Evidence map›Paper›PMID 40410802›Full record

ArticleBMC medical education2025

Current state and future education implication of enhanced recovery after surgery (ERAS) among Chinese anesthesiologists: national repeated cross-sectional surveys from 2019 to 2023.

Yuelun Zhang, Zijia Liu, Lulu Ma, Xu Li, Qianmei Zhu, Guonian Wang, Jing Cang, Yugang Diao, Tiezheng Zhang, Le Shen and 1 more

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
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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

11 authors.

Yuelun ZhangCenter for Prevention and Early Intervention, National Infrastructures for Translational Medicine, Institute of Clinical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Zijia LiuDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. liu-zj02@126.com.
Lulu MaDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Xu LiDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Qianmei ZhuDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Guonian WangDepartment of Anesthesiology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, 150081, China.
Jing CangDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yugang DiaoDepartment of Anesthesia, General Hospital of Northern Theater Command, Shenyang, Liaoning, 110016, China.
Tiezheng ZhangDepartment of Anesthesia, General Hospital of Northern Theater Command, Shenyang, Liaoning, 110016, China.
Le ShenDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Yuguang HuangDepartment of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. garypumch@163.com.

Funding

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-006
6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery (ERAS) protocols have been widely adopted to improve surgical outcomes. In this study, we aimed to assess the current state of awareness and specific knowledge of ERAS among Chinese anesthesiologists, examine difficulties in implementation, and identify future priorities for ERAS education and training.

methodsA self-designed, repeated national survey regarding awareness and practice of the ERAS concept, specific knowledge, learning modalities, and difficulties in ERAS implementation was conducted in 2019, 2021, and 2023. Factors related to mastery of knowledge were analyzed via subgroup analysis and multivariable linear regression.

resultsA total of 6385 participants were included; 96.2% were anesthesiologists. Approximately half of the participants reported implementing ERAS in more than 40% of patients. Compared with those in the 2019 survey, the overall proportion of participants who had heard about the concept of ERAS remained relatively stable across the three surveys (P = 0.078). However, significant improvements were observed in participants reported good understanding (defined as responding "very familiar" or "quite familiar") of ERAS and implementing rate of ERAS in clinical practice (P < 0.001). The mean score on the 15-question quiz was 8.5 ± 2.5. Significant differences in scores were observed across various geographic regions, levels of hospitals, education, professional titles, and age. Most anesthesiologists expressed a strong desire for additional education on ERAS in several ways. Feedback from the open-ended question in the survey indicated that multidisciplinary collaboration was a major challenge in implementing ERAS.

conclusionsThis nationwide study indicates a notable enhancement in the comprehension and implementation of ERAS among Chinese anesthesiologists, although there is still room for improvement. Future efforts should focus on improving education and training to enhance ERAS knowledge and practice levels among health care providers. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AnesthesiologistsAnesthesiologyEnhanced Recovery After SurgeryHealth Knowledge, Attitudes, PracticeAdultChinaClinical CompetenceCross-Sectional StudiesEast Asian PeopleFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAnesthesiologistCross-sectional studyEnhanced recovery after surgeryKnowledgeMedical educationSurvey

Identifiers

PMID40410802
PMCPMC12103054

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Registered trials

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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.