ArticleBMJ open2022
Barriers to implementation of enhanced recovery after surgery (ERAS) by a multidisciplinary team in China: a multicentre qualitative study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05465499 (Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital), which is not on this map. Cited by 41 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.
Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital
Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.
- Issues in patients' experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence.BMJ open · 2023Pooled it
- Effect of Oliceridine Fumarate for Patient-Controlled Intravenous Analgesia on Gastrointestinal Function in Laparoscopic Radical Gastrectomy Surgery: A Randomized, Double-Blind, Controlled Trial.Drug design, development and therapy · 2026Trial
- Evidence-based control of stress response on intraoperative physiological indexes and recovery of patients undergoing gastrointestinal surgery.World journal of gastroenterology · 2025Trial
- Review
- Association between ERAS compliance and postoperative outcomes after right colectomy for colon cancer: a single-center cohort study.BMC surgery · 2026Article
- Enhanced recovery protocols: compliance and outcome in elective vs. emergency colorectal surgery.Langenbeck's archives of surgery · 2026Article
- Implementation Structure of ERAS Components in Gynecologic Oncology During Early Adoption: A Network-Based Analysis.Journal of clinical medicine · 2026Article
- Strengthening Patient-Safety in ERAS Pathways: An Evidence-Informed Framework for Simulation-Based Nursing Practice Development in Acute Surgical Care.Healthcare (Basel, Switzerland) · 2026Review
- Patients' knowledge of and experience with Enhanced Recovery After Surgery (ERAS)-guided surgery: a qualitative study.BMC women's health · 2026Article
- Article
- Paving the Way for ERAS in German Gynecologic and Gynecologic Oncology Departments: Insights into Barriers, Facilitators and Practical Strategies.Healthcare (Basel, Switzerland) · 2026Article
- Quality of Recovery Following Lobectomy for Lung Cancer under the Enhanced Recovery After Surgery (ERAS) Program: A Single-Center, Cross-Sectional Study in Vietnam.Asian Pacific journal of cancer prevention : APJCP · 2026Article
- Single-stage outpatient laparoendoscopic treatment of cholecystocholedocholithiasis.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Advancing abdominal surgery recovery implementation: a unified framework for intensified recovery protocols by the EUropean PErioperative MEdical Networking collaborative.Frontiers in surgery · 2026Article
- Review
- Enhanced recovery after neurosurgery: a narrative review comparing clinical outcomes, protocols, and challenges with standard postoperative care.Annals of medicine and surgery (2012) · 2026Review
- Observational
- Review
- Enhanced recovery after surgery protocols in gastrectomy with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for gastric cancer.World journal of clinical oncology · 2025Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the attitudes and barriers encountered in the implementation of enhanced recovery after surgery (ERAS) in China from the perspective of multidisciplinary team members.
designBased on Donabedian's structure-process-outcome (SPO) model, a multicentre qualitative study using semistructured interviews was conducted.
settingFrom September 2020 to December 2020, the participants of this study were interviewed from six tertiary hospitals in Sichuan province (n=3), Jiangsu province (n=2) and Guangxi province (n=1) in China.
participantsA total of 42 members, including surgeons (n=11), anaesthesiologists (n=10), surgical nurses (n=14) and dietitians(n=7) were interviewed.
resultsMultidisciplinary team (MDT) members still face many barriers during the process of implementing ERAS. Eight main themes are described around the barriers in the implementation of ERAS. Themes in the structure dimension are: (1) shortage of medical resources, (2) lack of policy support and (3) outdated concepts. Themes in the process dimension are: (1) poor doctor-patient collaboration, (2) poor communication and collaboration among MDT members and (3) lack of individualised management. Themes in the outcome dimension are: (1) low compliance and (2) high medical costs. The current implementation of ERAS is still based on ideas more than reality.
conclusionsIn general, barriers to ERAS implementation are broad. Identifying key elements of problems in the application and promotion of ERAS from the perspective of the MDT would provide a starting point for future quality improvement of ERAS, enhance the clinical effect of ERAS and increase formalised ERAS utilisation in China.
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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.