ArticleWorld journal of surgery2019
Association Between Compliance to an Enhanced Recovery Protocol and Outcome After Elective Surgery for Gastric Cancer. Results from a Western Population-Based Prospective Multicenter Study.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Predicting Postoperative Complications in Patients Undergoing Colorectal Surgery with an Enhanced Recovery Pathway.World journal of surgery · 2023Trial
- Feasibility of a tubeless enhanced recovery strategy in non-high-risk patients undergoing laparoscopy-assisted gastrectomy for gastric cancer.Surgical endoscopy · 2026Article
- Robotic-assisted colorectal surgery increases the adherence to enhanced recovery concepts.Surgical endoscopy · 2026Article
- Role and importance of quality control in improving compliance of enhanced recovery after surgery to overcome postoperative complications.BMC surgery · 2026Article
- ERAS journey: an abridged account for the busy practitioner.Singapore medical journal · 2026Article
- Article
- The implementation of eras in Belgian esophageal surgery centers.Updates in surgery · 2025Article
- Higher compliance with the enhanced recovery after surgery protocol improves postoperative recovery and 6-month mortality in upper gastrointestinal surgery.Surgery in practice and science · 2024Article
- Clinical predictors of postoperative complications in the context of enhanced recovery (ERAS) in patients with esophageal and gastric cancer.Updates in surgery · 2024Observational
- Textbook outcome as indicator of surgical quality in a single Western center: results from 300 consecutive gastrectomies.Updates in surgery · 2024Article
- Short-term outcomes of distal gastrectomy versus total gastrectomy for gastric cancer under enhanced recovery after surgery: a propensity score-matched analysis.Scientific reports · 2024Article
- Does enhanced recovery after surgery programs improve clinical outcomes in liver cancer surgery?World journal of gastrointestinal oncology · 2024Article
- The impact of preoperative nutritional screening, ERAS protocol, and mini-invasive surgery in surgical oncology: A multi-institutional SEM analysis of patients with digestive cancer.Frontiers in nutrition · 2023Article
- Did the ERAS Protocol Improve Our Results in Locally Advanced Gastric Cancer Surgery?Journal of personalized medicine · 2022Article
- Actual compliance rate of Enhanced Recovery After Surgery protocol in laparoscopic distal gastrectomy.Journal of minimally invasive surgery · 2021Article
- Paradigm shift in gastrointestinal surgery - combating sarcopenia with prehabilitation: Multimodal review of clinical and scientific data.World journal of gastrointestinal surgery · 2021Review
- Value-Based Healthcare and Enhanced Recovery After Surgery Implementation in a High-Volume Bariatric Center in Italy.Obesity surgery · 2020Article
- Article
- Association between enhanced recovery after surgery protocol compliance and clinical complications: a cohort study.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
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Authors and funding
20 authors at 10 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe association between compliance to an enhanced recovery protocol (ERAS) and outcome after surgery for gastric cancer has been poorly investigated, particularly in Western patients. The aim of the study was to evaluate whether the rate of adherence to the ERAS program was correlated with outcome and time of discharge.
methodsA prospective, observational, multicenter study was designed to be performed at Italian referral centers for gastric surgery. The protocol was discussed and approved by the Italian Research Group on Gastric Cancer. Twenty-three ERAS domains were applied. A multivariate logistic regression was used to assess the association between ERAS compliance and overall and major complication rates. The Poisson regression model (measured as mean ratios) was used to assess the association of ERAS compliance rate and length of stay (LOS).
resultsEight centers participated and 290 subjects with a median age of 73 years were enrolled. The overall rates of adherence to pre-, intra-, and postoperative ERAS items were 69.8%, 60.3%, and 82.5%, respectively. At the multivariate model, there was an association between overall rate of morbidity and an overall ERAS compliance rate greater than 70% (OR 0.413; 95% CI 0.235-0.7240; P 0.002). A similar association was found for major complications (OR 0.328; 95% CI 0.151-0.709; P 0.005). The Poisson regression showed that in patients with ERAS compliance rate >70%, LOS was reduced of approximately 20% (mean ratio 0.812; 95% CI 0.694-0.950; P 0.009).
conclusionsThese results suggest a moderate compliance to an ERAS program and a significant association between adherence and outcomes.
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