ERAS including a guide for data collection; (3) a framework to assess the effectiveness of training; (4) criteria to define ERAS training centres of excellence.

resultsAn ERAS training course must cover the evidence-based principles of ERAS with team-oriented training. Successful implementation requires strong leadership, an ERAS facilitator and an effective MDT. Effectiveness of training can be measured by improved compliance. A training centre of excellence should show a willingness to teach and demonstrable team working.

conclusionsWe propose an international expert consensus providing an ERAS training curriculum, a framework for successful implementation, methods for assessing effectiveness of training and a definition of ERAS training centres of excellence.

Indexed as

Delphi TechniqueEducation, ContinuingCurriculumHumansPerioperative CarePostoperative ComplicationsRecovery of Function

Identifiers

PMID29302724

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.