ArticleFrontiers in medicine2025
Adherence to the enhanced recovery after surgery protocol and its influencing factors among patients in Southwestern China: a multicenter cross-sectional study.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Operation Room Pre-Experience Service Willingness of Surgical Patients: A Mixed Method Research.Nursing open · 2026Article
- Pragmatic Criteria for Early Discharge After Laparoscopic Colorectal Surgery: Safety and Applicability Outside ERAS Programs.Journal of clinical medicine · 2026Article
- Review
- Compliance with early postoperative ambulation and Its associated barriers in hepatobiliary surgery patients within an enhanced recovery after surgery framework.Frontiers in surgery · 2026Article
- Article
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Authors and funding
9 authors.
Funding
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Abstract
Background: There is limited research on adherence to Enhanced Recovery After Surgery (ERAS) protocols among hospitalized patients and the factors influencing it, both in China and globally. Methods: A random sample of 1,203 participants from 45 hospitals in Southwestern China was surveyed on ERAS protocol implementation, including 16 items. A questionnaire assessed awareness, attitudes, and social and environmental support factors. Multivariable linear regression model was used to analyze factors affecting ERAS adherence. Results: The final analysis included 806 surgical patients, with an average ERAS adherence rate of 71.5% (56.3, 81.3%). The highest completion rates were seen in avoidance of prolonged fasting (88.6%) and prophylactic antibiotic use (88.2%), while the lowest were in preoperative oral carbohydrate intake (42.2%) and deep vein thrombosis prevention (52.4%). Factors positively influencing adherence included educational background ( Conclusion: ERAS adherence in Southwestern China remains low, with various factors such as hospital grade, patients' educational background, their perceptions and attitudes toward ERAS, and their social and environmental support influencing ERAS adherence rates. Clinical trial registration: http://clinicaltrials.gov, Identifier ChiCTR2400086759.
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