ArticleBMC surgery2019
Improving enhanced recovery after surgery (ERAS): ERAS APPtimize study protocol, a randomized controlled trial investigating the effect of a patient-centred mobile application on patient participation in colorectal surgery.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mobile applications in gastrointestinal surgery: a systematic review.Surgical endoscopy · 2023Pooled it
- Critical analysis of quality of life and cost-effectiveness of enhanced recovery after surgery (ERAS) for patient's undergoing urologic oncology surgery: a systematic review.World journal of urology · 2022Pooled it
- Improving Enhanced Recovery after Surgery (ERAS): The Effect of a Patient-Centred Mobile Application and an Activity Tracker on Patient Engagement in Colorectal Surgery.Surgical innovation · 2025Trial
- Trial
- Conditions associated with worse acceptance of a simplified accelerated recovery after surgery protocol in laparoscopic colorectal surgery.BMC surgery · 2021Trial
- Current Evidence in Robotic Colorectal Surgery.Cancers · 2025Review
- iColon, a patient-focused mobile application for perioperative care in colorectal surgery: Results from 444 patients.Journal of telemedicine and telecare · 2025Observational
- The Impact of Patients' Engagement in the Prevention of Surgical Site Infections: A Systematic Review.Infection and drug resistance · 2025Review
- Review
- Adherence to fast track measures in colorectal surgery-a survey among German and Austrian surgeons.International journal of colorectal disease · 2023Article
- Healthcare workers' perceptions of how eHealth applications can support self-care for patients undergoing planned major surgery.BMC health services research · 2022Article
- Implementation and improvement of Enhanced Recovery After Surgery protocols for colorectal cancer surgery.Annals of surgical treatment and research · 2022Article
- ERAS vs. Traditional Protocol in Patients Who Had Radical Cystectomy with Ileal Conduit: A Retrospective Comparative Analysis of 182 Cases.Advances in urology · 2022Article
- iColon, a patient-focused mobile application for perioperative care in colorectal surgery: an observational, real-world study protocol.BMJ open · 2021Article
- Self-Rehabilitation Guided by a Mobile Application After Anterior Cruciate Ligament Reconstruction Leads to Improved Early Motion and Less Pain.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- European Society of Thoracic Surgeons electronic quality of life application after lung resection: field testing in a clinical setting.Interactive cardiovascular and thoracic surgery · 2021Article
- Perioperative mobile application for mothers undergoing Cesarean delivery: a prospective cohort study on patient engagement.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Remote monitoring of patient recovery following lung cancer surgery: a messenger application approach.Journal of thoracic disease · 2021Article
- Enhanced recovery in children: how could we go further?World journal of pediatric surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundPerioperative care in colorectal surgery is systematically defined in the Enhanced Recovery After Surgery (ERAS) protocol. The ERAS protocol improves perioperative care in a multimodal way to enhance early and safe release from the hospital. Adequate compliance to the elements of the ERAS protocol is multifactorial. There are still opportunities to improve compliance of the protocol by actively involving the patient. The main objective of this study is to investigate whether compliance of selected items in the ERAS protocol can be improved through actively involving patients in the ERAS care pathway through the use of a patient-centred mobile application.
methodsA multicentre randomized controlled trial will be conducted. Patients undergoing elective colorectal surgery, who are 18 years or older and in possession of an eligible smartphone, will be included. Patients assigned to the intervention group will install a patient-centred mobile application to be guided through the ERAS care pathway. Patients in the control group will receive care as usual. Both groups will wear an activity tracker. The primary outcome is overall compliance to selected active elements of the ERAS protocol, as registered by the patient. Secondary outcomes include Patient Reported Outcome Measures (PROMs) such as health-related quality of life, physical activity, and patient satisfaction of received care. Care-related outcomes, such as length of hospital stay, number of complications, re-intervention, and readmission rates, will also be assessed.
resultsThe enrolment of patients will start in the second quarter of 2019. Data collection had not begun by the time this protocol was submitted.
conclusionWe hypothesize that by providing patients with a patient-centred mobile application, compliance to the active elements of ERAS protocol can be improved, resulting in an increased health-related quality of life, physical activity, and patient satisfaction.
trial registrationNetherlands Trial Register, NTR7314 , prospectively registered on the 9th of November 2017 ( http://www.trialregister.nl ).
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