ArticleBMJ open2022
Implementing an enhanced recovery after thoracic surgery programme in the Netherlands: a qualitative study investigating facilitators and barriers for implementation.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Teamwork and implementation of innovations in healthcare and human service settings: a systematic review.Implementation science : IS · 2024Pooled it
- Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2024Pooled it
- Issues in patients' experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence.BMJ open · 2023Pooled it
- Knowledge, attitudes, and practices of Sudanese doctors regarding enhanced recovery after surgery protocols in elective abdominal and pelvic surgery: a cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Development of the Korean enhanced recovery after surgery audit program.Scientific reports · 2025Observational
- Article
- Enhanced Recovery after Surgery (ERAS) Implementation and Barriers among Healthcare Providers in France: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Challenging issues of implementing enhanced recovery after surgery programs in South Korea.Anesthesia and pain medicine · 2024Review
- Interprofessional education in cardiothoracic surgery: a narrative review.Frontiers in surgery · 2024Review
- Medical staff's perception of factors contributing to accelerated rehabilitation in patients with cervical spinal cord injury: A qualitative research.Nursing open · 2023Article
- Thoracic surgery in the Netherlands.Journal of thoracic disease · 2022Review
- Enhanced recovery after surgery (ERAS): philosophy, theory and practice.Journal of thoracic disease · 2022Article
- Ultrasound-guided erector spinae plane block improve opioid-sparing perioperative analgesia in pediatric patients undergoing thoracoscopic lung lesion resection: a prospective randomized controlled trial.Translational pediatrics · 2022Article
- Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study.BMC nursing · 2022Article
- Analysis of the Effect of Quality Nursing on Recovery after Thoracic Surgery.Emergency medicine international · 2022Article
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to elucidate determinants for succesful implementation of the Enhanced Recovery After Thoracic Surgery (ERATS) protocol for perioperative care for surgical lung cancer patients in the Netherlands.
settingLung cancer operations are performed in both academic and regional hospitals, either by cardiothoracic or general thoracic surgeons. Limiting the impact of these operations by optimising and standardising perioperative care with the ERATS protocol is thought to enable reduction in length of stay, complications and costs.
participantsA broad spectrum of stakeholders in perioperative care for patients with lung resection participated in this study, ranging from patient representatives, healthcare professionals to an insurance company representative.
interventionsSemistructured interviews (N=14) were conducted with the stakeholders (N=18). The interviews were conducted one on one by telephone and two times, face to face, in small groups. Verbatim transcriptions of these interviews were coded for the purpose of thematic analysis. OUTCOME MEASURES: Determinants for successful implementation of the ERATS protocol in the Netherlands.
resultsSeveral determinants correspond with previous publications: having a multidisciplinary team, leadership from a senior clinician and support from an ERAS-coordinator as facilitators; lack of feedback on performance and absence of management support as barriers. Our study underscores the potential detrimental effect of inconsistent communication, the lack of support in the transition from hospital to home and the barrier posed by lack of accessible audit data.
conclusionsBased on a structured problem analysis among a wide selection of stakeholders, this study provides a solid basis for choosing adequate implementation strategies to introduce the ERATS protocol in the Netherlands. Emphasis on consistent and sufficient communication, support in the transition from hospital to home and adequate audit and feedback data, in addition to established implementation strategies for ERAS-type programmes, will enable a tailored approach to implementation of ERATS in the Dutch context.
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