ArticleAnnals of medicine and surgery (2012)2026
Knowledge, attitudes, and practices of Sudanese doctors regarding enhanced recovery after surgery protocols in elective abdominal and pelvic surgery: a cross-sectional study.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Enhanced recovery after surgery (ERAS) is a protocol aimed at improving surgical outcomes, reducing hospital stay, and lowering costs. This study assessed Sudanese doctors' knowledge, attitudes, and practices regarding ERAS protocols and gathered data to support future implementation in Sudan. Methods: A cross-sectional study using a validated questionnaire was conducted among Sudanese surgeons in six cities. Data were collected from 492 participants. The analysis involved Cox and Snell R-squared, Nagelkerke R-squared, and Hosmer-Lemeshow goodness-of-fit tests. Results: Findings showed that 62% of participants had limited knowledge, and 58.1% had limited practice. Additionally, 38.8% were unfamiliar with ERAS guidelines, and 87.2% had not received formal training. A total of 81.7% wrongly believed that mechanical bowel preparation was routinely recommended, and only 33.1% possessed correct knowledge of fasting guidelines. Only 28.9% regularly applied the ERAS protocol. Most respondents (80.3%) believed ERAS improved surgical outcomes, reflecting positive attitudes toward adoption. Conclusion: This study highlights gaps in knowledge and practice among Sudanese surgeons regarding ERAS protocols, despite positive attitudes toward adoption. Addressing these gaps and progressing toward full implementation is vital for improving operative care in Sudan.
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